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Functional recovery following surgery for chronic subdural hematoma
Sarah A Merrill1, Daniel Khan1, Alexandra E Richards2
1Department of Neurosurgery, Mayo Clinic Alix School of Medicine, Arizona, United States.
Surgical Neurology International
|January 7, 2021
Summary
Elderly patients often recover well after chronic subdural hematoma surgery, with most returning to exercise within a year. Physical therapy aids in regaining activity levels and improving quality of life.
Area of Science:
- Neurosurgery
- Geriatrics
- Physical Medicine and Rehabilitation
Background:
- Chronic subdural hematoma (CSDH) is a common neurosurgical issue in the elderly.
- Symptoms vary widely, impacting quality of life and functional recovery.
- Limited data exists on functional recovery post-CSDH surgery in older adults.
Purpose of the Study:
- To investigate physical activity and physical therapy participation after CSDH surgery in elderly patients.
- To assess functional recovery and quality of life improvements post-surgery.
Main Methods:
- A survey was administered to patients who underwent surgical evacuation of CSDH.
- The survey assessed pre- and post-surgery physical activity levels, including exercise and hobby sports.
- Participation in post-operative physical therapy was also recorded.
Main Results:
- 90.3% of patients who exercised pre-surgery returned to exercise within 1 year.
- 69.2% of patients playing hobby sports pre-surgery resumed their activities.
- 44.7% participated in physical therapy, and 92.1% reported improved quality of life.
Conclusions:
- Most elderly patients can return to exercise within a year after CSDH surgery.
- Physical therapy is linked to a higher likelihood of returning to exercise and sports.
- Further research is needed to identify factors promoting full return to physical activity.
