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Motor Functioning and Intelligence Quotient in Paediatric Survivors of a Fossa Posterior Tumor Following a Multidisciplinary Rehabilitation Program

Mathieu Decock, Robin De Wilde, Ruth Van der Looven and Catharine Vander Linden
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Mathieu Decock: Physical and Rehabilitation Medicine, Ghent University Hospital, 9000 Ghent, Belgium
Robin De Wilde: Physical and Rehabilitation Medicine, Ghent University Hospital, 9000 Ghent, Belgium
Ruth Van der Looven: Physical and Rehabilitation Medicine, Ghent University Hospital, 9000 Ghent, Belgium
Catharine Vander Linden: Physical and Rehabilitation Medicine, Ghent University Hospital, 9000 Ghent, Belgium

IJERPH, 2022, vol. 19, issue 12, 1-16

Abstract: Background: Short- and long-term consequences after treatment for childhood fossa posterior tumors are extensively reported in the literature; however, papers highlighting physical function throughout rehabilitation and its correlation with Intelligence Quotient (IQ) are sparse. This study aims to describe the physical functioning and IQ of these survivors, their progression during rehabilitation, and the association with histopathological tumor classification. Additionally, the correlation between gross motor functioning and cognitive functioning was investigated. Methods: This retrospective single-center cohort study included 56 children (35 (62.5%) males and 21 (37.5%) females, with an average age of 6.51 years (SD 4.13)) who followed a multidisciplinary program at the Child Rehabilitation Centre, Ghent University Hospital in the period from 2005 to 2020. Descriptive statistical analysis was performed with the use of non-parametric tests and linear regression to determine the relationship between gross motor functioning and IQ. Results: This report shows impaired motor and intelligence performance in children with a fossa posterior tumor. Although multidisciplinary rehabilitation is beneficial, it is not able to counteract the further decline of several motor skills and intelligence during oncological treatment, more specifically in children with a medulloblastoma. A correlation between gross motor function and total IQ was found. Conclusion: Pediatric survivors of a fossa posterior tumor experience impaired physical and intellectual functions, with more decline during oncological treatment despite simultaneous multidisciplinary rehabilitation.

Keywords: fossa posterior tumor; child; rehabilitation; motor functioning; intelligence quotient (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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