title: Early rehabilitation after surgery improves functional outcome in inpatients with brain tumours.
abstract: Clinical experience suggests that application of the fundamental principles of rehabilitation medicine can improve the care of patients with cancer. Despite the high incidence of neurological and functional deficits in patients affected by brain tumours (BTs), rehabilitation treatment of this population is not as well established as it is for patients with other neurological conditions. To assess functional outcome in brain tumour inpatients who underwent early rehabilitation after surgery. 75 patients who had undergone neurosurgery for primary BTs and 75 patients affected by stroke were enrolled in a case-control study. All patients were evaluated by means of a core set of clinical scales (Functional Independence Measure, Sitting Balance score, Standing Balance score, Hauser Index, Massachusetts General Hospital Functional Ambulation Classification). Patients were evaluated before the beginning (T0) and at the end (T1) of rehabilitation treatment. The neurorehabilitation programme consisted of individual 60-min sessions of treatment, administered once a day, six days a week, for four consecutive weeks. Speech therapy was included when aphasia was diagnosed. All the measures of outcome were indicative of substantial improvements for neuro-oncological and for stroke patients (P = 0.000). Analysis of subgroups showed that patients affected by meningioma achieved better results (in efficiency terms) as regards independence in activities of daily living (P = 0.02) and mobility (P = 0.04) compared with patients affected by glioblastoma or stroke. Rehabilitation after surgery can improve functional outcome, justifying the delivery of rehabilitation services, even during the acute phase, to BTs inpatients, irrespective of tumour type.
authors: Neurorehabilitation Unit, IRCCS NEUROMED Mediterranean Neurological Institute, Via Atinense, 18, 86077 Pozzilli, Isernia, Italy. bartolomichelangelo@gmail.com
authors: Michelangelo
authors: M
authors: Bartolo
authors: Chiara
authors: C
authors: Zucchella
authors: Andrea
authors: A
authors: Pace
authors: Gaetano
authors: G
authors: Lanzetta
authors: Carmine
authors: C
authors: Vecchione
authors: Marcello
authors: M
authors: Bartolo
authors: Giovanni
authors: G
authors: Grillea
authors: Mariano
authors: M
authors: Serrao
authors: Cristina
authors: C
authors: Tassorelli
authors: Giorgio
authors: G
authors: Sandrini
authors: Francesco
authors: F
authors: Pierelli
mesh_terms: D000368:Aged; D001932:Brain Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D016022:Case-Control Studies; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D009493:Neurosurgery / Q000534:rehabilitation*; D020127:Recovery of Function