Return to play after brain tumor surgery in children
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ORIGINAL ARTICLE
Return to play after brain tumor surgery in children Agnieszka Stanuszek 1
&
Olga Milczarek 2 & Mateusz Rubinkiewicz 3 & Justyna Rymarowicz 3 & Stanisław Kwiatkowski 2
Received: 12 May 2020 / Accepted: 23 September 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Children with a history of brain tumors do not appear to be at a significantly higher risk of sports-related injuries. Nevertheless, according to the systematic review and survey conducted by Perreault et al., 75% of healthcare professionals restrict their patients’ participation in physical activities after brain tumor surgery. The aim of our study was to verify whether children after brain tumor surgery return to physical education (PE) classes. It was also an attempt to explore factors limiting return to physical activity. Methods Patients after brain tumor surgery, ≤ 18 years old on admission with ≥ 1 year follow-up were included in the analysis. Data concerning the disease were collected and summarized in search of factors limiting return to physical activity. Meticulous information about return to sports and physical education at school was gathered during follow-up visits. Results 71.43% of patients returned to school sports activities. Children who did not return to PE had markedly higher neoplasm WHO grade. Significant differences were also found between the groups in terms of hydrocephalus occurrence and need for additional oncological treatment. In univariate analysis, we identified neoplasm WHO grade, tumor location, presence of neurological deficit after the procedure, additional oncological treatment, and occurrence of hydrocephalus needing shunting as the risk factors for not returning to school physical education. Conclusions The majority of pediatric brain tumor survivors return safely to physical education. Higher neoplasm WHO grade, presence of neurological deficit after the procedure, additional oncological treatment, and occurrence of hydrocephalus are risk factors for not returning to physical education. Keywords Pediatric brain tumor . Physical education . Sports return . Return to play . Brain cancer
Introduction Current studies indicate the safety and benefits of physical activity for patients after cancer treatment [1–3]. Sports participation boosts rehabilitation effects, improves physical performance, and lowers the level of anxiety and depression [4–6]. It is also recognized to enhance psychosocial well-being, while the significant increase in physical exercises could A. Stanuszek and O. Milczarek are equally contributed as co-first authors. * Agnieszka Stanuszek [email protected] 1
Department of Neurosurgery and Neurotraumatology, Regional Specialised Hospital No 4, al. Legionów 10, 41-902 Bytom, Poland
2
Department of Pediatric Neurosurgery, Jagiellonian University Medical College, Kraków, Poland
3
2nd Department of General Surgery, Jagiellonian University Medical College, Kraków, Poland
be related to enhanced general recovery [7]. Nevertheless, despit
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