Purpose

Children with a history of brain tumors do not appear to be at a significantly higher risk of sports-related injuries. Nevertheless, according to the systematic review and survey conducted by Perreault et al., 75% of healthcare professionals restrict their patients’ participation in physical activities after brain tumor surgery. The aim of our study was to verify whether children after brain tumor surgery return to physical education (PE) classes. It was also an attempt to explore factors limiting return to physical activity.

Methods

Patients after brain tumor surgery, ≤ 18 years old on admission with ≥ 1 year follow-up were included in the analysis. Data concerning the disease were collected and summarized in search of factors limiting return to physical activity. Meticulous information about return to sports and physical education at school was gathered during follow-up visits.

Results

71.43% of patients returned to school sports activities. Children who did not return to PE had markedly higher neoplasm WHO grade. Significant differences were also found between the groups in terms of hydrocephalus occurrence and need for additional oncological treatment. In univariate analysis, we identified neoplasm WHO grade, tumor location, presence of neurological deficit after the procedure, additional oncological treatment, and occurrence of hydrocephalus needing shunting as the risk factors for not returning to school physical education.

Conclusions

The majority of pediatric brain tumor survivors return safely to physical education. Higher neoplasm WHO grade, presence of neurological deficit after the procedure, additional oncological treatment, and occurrence of hydrocephalus are risk factors for not returning to physical education.

中文翻译：

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儿童脑瘤手术后重返游戏

目的

有脑肿瘤病史的儿童似乎没有明显更高的运动相关伤害风险。然而，根据Perreault等人进行的系统回顾和调查，有75％的医疗保健专业人员限制了他们的患者在脑肿瘤手术后参与身体活动。我们研究的目的是验证脑瘤手术后的儿童是否重返体育课。这也是试图探索限制恢复体力活动的因素的尝试。

方法

分析包括脑肿瘤手术后入院时≤18岁且随访≥1年的患者。收集并总结了有关疾病的数据，以寻找限制恢复体力活动的因素。在后续访问期间收集了有关在学校重返体育和体育运动的详尽信息。

结果

71.43％的患者恢复了学校体育活动。未恢复PE的儿童具有明显更高的WHO肿瘤等级。在脑积水的发生和需要额外的肿瘤治疗方面，两组之间也发现了显着差异。在单因素分析中，我们确定了肿瘤的WHO分级，肿瘤位置，手术后神经功能缺损的存在，额外的肿瘤治疗以及需要分流的脑积水是不返校体育的危险因素。

结论

大部分小儿脑肿瘤幸存者可以安全地返回体育课。较高的WHO肿瘤分级，手术后神经功能缺损的存在，额外的肿瘤治疗和脑积水的发生是不能重新接受体育教育的危险因素。