Participation restrictions in patients after surgery for cerebral meningioma

Abstract

Cerebral meningiomas are tumours arising from the meninges, the membranes that envelop the brain. Of all tumours of the central nervous system, meningiomas are the most prevalent, at 36.4%. This study examined the participation restrictions that patients may experience following surgery for cerebral meningioma. A total of 136 former patients participated in the study and completed a questionnaire about the frequency of participation in productive, leisure and social activities, experienced participation restrictions and satisfaction with participation. Overall, participants showed favourable levels of participation. Nevertheless, many reported one or more participation problems. Restrictions were most frequently reported regarding household duties, and work or education. Of those who were in paid work before surgery, one-third were not able to resume their work after surgery. Dissatisfaction was reported particularly regarding sports or other physical exercise. The presence of cognitive or emotional problems, multiple concurring health conditions, and epilepsy were related to more participation problems. The results of this study can be used to identify patients at risk of developing participation problems and to tailor rehabilitation goals.