Ching Willie, Luhmann Melissa
Staff Physical Therapist, Department of Health and Human Services, National Institutes of Health, Mark O. Hatfield Clinical Research Center, Rehabilitation Medicine Department, Physical Therapy Section, Bethesda, Maryland.
Top Geriatr Rehabil. 2011 Jul 1;27(3):184-192. doi: 10.1097/tgr.0b013e3182198f25.
Due to the uncertainty of the course of diagnoses, patients with neuro-oncological malignancies present challenges to the physical therapist. At times, the presentation of impairments and disabilities of these patients with neuro-oncological diagnoses do not necessarily coincide with the involved area of the brain or spinal cord. It is our intention to provide guidance to the physical therapist who will be working with these patients with neuro-oncological diagnoses, in hopes that their encounters will be more productive and meaningful. This article describes a brief overview of common central nervous system malignancies, its medical treatment, as well as possible complications and side effects that would need to be considered in rehabilitating these patients. Special consideration is given to the elderly patients with neuro-oncological diagnoses. Pertinent physical therapy assessments and interventions are discussed.
由于诊断过程的不确定性,神经肿瘤恶性肿瘤患者给物理治疗师带来了挑战。有时,这些患有神经肿瘤诊断的患者的损伤和残疾表现并不一定与大脑或脊髓的受累区域一致。我们的目的是为将与这些患有神经肿瘤诊断的患者合作的物理治疗师提供指导,希望他们的接触能更有成效和意义。本文简要概述了常见的中枢神经系统恶性肿瘤、其医学治疗以及在康复这些患者时需要考虑的可能并发症和副作用。特别考虑了患有神经肿瘤诊断的老年患者。还讨论了相关的物理治疗评估和干预措施。