Effectiveness of integrated multidisciplinary rehabilitation in primary brain cancer survivors in an Australian community cohort: a controlled clinical trial.
Identifieur interne : 002122 ( Main/Curation ); précédent : 002121; suivant : 002123Effectiveness of integrated multidisciplinary rehabilitation in primary brain cancer survivors in an Australian community cohort: a controlled clinical trial.
Auteurs : Fary Khan [Australie] ; Bhasker Amatya ; Kate Drummond ; Mary GaleaSource :
- Journal of rehabilitation medicine [ 1651-2081 ] ; 2014.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (psychologie), Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse de variance (MeSH), Anxiété (diagnostic), Anxiété (rééducation et réadaptation), Anxiété (étiologie), Autosoins (MeSH), Classification internationale du fonctionnement, du handicap et de la santé (MeSH), Dépression (diagnostic), Dépression (rééducation et réadaptation), Dépression (étiologie), Femelle (MeSH), Gliome (classification), Gliome (rééducation et réadaptation), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Qualité de vie (MeSH), Soins ambulatoires (MeSH), Sujet âgé (MeSH), Survivants (psychologie), Tumeurs du cerveau (classification), Tumeurs du cerveau (complications), Tumeurs du cerveau (psychologie), Tumeurs du cerveau (rééducation et réadaptation), Victoria (MeSH), Études prospectives (MeSH).
- MESH :
- diagnostic : Anxiété, Dépression.
- psychologie : Activités de la vie quotidienne, Survivants, Tumeurs du cerveau.
- rééducation et réadaptation : Anxiété, Dépression, Gliome, Tumeurs du cerveau.
- étiologie : Anxiété, Dépression.
- classification : Adulte, Adulte d'âge moyen, Analyse de variance, Autosoins, Classification internationale du fonctionnement, du handicap et de la santé, Femelle, Gliome, Humains, Jeune adulte, Mâle, Qualité de vie, Soins ambulatoires, Sujet âgé, Tumeurs du cerveau, Victoria, Études prospectives.
English descriptors
- KwdEn :
- Activities of Daily Living (psychology), Adult (MeSH), Aged (MeSH), Ambulatory Care (MeSH), Analysis of Variance (MeSH), Anxiety (diagnosis), Anxiety (etiology), Anxiety (rehabilitation), Brain Neoplasms (classification), Brain Neoplasms (complications), Brain Neoplasms (psychology), Brain Neoplasms (rehabilitation), Depression (diagnosis), Depression (etiology), Depression (rehabilitation), Female (MeSH), Glioma (classification), Glioma (rehabilitation), Humans (MeSH), International Classification of Functioning, Disability and Health (MeSH), Male (MeSH), Middle Aged (MeSH), Prospective Studies (MeSH), Quality of Life (MeSH), Self Care (MeSH), Survivors (psychology), Victoria (MeSH), Young Adult (MeSH).
- MESH :
- classification : Brain Neoplasms, Glioma.
- complications : Brain Neoplasms.
- diagnosis : Anxiety, Depression.
- etiology : Anxiety, Depression.
- psychology : Activities of Daily Living, Brain Neoplasms, Survivors.
- rehabilitation : Anxiety, Brain Neoplasms, Depression, Glioma.
- Adult, Aged, Ambulatory Care, Analysis of Variance, Female, Humans, International Classification of Functioning, Disability and Health, Male, Middle Aged, Prospective Studies, Quality of Life, Self Care, Victoria, Young Adult.
Abstract
OBJECTIVE
To evaluate effectiveness of a multidisciplinary rehabilitation program for persons following definitive primary brain tumour treatment in a community cohort.
METHODS
The brain tumour (glioma) survivors (n = 106) were allocated either to the treatment group (n = 53) (intensive ambulatory multidisciplinary rehabilitation), or the waitlist control group (n = 53). The primary outcome - Functional Independence Measure (FIM), measured 'Activity' limitation; secondary measures included Depression, Anxiety Stress Scale, Perceived Impact Problem Profile and Cancer Rehabilitation Evaluation System. Assessments were at baseline, 3 and 6 months after program completion.
RESULTS
Participants were predominantly women (56%), with mean age 51 years (standard deviation 13.6) and median time since diagnosis of 2.1 years. Intention-to-treat analysis showed a significant difference between groups at 3-month in favour of multidisciplinary rehabilitation program in FIM motor subscales: 'self-care', 'sphincter', 'locomotion', 'mobility'(p < 0.01 for all); and FIM 'communication' (p < 0.01) and 'psychosocial' subscales (p < 0.05), with small to moderate effect size (r = 0.2-0.4). At 6-month follow-up, significant improvement in the treatment group was maintained only for FIM 'sphincter', 'communication' and 'cognition' subscales (p < 0.01 for all). No difference between groups was noted in other subscales.
CONCLUSIONS
brain tumour survivors can improve function with multidisciplinary rehabilitation, with some gains maintained up to 6 months. Evidence for specific interventions in the 'blackbox' of rehabilitation is needed.
DOI: 10.2340/16501977-1840
PubMed: 24940656
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<term>Aged (MeSH)</term>
<term>Ambulatory Care (MeSH)</term>
<term>Analysis of Variance (MeSH)</term>
<term>Anxiety (diagnosis)</term>
<term>Anxiety (etiology)</term>
<term>Anxiety (rehabilitation)</term>
<term>Brain Neoplasms (classification)</term>
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<term>Brain Neoplasms (psychology)</term>
<term>Brain Neoplasms (rehabilitation)</term>
<term>Depression (diagnosis)</term>
<term>Depression (etiology)</term>
<term>Depression (rehabilitation)</term>
<term>Female (MeSH)</term>
<term>Glioma (classification)</term>
<term>Glioma (rehabilitation)</term>
<term>Humans (MeSH)</term>
<term>International Classification of Functioning, Disability and Health (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
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<term>Self Care (MeSH)</term>
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<term>Victoria (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (psychologie)</term>
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Analyse de variance (MeSH)</term>
<term>Anxiété (diagnostic)</term>
<term>Anxiété (rééducation et réadaptation)</term>
<term>Anxiété (étiologie)</term>
<term>Autosoins (MeSH)</term>
<term>Classification internationale du fonctionnement, du handicap et de la santé (MeSH)</term>
<term>Dépression (diagnostic)</term>
<term>Dépression (rééducation et réadaptation)</term>
<term>Dépression (étiologie)</term>
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<term>Gliome (classification)</term>
<term>Gliome (rééducation et réadaptation)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Qualité de vie (MeSH)</term>
<term>Soins ambulatoires (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Survivants (psychologie)</term>
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<term>Tumeurs du cerveau (complications)</term>
<term>Tumeurs du cerveau (psychologie)</term>
<term>Tumeurs du cerveau (rééducation et réadaptation)</term>
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<term>Études prospectives (MeSH)</term>
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<term>Depression</term>
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<term>Tumeurs du cerveau</term>
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<term>Brain Neoplasms</term>
<term>Survivors</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Anxiety</term>
<term>Brain Neoplasms</term>
<term>Depression</term>
<term>Glioma</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Anxiété</term>
<term>Dépression</term>
<term>Gliome</term>
<term>Tumeurs du cerveau</term>
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<term>Dépression</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Ambulatory Care</term>
<term>Analysis of Variance</term>
<term>Female</term>
<term>Humans</term>
<term>International Classification of Functioning, Disability and Health</term>
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<term>Victoria</term>
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<term>Analyse de variance</term>
<term>Autosoins</term>
<term>Classification internationale du fonctionnement, du handicap et de la santé</term>
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<term>Gliome</term>
<term>Humains</term>
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<term>Mâle</term>
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<term>Soins ambulatoires</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To evaluate effectiveness of a multidisciplinary rehabilitation program for persons following definitive primary brain tumour treatment in a community cohort.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>The brain tumour (glioma) survivors (n = 106) were allocated either to the treatment group (n = 53) (intensive ambulatory multidisciplinary rehabilitation), or the waitlist control group (n = 53). The primary outcome - Functional Independence Measure (FIM), measured 'Activity' limitation; secondary measures included Depression, Anxiety Stress Scale, Perceived Impact Problem Profile and Cancer Rehabilitation Evaluation System. Assessments were at baseline, 3 and 6 months after program completion.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Participants were predominantly women (56%), with mean age 51 years (standard deviation 13.6) and median time since diagnosis of 2.1 years. Intention-to-treat analysis showed a significant difference between groups at 3-month in favour of multidisciplinary rehabilitation program in FIM motor subscales: 'self-care', 'sphincter', 'locomotion', 'mobility'(p < 0.01 for all); and FIM 'communication' (p < 0.01) and 'psychosocial' subscales (p < 0.05), with small to moderate effect size (r = 0.2-0.4). At 6-month follow-up, significant improvement in the treatment group was maintained only for FIM 'sphincter', 'communication' and 'cognition' subscales (p < 0.01 for all). No difference between groups was noted in other subscales.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>brain tumour survivors can improve function with multidisciplinary rehabilitation, with some gains maintained up to 6 months. Evidence for specific interventions in the 'blackbox' of rehabilitation is needed.</p>
</div>
</front>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate effectiveness of a multidisciplinary rehabilitation program for persons following definitive primary brain tumour treatment in a community cohort.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The brain tumour (glioma) survivors (n = 106) were allocated either to the treatment group (n = 53) (intensive ambulatory multidisciplinary rehabilitation), or the waitlist control group (n = 53). The primary outcome - Functional Independence Measure (FIM), measured 'Activity' limitation; secondary measures included Depression, Anxiety Stress Scale, Perceived Impact Problem Profile and Cancer Rehabilitation Evaluation System. Assessments were at baseline, 3 and 6 months after program completion.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Participants were predominantly women (56%), with mean age 51 years (standard deviation 13.6) and median time since diagnosis of 2.1 years. Intention-to-treat analysis showed a significant difference between groups at 3-month in favour of multidisciplinary rehabilitation program in FIM motor subscales: 'self-care', 'sphincter', 'locomotion', 'mobility'(p < 0.01 for all); and FIM 'communication' (p < 0.01) and 'psychosocial' subscales (p < 0.05), with small to moderate effect size (r = 0.2-0.4). At 6-month follow-up, significant improvement in the treatment group was maintained only for FIM 'sphincter', 'communication' and 'cognition' subscales (p < 0.01 for all). No difference between groups was noted in other subscales.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">brain tumour survivors can improve function with multidisciplinary rehabilitation, with some gains maintained up to 6 months. Evidence for specific interventions in the 'blackbox' of rehabilitation is needed.</AbstractText>
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