Shahpar Samman, Mhatre Priya V, Huang Mark E
Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL; Rehabilitation Institute of Chicago, 345 E. Superior Street, Chicago, IL 60611(∗).
Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL; Rehabilitation Institute of Chicago, Chicago, IL(†).
PM R. 2016 Jul;8(7):678-89. doi: 10.1016/j.pmrj.2015.10.012. Epub 2015 Nov 6.
Brain tumors can be a source of functional impairment to patients due to neurologic sequelae associated with the tumor itself as well as treatment side effects. As a result, many of these patients may require rehabilitation services. Surgery, chemotherapy, and radiation therapy have been longstanding, primary treatment modalities in the management of brain tumors, though these treatments continue to evolve given new developments in research and technology. A better understanding of the diagnostic workup and current treatment standards helps the physiatrist and rehabilitation team identify rehabilitation services needed, recognize potential side-effects from anticipated or concurrent treatments, and coordinate care with referral sources. The purpose of this article is to review these new advances in diagnosis and treatment of patients with brain tumors, as well as discuss the rehabilitation implications for this population, including factors such as rehabilitation approach, timing of concomitant treatment, cost management, and coordination of care.
脑肿瘤可能因与肿瘤本身相关的神经后遗症以及治疗副作用而导致患者功能受损。因此,许多此类患者可能需要康复服务。手术、化疗和放疗一直是脑肿瘤治疗的主要方式,不过随着研究和技术的新进展,这些治疗方法也在不断发展。更好地了解诊断检查和当前治疗标准有助于物理治疗师和康复团队确定所需的康复服务,识别预期或同时进行的治疗可能产生的副作用,并与转诊机构协调护理。本文旨在综述脑肿瘤患者诊断和治疗的这些新进展,并讨论该人群的康复问题,包括康复方法、同步治疗时机、成本管理和护理协调等因素。