|Impairments standing balance and limitations with ambulation and transfers are common in patients with brain tumors. Deficits in performing ambulation and balance skills reduce overall functional abilities and independence with daily activities. One goal of surgicalexcision of brain tumor is to improve brain function, including motor skills, mobility, balance, and overall quality of life. Multiple studies have assessed the effectiveness of surgery in minimizing tumor volume, reducing recurrence rates, or increasing survival time following diagnosis. However, very few studies specifically measure functional outcomes using reliable and valid instruments despite clinical tools to quantify this domain. These studies refer to neurological deficits or physical function deficits, but fail to quantify these deficits or to objectively measure change overtime. The degree of physical dysfunction varies depending on tumor location, size and its invasive properties. Clinical signs may be similar to those seen following stroke or traumatic brain injury. While not every person with a brain tumor presents with physical deficits, impairments such as altered strength, muscle tone, coordination, and sensation often occur. The common impairment of hemiparesis frequently results in decreased functional mobility limitations.
Relationship of Balance and Mobility Status to Quality of Life in Patients with Primary Brain Tumors: A Pilot Study: Jeffrey Krug and N. Scott Litofsky*