Integrating Physiotherapy for Enhancing Functional Recovery in Glioblastoma Multiforme: A Case Report

Glioblastoma multiforme (GBM) is the most aggressive form of primary brain cancer, characterized by rapid progression and poor prognosis. Despite advances in treatment modalities, functional impairment and reduced quality of life are common challenges faced by GBM patients. Physiotherapy, a key component of multidisciplinary care, plays a vital role in promoting functional recovery, symptom management, and overall well-being in GBM patients. This case report illustrates the integration of physiotherapy interventions to optimize functional outcomes and improve quality of life in a patient diagnosed with GBM.

Case Presentation: The patient, a 55-year-old male, was diagnosed with GBM following imaging studies and histopathological analysis of a brain tumor. The patient presented with symptoms of headache, cognitive decline, weakness in the right upper and lower limbs, and impaired balance and coordination. Following surgical resection of the tumor and adjuvant therapy, the patient experienced persistent functional deficits and reduced mobility, impacting activities of daily living and quality of life.

Physiotherapy Assessment and Intervention: A comprehensive physiotherapy assessment was conducted to evaluate the patient’s functional status, mobility, strength, balance, and coordination. Based on the assessment findings and patient goals, an individualized treatment plan was developed, incorporating a combination of therapeutic exercises, gait training, balance and coordination exercises, and functional activities.

Therapeutic exercises focused on strengthening the weakened muscles, improving range of motion, and addressing motor control and coordination deficits. Gait training interventions included weight-bearing exercises, treadmill training, and walking aids as needed to improve ambulation and mobility. Balance and coordination exercises, such as proprioceptive training and dynamic stability drills, were incorporated to enhance postural control and reduce the risk of falls.

In addition to physical interventions, the patient received education and guidance on energy conservation techniques, fatigue management strategies, and adaptive equipment to facilitate independent functioning and optimize safety at home and in the community. The physiotherapist collaborated closely with the multidisciplinary team, including neuro-oncologists, occupational therapists, and speech therapists, to coordinate care and address the holistic needs of the patient.

Outcome and Follow-up: Throughout physiotherapy intervention, the patient demonstrated gradual improvements in strength, mobility, balance, and functional independence. Regular reassessment and modification of the treatment plan ensured ongoing progression and adaptation to the patient’s evolving needs and goals. By integrating physiotherapy into the patient’s care continuum, significant gains were achieved in functional recovery and quality of life, enabling the patient to resume meaningful activities and participate more fully in daily life despite the challenges posed by GBM.

Discussion: This case highlights the importance of integrating physiotherapy into the management of GBM to optimize functional outcomes and enhance quality of life. Physiotherapy interventions, tailored to the individual needs and goals of GBM patients, address motor deficits, improve mobility, and promote independence in activities of daily living. Multidisciplinary collaboration, patient education, and ongoing monitoring are essential components of a comprehensive physiotherapy approach, ensuring holistic care and maximizing patient outcomes in the context of GBM.

Conclusion: Physiotherapy plays a crucial role in enhancing functional recovery and improving quality of life in GBM patients. By addressing motor deficits, promoting mobility, and facilitating adaptive strategies, physiotherapy interventions empower patients to achieve their functional goals and optimize independence despite the challenges posed by GBM. Through multidisciplinary collaboration and patient-centered care, physiotherapists can make a meaningful difference in the lives of GBM patients, supporting them on their journey towards improved function and well-being.

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