Functional Gait Assessment scale in the rehabilitation of patients after vestibular tumor surgery in an acute hospital

• 作者: Marusa Brcar Natasa Kos Tomaz Velnar
• 来源期刊: 世界临床肿瘤学杂志:英文版
• 学科: 医学
• 关键词: Vestibular tumor Surgery Assessment BALANCE GAIT
• 年，卷（期）: 2020,（11）
• 页码范围: 945-958
• 页数: 14页
• 分类号: R73

摘要

BACKGROUND Patients in the acute phase of rehabilitation after vestibular tumor surgery are dysfunctional in basic daily activities.Balance,gait impairments,and falls are prevalent with vestibular loss.AIM To determine the degree of balance disorders after vestibular tumor surgery,the susceptibility to falls and to assess motor tasks using the Functional Gait Assessment(FGA)scale for functional gait,as part of the vestibular rehabilitation program during hospital stay.METHODS Patients who achieved a score higher than 25 points on the Mini-Mental State Examination and higher than 8 points on the Barthel index were included in the study.They were evaluated with the Berg Balance Scale the second day after surgery,during their hospital stay,at discharge,and three months after surgery.Throughout their hospitalization,patients took part in the vestibular rehabilitation program,focusing on multiple motor tasks included in the FGA.RESULTS All patients progressed clinically and statistically significant differences in functional activities of daily living were observed during hospitalization,before discharge to the home environment(median=11;P=0.0059)and three months after vestibular tumor surgery(median=8;P=0.0058).After discharge from hospital,four patients were at risk of falls,and two patients were at risk at three months.CONCLUSION Our study showed a positive effect of the use of FGA tasks as part of a rehabilitation program on functional activities of daily living in patients after vestibular tumor surgery.Nevertheless,we suggest further research to include a larger sample and a control group to overcome the deficiencies of our study.