The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1881-8560
Print ISSN : 1881-3526
ISSN-L : 1881-3526
Volume 44, Issue 12
Displaying 1-4 of 4 articles from this issue
Original
  • Yuka Momose, Kazushige Kobayashi
    2007 Volume 44 Issue 12 Pages 745-750
    Published: December 18, 2007
    Released on J-STAGE: January 08, 2008
    JOURNAL FREE ACCESS
    To assess the extent of functional gains measured before and after inpatient rehabilitation in patients who have brain tumors, and to identify whether the tumor type, tumor laterality, side of hemiparesis, postoperative addition therapy, cognitive dysfunction, and impairment of consciousness influences outcome. We reviewed the Barthel index(BI)of patients admitted to our hospital from Feb. 2004 to Jan. 2006. Participants numbered 133 persons, aged 52.2±15.4 years old and comprised 57 males and 76 females. All participants had functional impairments resulting from their brain tumors, and patient data was collected from their medical records retrospectively. The numbers of the patients by tumor pathology were 68 gliomas(16 Grade I·II, 52 Grade III·IV), 19 meningiomas, 15 metastatic brain tumors and 31 others. Significant improvements were found between admission and discharge BI scores for all patients, including the glioma group, meningioma group and metastatic tumor group. A significant change of BI improvement was noted between the glioma group and the meningioma group. Length of rehabilitation stay for the glioma group was significantly longer than for the meningioma and metastatic tumor groups. The highest percentage of patients discharged to home was in the glioma group(77.9%). Tumor laterality, side of hemiparesis and postoperative addition therapy all affected functional improvement. We concluded that acute inpatient rehabilitation is an effective treatment for patients with brain tumors that can help them to regain functional ability and to improve their quality of life.
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Review Article
  • Mana Kurihara
    2007 Volume 44 Issue 12 Pages 751-761
    Published: December 18, 2007
    Released on J-STAGE: January 08, 2008
    JOURNAL FREE ACCESS
    Higher cortical dysfunction is one of the most important aspects to be considered in pediatric acquired brain injury(ABI)rehabilitation. Recently, higher cortical dysfunction has attracted attention in the medical community and consequently many trials have been carried out, but most of these were only for adults. This review relates the introduction of pediatric ABI rehabilitation therapy in our rehabilitation center. Higher cortical dysfunction treatments in children seem to show better recovery results than treatments in adults because a child's brain has more plasticity. The main etiology of ABI in children is traumatic brain injury(TBI)and acute encephalitis/encephalopathy. The characteristic symptoms are memory disturbance and attention deficit in TBI, and visual problems in acute encephalitis/encephalopathy. It is important for children with higher cortical dysfunction to be enrolled in special education programs and to be cared for under the cooperation of their respective rehabilitation centers, schools and homes.
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44th Annual Meeting of the Japanese Association of Rehabilitation Medicine
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