scholarly journals O impacto da fisioterapia na funcionalidade após ressecção tumoral através da sacrectomia parcial associado à técnica de criocongelamento: relato de caso / The impact of physical therapy on functionality after tumor resonance through sacrectomy partially associated with criocogelament technique: case report

2019 ◽  
Vol 64 (2) ◽  
pp. 174
Author(s):  
José Carlos Alves Fabrício Júnior ◽  
Andréia Basta ◽  
Eduardo Yonamine Sadao ◽  
Karen Voltan ◽  
Letícia Correia Monte ◽  
...  
Keyword(s):  
Case Report ◽  
Physical Therapy ◽  
Physical Therapy Modalities ◽  
Functional Improvement ◽  
Musculoskeletal Tumor ◽  
Musculoskeletal Tumor Society ◽  
Toronto Extremity Salvage Score ◽  
One Year ◽  
The Impact ◽  
Extremity Salvage

Introdução: Tumores ósseos malignos consistem aproximadamente 7% das neoplasias primárias em indivíduos menores de 20 anos de idade. Dentre todos esses, a maior prevalência é do Osteossarcoma, ocorrendo em 8,7 casos/milhão e seguido pelo Sarcoma de Ewing com 2,9 casos/milhão. Objetivo: Descrever o efeito da fisioterapia na funcionalidade do paciente submetido à ressecção tumoral através da sacrectomia parcial associado ao Criocongelamento. Relato de Caso: Paciente do sexo feminino LCM de 26 anos com queixa de dor lombar a 2 anos e um abaulamento na região do sacro, apresentou imagem de ressonância magnética sugestiva de neoplasia na região anterior ao Sacro. Após investigação com grupo do Tumor da IMSC-SP e através da biópsia foi diagnosticado um cordoma de Sacro. No dia 17 de maio foi realizada a ressecção da lesão através de uma sacrectomia parcial associado à técnica de criocongelamento. Após a cirurgia a paciente recebeu acompanhamento com a equipe de fisioterapia realizando uma avaliação funcional através do Escore Musculoskeletal Tumor Society (MSTS) e o Toronto Extremity Salvage Score – TESS. Resultados:  De acordo com escore MSTS após um ano de tratamento a paciente apresentou Pré-tratamento (Ruim), Pós-Tratamento (Bom), o escore TESS paciente melhorou de 28% para 48%. Conclusão: O acompanhamento multidisciplinar do grupo do Tumor e a equipe de fisioterapia se mostrou eficaz garantindo em 1 ano de tratamento uma melhora funcional de acordo com os escores aplicados.Descritores: Oncologia, Sacro/cirurgia, Cordoma,  Modalidade de fisioterapia, Crioterapia/métodos, Criocirurgia/métodosABSTRACT:Introduction: Malignant bone tumors comprise approximately 7% of primary neoplasms in patients under 20 years of age. Among all these, the highest prevalence is in osteosarcoma, occurring in 8.7 cases / million, followed by Ewing's sarcoma with 2.9 casos/milhão. Objective: To describe the intervention of Physical Therapy after criocongelamento Sacro. Case Report: A female patient LCM of 26 years complaining of back pain at 2 years and a bulging in the sacral region, magnetic resonance imaging showed suggestive of neoplasia in the region prior to the Sacro. After investigation with the group Tumor IMSC-SP and through biopsy was diagnosed with chordoma of Sacro. On the 17th of May was performed resection of the lesion through a partial sacrectomia associated with criocongelamento technique. After surgery the patient was monitored with the physiotherapy team performing a functional assessment score through the Musculoskeletal Tumor Society (MSTS) and Toronto Extremity Salvage Score - TESS. Results: According to MSTS score after one year of treatment the patient had pretreatment (Bad), Post-Treatment (good), the TESS score patient improved from 28% to 48%. Conclusion: The multidisciplinary group of Tumor and physiotherapy team was effective providing at 1 year of treatment one functional improvement according scores applied.Key words: Medical oncology, Sacrum/surgery, Chordoma, Physical therapy modalities, Cryotherapy/methods, Cryosurgery/methods

scholarly journals Functional Outcome After Lower Extremity Soft Tissue Sarcoma Treatment: A Pilot Study Based on Translated and Culturally Adapted Measures

2018 ◽  
Vol 108 (2) ◽  
pp. 164-171
Author(s):  
G. Kask ◽  
I. Barner-Rasmussen ◽  
J. Repo ◽  
C. Blomqvist ◽  
E. Tukiainen
Keyword(s):  
Pilot Study ◽  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Lower Extremity ◽  
Functional Outcome ◽  
Soft Tissue Sarcomas ◽  
Musculoskeletal Tumor ◽  
Musculoskeletal Tumor Society ◽  
Toronto Extremity Salvage Score ◽  
Extremity Salvage

Background and Aims: The present standard of care in treating lower extremity soft tissue sarcomas is function-sparing, limb-preserving resection and reconstruction with or without oncological therapy. The aim of this pilot study was to test the suitability and adequacy of the Finnish translations of two functional outcome questionnaires (Toronto Extremity Salvage Score and Musculoskeletal Tumor Society score) and to perform a preliminary investigation of functional outcomes of Finnish lower-limb soft tissue sarcoma patients after operative treatment. Materials and Methods: Between June 2015 and December 2015, consecutive surgically treated outpatients were asked to participate in the study. Demographic, clinical, surgical, and oncological outcome data were collected. Two functional outcome questionnaires were used (Toronto Extremity Salvage Score and Musculoskeletal Tumor Society scores). A comparative analysis is presented. Results: A total of 19 lower-limb soft tissue sarcoma patients with a mean follow-up time of 2 years and 10 months were included. All (n = 19) invited patients participated in the study. Mean age was 62.3 years. In total, 13 had high-grade sarcomas. Eight wounds were closed directly, four used skin grafts, and five required flap reconstructions. One patient required a tumor prosthesis, and one required a rotationplasty. A total of 14 patients received oncological therapy. No problems or difficulties were reported in using and completing the Finnish versions of the Toronto Extremity Salvage Score or Musculoskeletal Tumor Society questionnaires. The overall Toronto Extremity Salvage Score and Musculoskeletal Tumor Society scores were 88 and 76, respectively. Conclusion: This pilot study suggests that the Finnish versions of the Toronto Extremity Salvage Score and Musculoskeletal Tumor Society questionnaires are suitable for measuring functional outcome after lower extremity soft tissue sarcomas treatment. Functional outcomes vary from moderate to excellent.

scholarly journals Reconstructions of the Shoulder following Tumour Resection

2007 ◽  
Vol 15 (2) ◽  
pp. 201-206 ◽  
Author(s):  
Y Kitagawa ◽  
DM Thai ◽  
PFM Choong
Keyword(s):  
Soft Tissue ◽  
Postoperative Complications ◽  
Revision Surgery ◽  
Tumour Resection ◽  
Musculoskeletal Tumor ◽  
Musculoskeletal Tumor Society ◽  
Toronto Extremity Salvage Score ◽  
Functional Assessments ◽  
Extremity Salvage ◽  
Effective Function

Purpose. To review and compare the postoperative outcomes of 3 types of shoulder reconstructions: prosthetic arthroplasty, clavicula pro humero reconstruction, and allograft arthrodesis. Methods. Records of 25 shoulder reconstructions following tumour resection were retrospectively reviewed. Perioperative data, oncological prognoses, postoperative complications, and functions were assessed. Results. We performed 10 prosthetic arthroplasties, 7 clavicula pro humero procedures, 4 allograft arthrodeses, and 4 soft tissue reconstructions. Eight patients died of their diseases. Three developed complications and underwent revision surgery. 19 patients achieved stable shoulders. Ten patients attended for functional assessments. Respective mean scores using the Musculoskeletal Tumor Society-International Symposium on Limb Salvage and the Toronto Extremity Salvage Score were: 77% and 82% for prosthetic arthroplasties, 67% and 62% for clavicula pro humero procedures, 83% and 70% for allograft arthrodeses, and 93% and 98% for soft tissue reconstructions. Conclusion. A stable construct is the treatment goal for shoulder reconstructions, as it enables effective function of the arm and hand.

scholarly journals One-Stage Soft Tissue Reconstruction Following Sarcoma Excision: A Personalized Multidisciplinary Approach Called “Orthoplasty”

2020 ◽  
Vol 10 (4) ◽  
pp. 278
Author(s):  
Andrea Angelini ◽  
Cesare Tiengo ◽  
Regina Sonda ◽  
Antonio Berizzi ◽  
Franco Bassetto ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Lower Limbs ◽  
Surgical Approaches ◽  
Soft Tissue Reconstruction ◽  
Musculoskeletal Tumor ◽  
Musculoskeletal Tumor Society ◽  
One Stage ◽  
Unplanned Excision ◽  
Increased Risk ◽  
Toronto Extremity Salvage Score

Background and Objectives. Wide surgical resection is a relevant factor for local control in sarcomas. Plastic surgery is mandatory in demanding reconstructions. We analyzed patients treated by a multidisciplinary team to evaluate indications and surgical approaches, complications and therapeutic/functional outcomes. Methods. We analyzed 161 patients (86 males (53%), mean age 56 years) from 2006 to 2017. Patients were treated for their primary tumor (120, 75.5%) or after unplanned excision/recurrence (41, 25.5%). Sites included lower limbs (36.6%), upper limbs (19.2%), head/neck (21.1%), trunk (14.9%) and pelvis (8.1%). Orthoplasty has been considered for flaps (54), skin grafts (42), wide excisions (40) and other procedures (25). Results. At a mean follow-up of 5.3 years (range 2–10.5), patients continuously showed no evidence of disease (NED) in 130 cases (80.7%), were alive with disease (AWD) in 10 cases (6.2%) and were dead with disease (DWD) in 21 cases (13.0%). Overall, 62 patients (38.5%) developed a complication (56 minor (90.3%) and 6 major (9.7%)). Flap loss occurred in 5/48 patients (10.4%). The mean Musculoskeletal Tumor Society (MSTS) and Toronto Extremity Salvage Score (TESS) was 74.8 ± 14 and 79.1 ± 13, respectively. Conclusions. Orthoplasty is a combined approach effective in management of sarcoma patients, maximizing adequate surgical resection, limb salvaging and functional recovery. One-stage reconstructions are technically feasible and are not associated with increased risk of complications.

scholarly journals Physical Therapy at the postoperative of hip endoprosthesis for osteosarcoma: a case report

2016 ◽  
Vol 14 ◽  
pp. 366
Author(s):  
Raysa Silva Venâncio ◽  
Tamiris Beppler Martins ◽  
Keyla Mara Dos Santos ◽  
Gilmar Moraes Santos
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Physical Therapy ◽  
Depression Scale ◽  
Life Assessment ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Musculoskeletal Tumor Society ◽  
Hip Endoprosthesis

Introduction: Osteosarcoma is the most common malignancy among musculoskeletal tumors. It can be treated for preservation member or amputation. The cases treated for preservation member have improved functionality and quality of life, however, patients with oncologic diseases exhibit symptoms of anxiety and depression. The aim of this study is to describe the role of physiotherapy in the hip endoprosthesis after surgery for osteosarcoma of a patient treated at the Clinic Physiotherapy School of the University of the State of Santa Catarina (CEFID / UDESC) and verify their quality of life, functionality and symptoms of anxiety and depression. Materials and Methods: A descriptive study through case report. The subject was assessed before and after 10 sessions of physiotherapy on the quality of life, functionality and symptoms of anxiety and depression using a standardized assessment form, the Quality of Life Assessment Questionnaire (WHOQOL-BREF), the system Functional assessment (Musculoskeletal Tumor Society Rating Scale - MSTS); of Lower Limb Function Scale (EFMI) and the Hospital Anxiety and Depression Scale (Hospital Anxiety and Depression Scale - HADS); Results and Conclusions: Physical therapy treatment proposed to the patient allowed the increase of muscle strength; increased muscle tropism; improved member functionality (65% of EFMI); possible reduction of anxiety or depressive symptoms in HADS; presenting score (67.31%) of the WHOQOL-BREF and (56%) in MSTS. Thus, based on the functional, emotional and psychological outcomes, the proposed physical therapy had a positive influence on a patient's quality of life osteosarcoma at the proximal end of the left femur, underwent resection and reconstruction member with endoprosthesis.

Cryoablation-aided joint retention surgery for epiphysis involvement in osteosarcoma compared with endoprosthetic replacement

2021 ◽  
Vol 103-B (8) ◽  
pp. 1421-1427
Author(s):  
Jing Li ◽  
Yajie Lu ◽  
Guojing Chen ◽  
Minghui Li ◽  
Xin Xiao ◽  
...  
Keyword(s):  
Limb Salvage ◽  
Salvage Surgery ◽  
Joint Arthroplasty ◽  
Limb Salvage Surgery ◽  
Musculoskeletal Tumor ◽  
Musculoskeletal Tumor Society ◽  
Clinical Evaluations ◽  
Joint Preservation ◽  
Msts Score ◽  
One Year

Aims We have previously reported cryoablation-assisted joint-sparing surgery for osteosarcoma with epiphyseal involvement. However, it is not clear whether this is a comparable alternative to conventional joint arthroplasty in terms of oncological and functional outcomes. Methods A total of 22 patients who had localized osteosarcoma with epiphyseal involvement around the knee and underwent limb salvage surgery were allocated to joint preservation (JP) group and joint arthroplasty (JA) group. Subjects were followed with radiographs, Musculoskeletal Tumor Society (MSTS) score, and clinical evaluations at one, three, and five years postoperatively. Results Patients in both groups (ten in JP and 12 in JA) did not differ in local recurrence (p ≥ 0.999) and occurrence of metastases (p ≥ 0.999). Overall survival was similar in both groups (p = 0.858). Patients in the JP group had less range of motion (ROM) of the knee (p < 0.001) and lower MSTS scores (p = 0.010) compared with those of the JA group only at one year postoperatively. There was no difference between groups either at three years for ROM (p = 0.185) and MSTS score (p = 0.678) or at five years for ROM (p = 0.687) and MSTS score (p = 0.536), postoperatively. Patients in the JA group tended to have more complications (p = 0.074). Survival of primary reconstruction in the JP group was better than that of the JA group (p = 0.030). Conclusion Cryoablation-aided joint-sparing surgery offers native joint preservation with comparable functional recovery and more durable reconstruction without jeopardizing oncological outcomes compared with conventional limb salvage surgery. Cite this article: Bone Joint J 2021;103-B(8):1421–1427.

The Impact of Physical Therapy on Restoration of the Physical and Mental State of University Students

2018 ◽  
Vol 3 (7) ◽  
pp. 278-282 ◽  
Author(s):  
N. V. Gutareva ◽  
◽  
Yu. Yu. Muskharina ◽  
V. V. Gutarev ◽  
E. E. Yablochanska ◽  
...  
Keyword(s):  
Physical Therapy ◽  
University Students ◽  
Mental State ◽  
The Impact
Sign in / Sign up

Export Citation Format

Share Document