Role of the ICF Generic-30 Set in a multidimensional rehabilitation plan for improving functioning in a patient with surgical outcomes of removal of oligodendroglioma: a case report

Abstract

Background

Patients with surgical outcomes of removal of oligodendrogliomas can present several clinical manifestations that could impact functioning, autonomy, and quality of life. Rehabilitation, employing various strategies, purposes to enhance patient capacity and performance. In this scenario, the International Classification of Functioning, Disability, and Health (ICF) Generic-30 Set might be useful to help physiatrists in the management of these patients. Therefore, by the present case report we aimed to investigate the impact of a rehabilitation plan including vibration therapy in reducing and improving functioning in a patient with surgical outcomes of removal of oligodendroglioma, according to a ICF approach.

Case presentation

A 39-year-old woman with surgical outcomes of removal of oligodendroglioma at 9 years old, undergone surgery. A tailored rehabilitation plan comprised including passive mobilization to counteract spasticity-related postures, vibratory therapy, trunk control exercises, and ambulation exercises was performed. The ICF Generic-30 Set was performed at the baseline (also useful to establish an adequate management) and at the end of the entire treatment. Outcome measures assessed were: spasticity, pain, trunk control, disability, and quality of life.

Conclusions

The patient experienced improvements in terms of functioning after a comprehensive rehabilitation plan including vibration therapy. The ICF Generic-30 Set showed to be a useful approach not only to tailor the intervention, but also to assess the effects of an individualized rehabilitation plan.