Exploring the Role of Specialist Physiotherapy in Awake Craniotomy Surgery for the Neuro-Oncology Patient
نویسندگان
چکیده
Abstract AIMS To describe the methods used to assess and monitor motor function during awake craniotomy surgery for tumour resection. METHOD A service review was carried out over 10 months. Patients with highly eloquent lesions – invasion of primary cortex or fronto-parietal connections involved in cognition were included. Clinical notes reviewed summarised using descriptive analysis. Dexterity grip strength measured 9-hole peg test handheld dynameter pre/intra post-operatively. Patient occupation/interests reported guide bespoke assessments trial intra-operatively. RESULTS From April 2021 January 2022, 13 patients (mean age 39.7 years, 4 female:10 male, 9 low grade:5 high grade gliomas) Mean score 22.2sec pre-operatively, 30.6sec post-operatively; 26.7kg 18.4kg At discharge 5 7 impaired demonstrated improvement. For coordination, tasks frequently included repetitive finger tapping, open/closed hand. Bespoke texting/writing, playing instruments, computer games. Movement closely monitored verbal feedback given neurosurgeons throughout. With video analysis movement comparisons made. CONCLUSION The role physiotherapy is evolving provide complex such as upper limb sequencing dexterity. combination standard have been trialled their feasibility within tested. post-operative deterioration (power cognition) expected after gliomas. However, intraoperative assessment allows preservation potentiates its recovery.
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ژورنال
عنوان ژورنال: Neuro-oncology
سال: 2022
ISSN: ['1523-5866', '1522-8517']
DOI: https://doi.org/10.1093/neuonc/noac200.076