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Disabil Rehabil. 2019 Jun;41(13):1608-1614. doi: 10.1080/09638288.2018.1432707. Epub 2018 Jan 30.

Development of an exercise intervention as part of rehabilitation in a glioblastoma multiforme survivor during irradiation treatment: a case report.

Author information

1
a Department of Sports Science and Clinical Biomechanics , University of Southern Denmark , Odense , Denmark.
2
b OPEN, Odense Patient Data Explorative Network, Odense University Hospital , Odense , Denmark.
3
c Occupational and Environmental Medicine , Odense University Hospital , Odense , Denmark.
4
d Department of Clinical Research, Research Unit of Rehabilitation , University of Southern Denmark , Odense , Denmark.
5
e Research Centre, University College Lillebaelt , Odense , Denmark.

Abstract

INTRODUCTION:

This case report describes the rationale and development of an exercise intervention in a patient with glioblastoma multiforme (GBM ) and discusses potential relations of observed effects in functional performance and quality of life (QOL).

METHODS:

A 54-year-old GBM survivor completed a supervised six-week exercise intervention during irradiation treatment beginning 42 d after resection. Exercise modalities of cardiorespiratory, resistance, and balance training were designed on generic recommendations of various cancer populations and literature review.

RESULTS:

Our case attended all possible sessions without experiencing adverse effects, and improved in aerobe power (24%), muscle strength (0-38%), standing balance (71%), walking ability (9%), and QOL domains of "Global Health Status/QoL" and "Physical functioning."

CONCLUSIONS:

Based on this single case, exercise rehabilitation has the ability to maintain or improve functional performance and QOL domains even during heavy treatments. It also implies that patients with GBM are capable and may be willing to participate in exercise rehabilitation if supervised by physical therapists. Implications for rehabilitation The use of exercise as part of rehabilitation still needs attention in strong methodology studies of patients with gliomas. Exercise rehabilitation may maintain or even improve functional performance and QOL domains during medical treatment regimens. Functional independent patients with GBM are capable to comply with generic exercise recommendations and may be willing to participate in exercise rehabilitation if supervised by physical therapists.

KEYWORDS:

Brain tumour; outpatient rehabilitation; physical therapy

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