METHODS OF REHABILITATION IN THE EARLY POSTOPERATIVE PERIOD AFTER REMOVAL OF MALIGNANT BRAIN GLIOMAS: LITERATURE REVIEW

Abstract

This study analyzes the effectiveness of early comprehensive rehabilitation in patients after surgical removal of high-grade malignant gliomas. The rehabilitation program combined pharmacological therapy, physiotherapy (including electrical stimulation and laser therapy), massage, and therapeutic exercises. Special attention was paid to restoring motor, speech, and cognitive functions and improving patients’ quality of life (QoL). The outcomes were assessed using the Karnofsky Performance Scale and a 60-point socio-psychological adaptation scale developed for brain tumor patients. The study demonstrated a significant improvement in functional status and QoL: the proportion of patients with a Karnofsky score ≥70 increased from 47.3 % to 84.5 %, while those with low social adaptation decreased from 51.3 % to 12.3 %. Early and continuous multidisciplinary rehabilitation proved to be a key factor in enhancing neuroplasticity, preventing complications, and facilitating faster social reintegration after glioma surgery.