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Rehabilitation of patients with glioma
Department of Physicial Medicine and Rehabilitation, Case Western Reserve University, Metroheaalth Medical Center, Cleveland, OH, USA.
Regional Cancer Centre, Stockholm, Gotland, Stockholm, sweden.
Umeå University, Faculty of Social Sciences, Department of Social Work.
2016 (English)In: The handbook of clinical neurology: vol. 134, Gliomas / [ed] Mitchel S. Berger and Michael Weller, Elsevier, 2016, p. 287-304Chapter in book (Other academic)
Abstract [en]

Disabling sequelae occur in a majority of patients diagnosed with brain tumor, including glioma, such as cognitive deficits, weakness, and visual perceptual changes. Often, multiple impairments are present concurrently.

Healthcare staff must be aware of the "biographic disruption" the patient with glioma has experienced. While prognostic considerations factor into rehabilitation goals and expectations, regardless of prognosis the treatment team must offer cohesive support, facilitating hope, function, and quality of life. Awareness of family and caregiver concerns plays an important role in the overall care.

Inpatient rehabilitation, especially after surgical resection, has been shown to result in functional improvement and homegoing rates on a par with individuals with other neurologic conditions, such as stroke or traumatic brain injury.

Community integration comprises a significant element of life satisfaction, as has been shown in childhood glioma survivors. Employment is often affected by the glioma diagnosis, but may be ameliorated, when appropriate, by addressing modifiable factors such as depression, fatigue, or sleep disturbance, or by workplace accommodations.

Further research is needed into many facets of rehabilitation in the setting of glioma, including establishing better care models for consistently identifying and addressing functional limitations in this population, measuring outcomes of various levels of rehabilitation care, identifying optimal physical activity strategies, delineating the long-term effects of rehabilitation interventions, and exploring impact of rehabilitation interventions on caregiver burden. The effective elements of cognitive rehabilitation, including transition of cognitive strategies to everyday living, need to be better defined.

Place, publisher, year, edition, pages
Elsevier, 2016. p. 287-304
Series
Handbook of clinical neurology ; 3rd series, v. 134
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:umu:diva-113455ISBN: 9780128029978 (print)OAI: oai:DiVA.org:umu-113455DiVA, id: diva2:885085
Available from: 2015-12-18 Created: 2015-12-18 Last updated: 2019-01-16Bibliographically approved

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Salander, Pär

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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  • en-US
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Output format
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  • asciidoc
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