Neurorehabilitation in brain tumours: evidences and suggestions for spreading of knowledge and research implementation

神经康复 医学 多学科方法 生活质量(医疗保健) 康复 预期寿命 认知 情感(语言学) 物理医学与康复 物理疗法 心理学 护理部 精神科 社会学 环境卫生 沟通 社会科学 人口
作者
Michelangelo Bartolo,Domenico Intiso,Chiara Zucchella
出处
期刊:Current Opinion in Oncology [Lippincott Williams & Wilkins]
卷期号:35 (6): 543-549 被引量:3
标识
DOI:10.1097/cco.0000000000000999
摘要

Purpose of review The last few decades have seen an increase in life expectancy in brain tumour patients; however, many patients report sensory-motor and cognitive disabilities due to the tumour itself, but also to the effect of anticancer treatments (surgery, radiotherapy, chemotherapy), supportive treatments, as well as individual patient factors. This review outlines the principles on which to base neurorehabilitation treatments, with the aim of stimulating an early rehabilitative management, in order to reduce disability and functional limitation and improve the quality of life of the persons affected by brain tumour. Recent findings Although not definitive, evidences suggest that an early neurorehabilitative evaluation, performed with a multidisciplinary approach, may identify the different functional impairments that can affect people with brain tumour. Furthermore, identifying and classifying the person's level of functioning is useful for designing achievable recovery goals, through the implementation of tailored multidisciplinary rehabilitation programs. The involvement of different professional figures allows to treat all the components (physical, cognitive, psychological and participation) of the person, and to redesign one's life project, lastly improving the quality of life. Summary Overall, the evidences suggest a critical need for the development of this clinical area by spreading the concept of rehabilitation among neuro-oncologists and producing high quality research.
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