Brain Tumor Glioblastoma multiforme- GBM Flashcards
GBM Movement System Diagnoses
Force production deficit
Fractionated movement deficit
Sensory detection deficit
Postural vertical deficit
Movement pattern coordination deficit
Dysmetria
Hypokinesia
Sensory selection and weighting deficit
GBM Medical Management
Surgery - craniotomy
Radiation
Chemotherapy
Medical device - optune
GBM general signs & symptoms
Headache
Nausea
Vomiting
Decreased level of consciousness
6th nerve palsy
Seizures
Altered mental status
GBM Focal neurological sings
Weakness - motor cortex (frontal lobe)
Sensory loss - sensory cortex (parietal lobe)
Speech disturbance - left frontal or temporal lobe
Visual deficits - occipital lobe
Balance/vestibular deficits - cerebellum/brainstem
Coordination deficits - cerebellum
GBM Interventions by buckets
Prevention
- Hospitalization-related complications
- Falls/fractures
- Skin protection
- Deconditioning
Remediation
- Cautious exercise
- Muscle flexibility
- Maximize QOL
- Pain control
Compensation
- Equipment needs
- Caregiver training
GBM Interventions by Phase
Phase 1
- Low intensity: RPE 1-3
- 30-45% HRR & 1RM
- 2-3 sessions/wk
Phase 2
- Low intensity: RPE 3-6
- 40-60% HRR & 1RM
- 3 sessions/wk
Phase 3
- Mod-to-high intensity: RPE 4-8
- 60-85% HRR & 1RM
- 3 sessions/wk
Phase 4
- Mod-to-high intensity: RPE 6-10
- 65-95% HRR & 1RM
- 3+ sessions/wk
GBM Phases
Phase 1
- During chemo/radiation
Phase 2
- Surgical and/or hormonal treatment
Phase 3
- Back to functional health
Phase 4
- Apparently healthy
Benign Brain Tumors
- mass of cells that microscopically do not have the characteristic of a cancer
- found by CT or MRI brain scans
- usually grow slowly
do not invade surrounding tissues or spread to other organs - often have a clear border or edge
- not life threatening
Malignant Brain Tumors
- Brain tumors containing cancer cells
- more difficult to localize
- often grow rapidly
- invade and spread to other organs
- have no clear border or edge
- life threatening; interfere with vital functions
