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Journal of Neurosurgical Sciences 2000 December;44(4):220-5

language: English

Investigation and com­par­i­son of the ­effects of reha­bil­i­ta­tion on bal­ance and coor­di­na­tion prob­lems in ­patients ­with pos­te­ri­or fos­sa and cer­e­bel­lo­pon­tine ­angle ­tumours

Karakaya M. 1, Kose N. 1, Otman S. 1, Ozgen T. 2

1 School of Physical Therapy and Rehabilitation, Neurosurgery Unit, Hacettepe University, Ankara, Turkey;
2 Department of Neurosurgery, Hacettepe University, Ankara, Turkey


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Background. This ­study was ­planned to inves­ti­gate and com­pare the ­effects of ­acute reha­bil­i­ta­tion pro­gramme on bal­ance and coor­di­na­tion prob­lems in ­patients ­with pos­te­ri­or fos­sa and cer­e­bel­lo­pon­tine ­angle ­tumours.
Methods. This ­study was car­ried out at Hacettepe University, School of Physical Therapy and Rehabilita-­tion, neu­ro­sur­gi­cal reha­bil­i­ta­tion ­unit on 40 ­patients ­whose ­ages var­ied ­between 18-60 ­years. Subjects ­were sub­di­vid­ed ­into two ­groups. Group I con­sist­ed of 20 ­patients ­with pos­te­ri­or fos­sa ­tumour, ­while the ­group II was com­posed of 20 ­patients ­with cer­e­bel­lo­pon­tine ­angle ­tumour. Patients ­were eval­u­at­ed accord­ing to the local­isa­tion of the ­tumour, the num­ber of the sur­gi­cal oper­a­tions, the lev­el of the sur­gi­cal exci­sion of the ­tumour, percent of having ­shunt, radio­ther­a­py and chem­o­ther­a­py. Balance prob­lems ­were ­assessed accord­ing to Mokken’s func­tion­al inde­pen­dence assess­ment ­scale in 5 select­ed posi­tions and stand­ing bal­ance was ­also eval­u­at­ed accord­ing to the meth­od of Bohannon. The reha­bil­i­ta­tion of the ­patients includ­ed bal­ance and coor­di­na­tion train­ing. The ­patients ­were re-eval­u­at­ed ­before ­their dis­charge and the ­results of the two eval­u­a­tions ­were com­pared.
Results. A sig­nif­i­cant improve­ment was ­found in the sec­ond ­group ­when pre- and ­post-treat­ment eval­u­a­tions ­were com­pared. There ­were ­more coor­di­na­tion prob­lems in ­group l in the pretreat­ment peri­od. Both ­groups ­showed sig­nif­i­cant improve­ment of coor­di­na­tion prob­lems ­after the treat­ment. However, ­this improve­ment was ­more obvi­ous in the sec­ond ­group (p<0.05). There was a neg­a­tive sig­nif­i­cant cor­re­la­tion ­between the ­decrease of bal­ance prob­lems and the ­amount of the ­tumour ­excided (I Group r=-0.51, II Group r=-0.57).
Conclusions. It can be con­clud­ed ­that reha­bil­i­ta­tion approach­es are effec­tive in bal­ance and coor­di­na­tion prob­lems ­observed in ­both ­tumour ­groups, but the respons­es to treat­ment are ­more obvi­ous in the cer­e­bel­lo­pon­tine ­angle ­tumours, ­which ­have bet­ter prog­no­sis.

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