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胶质瘤患者的康复干预:一篇综述

Rehabilitation interventions for glioma patients: a mini-review.

作者信息

Spina Stefania, Facciorusso Salvatore, Cinone Nicoletta, Pellegrino Raffaello, Fiore Pietro, Santamato Andrea

机构信息

Department of Medical and Surgical Sciences, Spasticity and Movement Disorders "ReSTaRt", Unit Physical Medicine and Rehabilitation Section, University of Foggia, Foggia, Italy.

Department of Medical and Surgical Specialties and Dentistry, University of Campania "Luigi Vanvitelli", Naples, Italy.

出版信息

Front Surg. 2023 Jun 16;10:1137516. doi: 10.3389/fsurg.2023.1137516. eCollection 2023.

Abstract

Glioma is a group of tumors that originate from glial cells within the central nervous system and comprise 27% of all tumors and 80% of malignant tumors. With remarkable progress in surgical practices, chemotherapy, and radiation therapy, patients with glioma are experiencing greater survival times, which means they need more rehabilitative care. In fact, people with this condition may experience a variety of symptoms that can affect their functions and drastically reduce their quality of life. In fact, patients suffering from glioma has a distinctive symptom complex highlighting the requirement for customized care. Growing evidence shows that rehabilitation therapy can improve the functional prognosis and quality of life of glioma patients. However, there is limited evidence of the success of rehabilitation protocols designed specifically for individuals with glioma. It is essential to determine the most comprehensive rehabilitation programs as well as the sufficient resources, dosage, and duration. The goal of this mini-review was to classify and map rehabilitation interventions used to treat multiple disabling sequalae in individuals affected by glioma. We aim to provide a comprehensive overview of the rehabilitation protocols used for this population, so that clinicians have a guide to support treatment and an inspiration for further research. This document is intended to be a reference point for professionals involved in the management of adult patients with gliomas. Further exploration is needed to form improved care models for recognizing and addressing functional restrictions in this population.

摘要

胶质瘤是一组起源于中枢神经系统胶质细胞的肿瘤,占所有肿瘤的27%,恶性肿瘤的80%。随着外科手术、化疗和放射治疗取得显著进展,胶质瘤患者的生存期延长,这意味着他们需要更多的康复护理。事实上,患有这种疾病的人可能会出现各种症状,这些症状会影响他们的功能,并大大降低他们的生活质量。实际上,胶质瘤患者有独特的症状组合,这突出了定制护理的必要性。越来越多的证据表明,康复治疗可以改善胶质瘤患者的功能预后和生活质量。然而,专门为胶质瘤患者设计的康复方案取得成功的证据有限。确定最全面的康复计划以及充足的资源、剂量和持续时间至关重要。本综述的目的是对用于治疗胶质瘤患者多种致残后遗症的康复干预措施进行分类和梳理。我们旨在全面概述针对该人群使用的康复方案,以便临床医生有支持治疗的指南,并为进一步研究提供灵感。本文档旨在作为参与成年胶质瘤患者管理的专业人员的参考点。需要进一步探索,以形成更好的护理模式,用于识别和解决该人群的功能受限问题。

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