Physical therapy enhances physical and functional abilities in a female patient with gliomatosis cerebri
DOI:
https://doi.org/10.23938/ASSN.1087Keywords:
Exercise Therapy, Physical Therapy Modalities, Neoplasms, Neuroepithelial, Neurological RehabilitationAbstract
Gliomatosis cerebri is a low incidence diffuse glial tumor that affects three or more brain lobes. The survival rate is < 5 years in 20% of the patients. Although chemotherapy seems to improve life expectancy, to date no interventions have been described that help improve the quality of life of these patients. The aim of this study was to assess if physical therapy may contribute to do this.
We present the case of a female patient with gliomatosis cerebri of nine years of evolution showing dependence on technical supports and supervision during walking, reduced speed and balance, tremor and dystonia in lower limbs. The patient underwent physiotherapy treatment: trunk control exercises, limb strength, and gait ability. Improvement in functionality was observed. Further studies with a larger sample size are needed to confirm these results .
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BRUNA J, VELASCO R. Gliomatosis cerebri. Neurologia 2010; 25: 143-147. https://doi.org/10.1016/s0213-4853(10)70001-3
National Cancer Institute. NCI-Connect. Gliomatosis Cerebri Diagnosis and Treatment. https://www.cancer.gov/rare-brain-spine-tumor/tumors/gliomatosis-cerebri
DIVÉ I, STEIDL E, WAGNER M, FILIPSKI K, BURGER MC, FRANZ K et al. Gliomatosis cerebri growth pattern: association of differential first-line treatment with overall survival in WHO Grade II and III Gliomas. Oncology 2021; 99: 215-224. https://doi.org/10.1159/000512562
MIKLJA Z, GABEL N, ALTSHULER D, WANG L, HERVEY-JUMPER SL, SMITH S. Exercise improves health-related quality of life sleep and fatigue domains in adult high- and low-grade glioma patients. Support Care Cancer 2022; 30: 1493–1500. https://doi.org/10.1007/s00520-021-06566-2
HE M, ZHANG HN, TANG ZC, GAO SG. Balance and coordination training for patients with genetic degenerative ataxia: a systematic review. J Neurol 2021; 268: 3690-3705. https://doi.org/10.1007/s00415-020-09938-6
TAUL-MADSEN L, CONNOLLY L, DENNETT R, FREEMAN J, DALGAS U, HVID LG. Is aerobic or resistance training the most effective exercise modality for improving lower extremity physical function and perceived fatigue in people with multiple sclerosis? A systematic review and meta-analysis. Arch Phys Med Rehabil 2021; 102: 2032-2048. https://doi.org/10.1016/j.apmr.2021.03.026
PALTAMAA J, SARASOJA T, LESKINEN E, WIKSTRÖM J, MÄLKIÄ E. Measuring deterioration in international classification of functioning domains of people with multiple sclerosis who are ambulatory. Phys Ther 2008; 88: 176-190. https://doi.org/10.2522/ptj.20070064
LEARMONTH YC, PAUL L, MCFADYEN AK, MATTISON P, MILLER L. Reliability and clinical significance of mobility and balance assessments in multiple sclerosis. Int J Rehabil Res 2012; 35: 69-74. https://doi.org/10.1097/MRR.0b013e328350b65f
MARCHETTI GF, LIN CC, ALGHADIR A, WHITNEY SL. Responsiveness and minimal detectable change of the dynamic gait index and functional gait index in persons with balance and vestibular disorders. J Neurol Phys Ther 2014; 38: 119-124. https://doi.org/10.1097/NPT.0000000000000015
MORTON SM, TSENG YW, ZACKOWSKI KM, DALINE JR, BASTIAN AJ. Longitudinal tracking of gait and balance impairments in cerebellar disease. Mov Disord 2010; 25: 1944-1952. https://doi.org/10.1002/mds.23169
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