Department of Occupational Therapy, Poznan University of Medical Sciences, Poznan, Poland -
Department of Rehabilitation, Greater Poland Cancer Centre, Poznan, Poland -
Eur J Phys Rehabil Med. 2022 Oct;58(5):666-674. doi: 10.23736/S1973-9087.22.07510-4. Epub 2022 Jul 8.
The number of diagnosed brain tumors (BT) has increased in recent years. The results of treatment of patients with surgery, chemotherapy and radiotherapy are also improving and their survival rate has increased significantly. Symptoms of the disease and side effects of oncological treatment may reduce the functional performance of patients. It is so important to conduct rehabilitation in this group of patients. The aim of this systematic review is to identify predictors of effective rehabilitation in aspects of physical functioning of BT patients. The study was registered with health and social care, welfare, public health, education, crime, justice and international development departments, where there is a health-related interest outcome PROSPERO. We have received registration number is: CRD42021269398.
To find relevant publications, the algorithm of keywords ("brain tumor") AND (rehabilitation OR "physical activity" OR exercise OR "physical therapy") was used. The search was conducted in PubMed, Web of Science, PEDro, ClinicalTrials.gov and Cochrane Library. Information was extracted using the PICO format (i.e., participants, intervention, comparison, outcomes).
the initial search identified a total of 1122 results, and 21 articles met the criteria and were selected for analysis.
The results present that rehabilitation is an important and safe cancer encouraging therapy, brings functional benefits. The type of rehabilitation program, especially in BT patients, depends on many factors such as time and type of oncological treatment, general conditions which is strongly related to the general functioning of the patient. It still is a need for clinical research into the safety and effectiveness of rehabilitation interventions already during radio or chemotherapy in this group of cancer patients.
近年来，诊断出的脑肿瘤（BT）数量有所增加。手术、化疗和放疗治疗患者的效果也在提高，他们的生存率显著提高。疾病症状和肿瘤治疗的副作用可能会降低患者的功能表现。因此，对这组患者进行康复治疗非常重要。本系统评价的目的是确定 BT 患者身体功能康复效果的预测因素。该研究已在卫生和社会保健、福利、公共卫生、教育、犯罪、司法和国际发展部门注册，这些部门有与健康相关的利益结果 PROSPERO。我们收到的注册号是：CRD42021269398。
为了找到相关出版物，我们使用了关键词（“脑肿瘤”）和（康复或“体力活动”或运动或“物理疗法”）的算法。在 PubMed、Web of Science、PEDro、ClinicalTrials.gov 和 Cochrane Library 中进行了搜索。使用 PICO 格式（即参与者、干预、比较、结果）提取信息。
最初的搜索共确定了 1122 项结果，有 21 篇文章符合标准并被选中进行分析。
结果表明，康复是一种重要且安全的癌症促进治疗方法，能带来功能益处。康复计划的类型，特别是在 BT 患者中，取决于许多因素，如肿瘤治疗的时间和类型、与患者整体功能密切相关的一般情况。对于这组癌症患者，在放射治疗或化疗期间进行康复干预的安全性和有效性仍需要临床研究。
