Bone Neoplasm, Rehabilitation
Conditions
Keywords
bone tumor, physiotherapy, functional recovery
Brief summary
The aim of the present study is to describe the course of functional recovery of patients with musculoskeletal tumours and undergone resection and reconstruction operations of lower limbs in the first six months post-surgery, differentiating them on the basis of the anatomical level involved.
Detailed description
Retrospective observational study will be conducted. The evaluation of the patients clinical recovery progress will take place at three different times: during the hospital stay postoperative, at 3 and 6 months after surgery. Different outcome measures will be considered in order to provide a complete picture of the patients functional recovery and their change.
Interventions
None listed
Sponsors
Istituto Ortopedico Rizzoli
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* All participants undergone lower limb resection and reconstruction with localisation of the disease to the pelvis, femur femur, tibia and foot bones. * All participants undergone soft tissue resection surgery on the of the lower limb * All types of oncological diagnoses will be taken considered: osteosarcoma, Ewing and others.
Exclusion criteria
* Participants who undergo at our Institute only the surgical treatment while continuing adjuvant treatment at other centres * Participants for whom no rehabilitation treatment has been activated during adjuvant treatment at our Institute
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Toronto Extremity Salvage Score (TESS) | at 3 months after surgery | Person's level of independence. It is measured through 30 questions relating to 30 activities of daily living to be answered by the patient. The total score is reported from 0 to 100. A higher score indicates a greater degree of autonomy. A higher score indicates a greater degree of autonomy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of motion (ROM) | at 3 months after surgery | The range of motion of the main joints of the lower limbs (hip, knee or foot), measured with a goniometer |
| Rang of motion - 2 (ROM) | at 6 months after surgery | The range of motion of the main joints of the lower limbs (hip, knee or foot), measured with a goniometer |
| Number of participants able to walk | up to 1 week | Number of participant that are able to walk and aids used for walking |
| Time Up and Go -2 (TUG) | at 3 months after surgery | Time it takes a person to get up from a chair, walk three metres, turn around, return to the chair and sit down again is measured. |
| Time Up and Go (TUG) | at 6 months after surgery | Time it takes a person to get up from a chair, walk three metres, turn around, return to the chair and sit down again is measured. |
| Muscle Strength | at 3 months after surgery | Grades of Muscle Strength from 0 (no contraction) to 5 (best strength) |
| Number of day from surgery to first walking | up to 1 week | The number of day that participants needs to recover ambulation after surgery |
| Muscle Strength-2 | at 6 months after surgery | Grades of Muscle Strength from 0 (no contraction) to 5 (best strength) |
Countries
Italy
Outcome results
None listed