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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
[Rehabilitation for Children with Brain Tumors]
1Department of Pediatrics, Kanagawa Rehabilitation Center.
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Pediatric brain tumors result in diverse neurological and functional impairments arising from both the tumor itself and its treatment, including surgery, radiotherapy, and chemotherapy. Advances in oncological therapies have improved long-term survival rates, creating an increasing need for comprehensive rehabilitation throughout the acute, recovery, and community phases. Rehabilitation must address motor, cognitive, swallowing, communication, and psychosocial challenges through a multidisciplinary and developmentally informed approach. The International Classification of Functioning, Disability, and Health framework provides a useful structure for integrating interventions targeting body functions, activities, and participation. Early intervention, developmental alignment, and environmental modification are essential to optimize outcomes and promote participation in daily life and education. Long-term follow-up is required, as late effects and higher-order cognitive dysfunction often emerge during growth and school-age years. Effective coordination among medical, educational, and social services is critical to ensure continuity of care, including transition and vocational support during adolescence and adulthood. Despite growing recognition of its importance, evidence-based rehabilitation protocols and interinstitutional collaboration remain limited. Further research is needed to standardize assessment and intervention practices, develop longitudinal care models, and establish networks linking oncology, rehabilitation, and community resources to support each child in achieving a meaningful and self-directed life.

