Combined Neurophysiotherapy and Accelerated Skill Acquisition Programme in Improving Upper Extremity Motor Function in Hemiplegia after Brain Tumour Resection

Abstract

Astrocytomas are one of the most common primary tumours of central nervous system seen in paediatric population. Although it is treatable and has a good prognosis, some individuals suffer from motor dysfunction following brain tumour resection which could result in decreased mobility, difficulty with daily tasks, increased risk of immobility-related problems, falls, pain, anxiety/depression. Thus, having a negative impact on overall quality of life and functional independence. Comprehensive neurophysiotherapy in such cases play a critical role in preventing and alleviating motor dysfunction, and its effects, and improve functional independence. This is the report of a 10-year-old female with astrocytoma in the right frontoparietal lobe, which was diagnosed using magnetic resonance imaging and immunohistochemistry. She underwent craniotomy for the same. But after tumour resection, she developed left hemiplegia wherein involvement of upper limb was more as compared to lower limb. She was given neurophysiotherapy and Accelerated Skill Acquisition Programme (ASAP) which aided in improving upper extremity motor function and functional independence.

Keywords

• diffuse fibrillary astrocytoma
• neurophysiotherapy
• quality of life
• rolling facilitation transition training