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Return to play after brain tumor surgery in children
Agnieszka Stanuszek1, Olga Milczarek2, Mateusz Rubinkiewicz3
1Department of Neurosurgery and Neurotraumatology, Regional Specialised Hospital No 4, al. Legionów 10, 41-902, Bytom, Poland. agnieszka.stanuszek@gmail.com.
Summary
Most pediatric brain tumor survivors can safely return to physical education (PE). Higher tumor grade, neurological deficits, and hydrocephalus are key factors limiting PE participation for these children.
Area of Science:
- Pediatric Oncology
- Neuro-oncology
- Rehabilitation Medicine
Background:
- Children with brain tumors face restrictions in physical activity post-surgery.
- Despite low injury risk, many healthcare professionals limit participation.
Purpose of the Study:
- To determine return-to-activity rates for pediatric brain tumor survivors in physical education (PE).
- To identify factors influencing return to physical activity after treatment.
Main Methods:
- Retrospective analysis of pediatric patients (≤18 years) with brain tumors and ≥1 year follow-up.
- Data collection on disease characteristics and return to school sports and PE.
Main Results:
- 71.43% of patients returned to school sports.
- Higher WHO tumor grade, hydrocephalus, and need for additional treatment were linked to not returning to PE.
- Neoplasm WHO grade, tumor location, neurological deficit, additional treatment, and hydrocephalus were identified as risk factors.
Conclusions:
- Pediatric brain tumor survivors generally return safely to physical education.
- Factors like higher tumor grade, neurological deficits, additional treatments, and hydrocephalus impede return to PE.

