Stanuszek Agnieszka, Milczarek Olga, Rubinkiewicz Mateusz, Rymarowicz Justyna, Kwiatkowski Stanisław
Department of Neurosurgery and Neurotraumatology, Regional Specialised Hospital No 4, al. Legionów 10, 41-902, Bytom, Poland.
Department of Pediatric Neurosurgery, Jagiellonian University Medical College, Kraków, Poland.
Childs Nerv Syst. 2021 Mar;37(3):863-869. doi: 10.1007/s00381-020-04903-0. Epub 2020 Sep 29.
Children with a history of brain tumors do not appear to be at a significantly higher risk of sports-related injuries. Nevertheless, according to the systematic review and survey conducted by Perreault et al., 75% of healthcare professionals restrict their patients' participation in physical activities after brain tumor surgery. The aim of our study was to verify whether children after brain tumor surgery return to physical education (PE) classes. It was also an attempt to explore factors limiting return to physical activity.
Patients after brain tumor surgery, ≤ 18 years old on admission with ≥ 1 year follow-up were included in the analysis. Data concerning the disease were collected and summarized in search of factors limiting return to physical activity. Meticulous information about return to sports and physical education at school was gathered during follow-up visits.
71.43% of patients returned to school sports activities. Children who did not return to PE had markedly higher neoplasm WHO grade. Significant differences were also found between the groups in terms of hydrocephalus occurrence and need for additional oncological treatment. In univariate analysis, we identified neoplasm WHO grade, tumor location, presence of neurological deficit after the procedure, additional oncological treatment, and occurrence of hydrocephalus needing shunting as the risk factors for not returning to school physical education.
The majority of pediatric brain tumor survivors return safely to physical education. Higher neoplasm WHO grade, presence of neurological deficit after the procedure, additional oncological treatment, and occurrence of hydrocephalus are risk factors for not returning to physical education.
有脑肿瘤病史的儿童似乎并未面临与运动相关的受伤风险显著更高的情况。然而，根据佩罗等人进行的系统综述和调查，75%的医疗保健专业人员会限制其脑肿瘤手术后患者参与体育活动。我们研究的目的是核实脑肿瘤手术后的儿童是否会重返体育课。这也是一次探索限制恢复体育活动因素的尝试。
纳入分析的是脑肿瘤手术后入院时年龄≤18岁且随访≥1年的患者。收集并汇总有关疾病的数据，以寻找限制恢复体育活动的因素。在随访期间收集了有关恢复学校体育活动和体育课情况的详细信息。
71.43%的患者恢复了学校体育活动。未重返体育课的儿童的肿瘤世界卫生组织（WHO）分级明显更高。在脑积水的发生情况和是否需要额外的肿瘤治疗方面，两组之间也存在显著差异。在单因素分析中，我们确定肿瘤WHO分级、肿瘤位置、术后神经功能缺损的存在、额外的肿瘤治疗以及需要分流的脑积水的发生是未重返学校体育活动的危险因素。
大多数小儿脑肿瘤幸存者能安全地重返体育课。肿瘤WHO分级较高、术后存在神经功能缺损、额外的肿瘤治疗以及脑积水的发生是未重返体育课的危险因素。
