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Background and objective Phantom limb pain (PLP) is a major problem after limb amputation. Mirror therapy (MT) is a non-pharmacological treatment using representations of movement, the efficacy of which in reducing PLP remains to be clarified. Here, we present the first systematic review on MT efficacy in PLP and phantom limb movement (PLM) in amputees (lower or upper limb). Methods A search on Medline, Cochrane Database and Embase, crossing the keywords “Phantom Limb” and “Mirror Therapy” found studies which were read and analyzed according the PRISMA statement. Results Twenty studies were selected, 12 on the subject of MT and PLP, 3 on MT and PLM, 5 on MT and both (PLP and PLM). Among these 20 studies, 5 were randomized controlled trials (163 patients), 6 prospective studies (55 patients), 9 case studies (40 patients) and methodologies were heterogeneous. Seventeen of the 18 studies reported the efficacy of MT on PLP, but with low levels of evidence. One randomized controlled trial did not show any significant effect of MT. As to the effect of MT on PLM, the 8 studies concerned reported effectiveness of MT: 4 with a low level of evidence and 4 with a high level of evidence. An alternative to visual illusion seems to be tactile or auditory stimulation. Conclusion We cannot recommend MT as a first intention treatment in PLP. The level of evidence is insufficient. Further research is needed to assess the effect of MT on pain, prosthesis use, and body representation, and to standardize protocols. [ABSTRACT FROM AUTHOR]

Aim The aim of this study was the French cross-cultural adaptation and validation of The Trinity Amputation and Prosthetic Experience Scales-Revised (TAPES-R-F), in a lower limb amputation population. This self-reported multidimensional amputee-specific questionnaire [1] evaluates with 33 items psychosocial adjustment (3 subscales), activity restriction (1 subscale) and satisfaction with prosthesis (2 subscales). Patients and methods One hundred and twenty-nine patients with a mean age of 62 years and with lower limb amputations for at least 1 year were recruited in 5 clinical centers. Translation and cross-cultural adaptation were made according to international guidelines. Internal consistency of each subscale was measured with Cronbach's alpha. Test-retest reliability was assessed by intraclass correlation in a sub- group of 24 subjects who completed the TAPES-R twice with an interval of 7 days. Construct validity was estimated through correlations with 2 main components of SF-36 (MCS, PCS). Correlations were also calculated with 3 scales of the Brief Pain Inventory (BPI). Results Cronbach's alpha was high, ranging from 0.85 to 0.95. Reliability was acceptable to high (ICC = 0.72 to 0.91) for all subscales with the exception of the Social adjustment (ICC = 0.67) and Adjustment to limitation (ICC = 0.42) subscales. The 2 component of SF-36 was significantly correlated with all subscales (PCS: r = 0.24 to 0.66); MCS: r = 0.30 to 0.58), except with aesthetic satisfaction and adjustment to limitation. Regarding the BPI, significant correlations were found for all subscales ( r = –0.20 to –0.68) with the exception of adjustment to limitation. Ceiling or floor effects (>15%) were found for all but Activity Restriction and Functional Satisfaction Scales. Discussion The TAPES-R-F has acceptable psychometric properties for most of its subscales. Our results may suggest that the French version is more useful in a population research perspective than in an individual perspective. Other studies are necessary to clarify the role and the psychometric properties of this measurement. [ABSTRACT FROM AUTHOR]

Objectives If the benefits of single-event multilevel surgery (SEMS) in ambulatory children with cerebral palsy have already been validated, especially in terms of functional outcomes, fewer studies have evaluated SEMS in terms of quality of life and satisfaction with surgical outcomes, especially pertaining to the opinions of children and their family. The objectives of this study were to confront the perceptions of parents and the experience of their operated children in terms of quality of life and surgical outcomes. Materials and methods This was an observational, descriptive, single-center study conducted in a regional Pediatric Physical Medicine and Rehabilitation (PM&R) center, which is considered a reference center in this region of France. The subjects recruited were ambulatory children with cerebral palsy (CP) who had SEMS between 2009 and 2011, and one of their parents. The specific “child” and “parent” CP-related modules of the DISABKIDS questionnaire were used to assess these children's quality of life post-surgery. Perceptions of parents and children regarding gait evolution and satisfaction with surgical outcomes were analyzed via a questionnaire developed by the author. Regarding quality of life and surgical outcomes, the correlation between the perception of parents and experience of children was estimated using the intraclass correlation coefficient (ICC) or prevalence-adjusted bias-adjusted kappa values (PABAK). Results Twelve children (83% of them boys) and their parents participated in the study. For the DISABKIDS questionnaire, a moderate correlation was found regarding functional impact (ICC = 0.58; P < 0.0178) but a high correlation was reported for the communication item of the questionnaire (ICC = 0.73; P = 0.0025). Regarding satisfaction with surgical outcomes, results showed a good correlation (PABAK = 0.64). Conclusion Concerning quality of life and satisfaction with surgical outcomes, our study showed a good or even high correlation between parents’ perceptions and their child's experience. It is however essential to privilege the child's opinion whenever possible. [ABSTRACT FROM AUTHOR]

Abstract: Numerous studies have recently been published on improving upper-limb motor function after stroke. There has been a particular interest in brain stimulation techniques, which could promote brain plasticity. In this review, transcranial Direct Current Stimulation (tDCS) and repetitive Transcranial Magnetic Stimulation (rTMS) are presented as techniques that could be relevant in Physical Medicine and Rehabilitation (PM&R) centers in the future. We are presenting a comprehensive literature review on the studies using tDCS or rTMS for upper-limb rehabilitation after a stroke. Both techniques have shown their ability to modify cortical excitability and to transitorily improve upper-limb function after one single stimulation session. The first placebo-controlled, blinded therapeutic trials, which included repeated daily sessions, seem quite promising, and deserve to be validated by further trials. [Copyright &y& Elsevier]

Abstract: Although post-stroke exercise training programmes improve aerobic capacity and functional capacities in the short-term, the impact on exercise performance at home has not been established. Objectives: To assess compliance with prescribed physical activity by hemiplegic stroke patients. To compare the patients’ stated activity with their actual activity. Patients and methods: This was a prospective pilot study of nine hemiplegic patients following an exercise training programme. Each patient''s activity was measured using an activity monitor (the ActivPAL™) before, during and immediately after the programme and then 3months after the end of the programme. The activity actually performed was compared with the levels recommended after a stroke (at least 30minutes of non-stop activity three times a week). Three months after the end of the programme, the patient''s stated and actual activities (in terms of frequency and duration) were compared. Results: Activity patterns changed immediately after the end of the programme. Short-term compliance was good for four patients. However, 3months later, only one patient was performing regular activity in accordance with the guidelines. Hence, medium-term compliance was poor. Most patients overestimated both the duration and frequency of their activity sessions. Conclusion: Three months after the end of the supervised training programme, compliance with physical activity guidelines was low. The ActivPAL™ activity monitor is easy to use and performs satisfactorily. It can be used as a tool for activity assessment and education intervention. The use of an actimeter may increase the efficacy of health education interventions, which promote physical activity. [Copyright &y& Elsevier]

Abstract: Objectives: Retrospective analysis of the efficiency of a protocol for care of chronic vegetative states (CVS) and minimally conscious state (MCS) in Lorraine. Material and method: Two indicators are used: protocol activity (number of patients hospitalized between 1988 and 2006, number of admissions per year, of requests per year, origin of requests, waiting time) and the epidemiological data (age, sex ratio, etiology, length of stay, geographic origin, number of deaths, number of hospital discharges). The number of CVS and MCS and patients having progressed towards arousal is specified as well as the technical procedures (orthopedic surgery, number of tracheotomies). Results: Forty-seven patients (30 males and 17 females) were hospitalized in a 12-bed unit. The number of admissions per year was 2.4, and the annual number of requests varied between five and 15. Hospitalization times ranged from six to 18 months. The average length of hospitalization was 41 months. Eighty-eight percent of the cases were residents of Lorraine. The etiology was traumatic (53%), vascular (38% including 12% anoxia), miscellaneous (9%). Fifteen percent rate of return to arousal (average time period: 28.41 months, traumatic etiology) with hospital discharge in four cases. Conclusion: The protocol is managed as part of a local scheme and enables an appropriate response to a specific clinical profile by providing up-to-date multidiscipline follow-up care and a rapid solution should intercurrent events occur (signs of arousal, orthopedic deterioration, change of environment). Typical limitations are geographical remoteness and difficulties with family support care. [Copyright &y& Elsevier]

Introduction/Background There is a gap between the technical capability of upper limb prostheses, and the control strategy (commonly sequential myoelectric control) used to actuate the motorized joints. Surprisingly, the control method is the same for prosthetic hands and hand/wrist/elbow systems, which leads to a complex utilization. Research groups are investigating new control strategies to make the prosthetic control easier. Most studies are focusing on the task achievement, but it is nonetheless essential to assess the achievement method, especially since high-level amputees are prone to develop compensation-related musculoskeletal disorders. The study aims to show that body kinematics can be used to compare different control strategies, or prosthetic equipments. Material and method Transhumeral amputees performed a reaching task with different prosthetic parameters (different sockets, different control strategies). They performed the task with a prosthesis prototype that could be adapted to any socket, and implemented with any control strategy. They were equipped with motion capture sensors in order to record their body kinematics. The body motion analysis included the trunk and shoulder displacements, as well as the weight deviation. Results We could observe that each transhumeral amputee had a unique utilization of their prosthesis, and that they had their own residual capabilities. All the participants performed the task with the two tested control strategies successfully. However, the kinematic analysis showed differences between the control strategies in terms of coordination restauration, that the participants described but that the task assessment (success or not) could not provide. Conclusion Differences could be highlighted between control strategies that the standard assessment method could not show. Hence the whole body kinematics can be a substantial source of information, especially given the potential severity of compensatory strategies in upper limb prosthesis utilization. [ABSTRACT FROM AUTHOR]

Introduction/Background The assessment and rehabilitation of aphasia through a neurolinguistic approach is well known, so as its functional impairments to communicate, and its psycho-social consequences. We make the hypothesis that severe aphasia might leads gradually to a decrease of communication among inpatients whose needs are supplied by the institution. We propose to evaluate a new tool, the Communication Independence Measurement (CIM) scale, built like the Functional Impairment Measurement (FIM) scale. Material and method The CIM scale was used among aphasic's inpatients in a neurorehabilitation center, at baseline (M0) and 3 months (M3), by 4 different professionals (2 speech therapists and 2 nurses or carers). Four subdomains were evaluated, from 1 to 7 (motivation to communicate, expression, understanding, interaction). Psychometric properties and correlation to the Boston Diagnostic Aphasia Examination (BDAE) severity grade were analysed. Results Fifty-five patients (mean age 48 ± 11.8 years old, sex ratio 0.83) were consequently included, at 0.91 ± 1.49 months from stroke. Seventeen of them were evaluated at M3. Inter-rater validity was good, with no statistically difference between the 4 examiners at M0 (Kruskal–Wallis test P = 0.77) and at M3 (Kruskal–Wallis test P = 0.96). CIM was highly correlated to BDAE at M0 [intraclass correction (ICC) = 0.60–0.69] and at M3 (ICC = 0.82–0.85). We founded that patients who obtained a score less than the cut-off value of 35 had a bad daily communication. Conclusion The CIM scale seems to be a reliable tool to measure communication in aphasics in rehabilitation center. It might help identifying and thus helping patients with a negative prognosis of communication early during post-stroke rehabilitation time. [ABSTRACT FROM AUTHOR]

Introduction/Background Gliomas are the most common primary brain tumors in adults. Physical activity is proposed as an associated care in multiple cancers with proven benefits but has not been often and specifically evaluated for gliomas. The main objective of our study was to assess the feasibility and the potential effectiveness of exercise training in patients with high and low-grade gliomas. Material and method Twenty-eight patients (mean age 49 years, 16 high grades and 12 low-grades, minimal Karnofksy Performance Status at 70%) were addressed by the neuro-oncology for fatigue complaint. They were first screened by a physiatrist and then included a program of individual exercise training. A Six-Minute-Walking-Test was realized before and after the training. Results On the 17 patients included, 14 finished the program (7 high grade and 7 low-grade gliomas). Only 2 patients were excluded for a clinical degradation and only 1 patient did not finish it for a reason linked to his tumor. Mean number of sessions was 8; no major sides effects were reported. After the program, a statistically significant increase of the 6-Minute-Test was found ( P = 0.0007). Conclusion In this population, this kind of program seems to be feasible and efficient. However, our results cannot be extended to all gliomas patients due to the good general state of our population and the inner limits of the Six-Minute-Walking-Test. Further studies are needed to assess the possible benefits in larger sample. [ABSTRACT FROM AUTHOR]

Introduction/Background Common myoelectric control strategy remains complex to use and produce unnatural gestures since it does not allow simultaneous movements of several joints. This is especially an issue for the transhumeral amputees who can use an active elbow in addition to active prosthetic wrist and hand. Since most transhumeral amputees have a mobile residual limb, an interesting approach aims at utilizing this mobility to control the elbow. We thus developed a simple electronic device relying on an inertial measurement unit, that can be interfaced with existing commercial myoelectric elbows and which convert chosen displacements of the residual limb into control signals, offering an intuitive way of controlling an active elbow prosthesis whilst allowing a simultaneous myoelectric control of the wrist and hand. Material and method We performed an experiment with one transhumeral amputee wearing his myoelectric prosthetic (active elbow, wrist and hand) who was asked to grasp and transfer different objects several times while being recorded with a motion capture system. Theses task were performed twice: with a conventional full myoelectric control and with the proposed movement based control. Several metrics (position error, time, smoothness, along with body compensatory strategies) were used to quantify the performances obtained with these two modes. Results Analyses showed that the participant was able to perform the tasks in both condition, but that the movement based control approach allowed a reduction in task time and in exhibited body compensatory strategies, by offering an easier access to adjustments of the elbow posture compared to the full myoelectric control approach. Conclusion This work illustrates the potential of using residual limb mobility in the control of prosthetics, to make it more natural and intuitive, and how this can have an indirect but positive impact on the whole body compensatory strategies exhibited by amputated subjects. [ABSTRACT FROM AUTHOR]

Introduction/Background The use of myoelectric prosthetics in upper limb amputees introduced compensations on the residual shoulder and trunk which could be the cause of musculoskeletal disorders. Task/work involving movements in abduction of shoulder (> 60°) more than two hours per day in cumulative have been identified to be responsible of musculoskeletal disorders. The aim of the study is to evaluate the shoulder compensations in upper limb amputees with the use of the new myoelectric multi-articulated prosthetic hands compared to tri-digital hands during different functional tasks. Material and method Five unilateral trans-radial upper limb amputees (4 male, 1 female; age 45.6 ± 13.8 years old) participated in this prospective crossover study. Evaluations were realized by each participant with their own tri-digital myoelectric prosthesis and 2 multigrip prosthesis: I Limb Ultra ® (IL) without a wrist mobility and Michelangelo ® (MA) with a wrist mobility, after specific rehabilitation and one month of home use. Mean of internal rotation, mean of abduction shoulder, percent time in abduction higher than 60° and its extrapolation in hours were calculated by an optoelectronic system (VICON) for the both sides (amputated - non-amputated) during the Box and Block Test (BBT) and 2 common daily life tasks (cut meat, make a knot). Results Whatever the tasks, there is any significant difference in internal rotation with the different prosthetic devices. Conclusion New types of grip of innovative prosthetic hands and wrist mobility seems to decrease shoulder abduction, considered as pathogenic compensations. However, the compensation strategy is different across patients, which involve a personalized analysis for his rehabilitation program and for the prosthetic device choice. Further studies are necessary to evaluate the impact of trunk compensations. [ABSTRACT FROM AUTHOR]

Introduction/Background In the light of the development of polydigital hand prosthesis, we recently explored an intuitive control mode by surface EMG associated to phantom limb movements (PLM) in upper arm amputees (Jarrassé et al., 2017a, b). As little was known about PLM, we described types and characteristics of upper limb PLM and explored some factors potentially influencing these in a population of upper limb amputees (De Graaf et al., 2016; Touillet et al., submitted). We showed, among others, that one persistent characteristic of PLM is the associated fatigue, which potentially is a problem when using PLM for prosthesis control since fatigue diminish the mobilization capacity as well as the stability of the EMG signals and thus interferes with the prosthesis control. Material and method In the present study, we explored whether PLM training (not to confound with learning) can increase mobilization capacity and stabilize EMG signals. Five trans-humeral amputees volunteered for training of all their types of PLM at home on a daily basis during about 6 weeks. Kinematics (via the intact limb imitating the phantom movements) as well as EMG signals from the residual muscles were recorded just before and right after the training period. Results None of the participants experienced (phantom or residual limb) pain related to the training. Three participants increased the number of different PLM they could execute. All of them increased the amplitude and velocity, and thus diminished the cycle duration, as well as the number of cycles they could execute before the PLM blocked by fatigue. The amplitude of the EMG increased and became more specific to the type of PLM. Conclusion In conclusion, as is the case for intact limbs, training of PLM improves motor performance and stabilizes the EMG signals associated to PLM execution. This is encouraging for future PLM-based prosthesis control. [ABSTRACT FROM AUTHOR]

Introduction/Background After amputation, hand and wrist phantom limb movements (PLM) are experienced as effortfull, slower and smaller than healthy limb movements. Our hypothesis is that this is caused by the altered somatosensory feedback coming from the residual limb muscle contractions that are associated to PLM. If this is true, one can expect to find differences between below- and above-elbow amputees since the latter ones still have many muscles left that were involved in hand and wrist movements, such that the sensory feedback is close to that before the amputation. To test this hypothesis, we compared PLM kinematics between above- and below-elbow amputees. Material and method Six above- and 8 below-elbow amputees performed phantom hand and wrist PLM. The kinematics of the PLM was indirectly obtained via the intact limb that synchronously mimicked the PLM at a comfortable velocity, using a Cyberglove for hand movements and an inertial measurement unit for wrist movements. For each patient and each type of PLM, we determined the number of executed cycles, the duration of the cycles and the velocity. Results Our results show that after above-elbow amputation the number of different types of PLM was higher, PLM repetitions were more numerous before blocking caused by fatigue, cycle duration was shorter and velocity was higher. Conclusion In conclusion, below-elbow amputees have more facilities for PLM execution (i.e., they perceive their PLM as faster and less tiring) than above-elbow amputees. This confirms our hypothesis that the more the somatosensory feedback is altered with respect to intact limb feedback, the slower and more effortfull are PLM. [ABSTRACT FROM AUTHOR]

Aim of the study The “400 points assessment” (400 PA) is used for 30 years to evaluate hand function assessing 4 dimensions: mobility, strength, monomanual grip and moving objects, bimanual function. We present results from a preliminary validation study of the new standardized version of the 400 PA. Material and method Multicentric international study, in a rehabilitation setting, with patients suffering of unilateral orthopaedic hand or wrist injury. Correlation (Pearson's r ) of the new version of 400 PA with QuickDASH and SF36 Physical Function (PF) for CCV (convergent content validity), and SF36 Mental Function (MF) for DCV (divergent content validity). Intraclass correlation coefficients (ICC) for intrarater and interrater reliability, and Cronbach's alpha for internal consistency. Results One hundred and sixty-six patients, with a mean pain of 3.4/10 on VAS were included (mean age of 44 years; women 31.9%). Correlation was found moderate with QuickDash: −0,423 [−0,540–0,289], low with SF36 FP: 0,293 [0,147–0,426] and there was no correlation with SF36 FM: 0,091 [−0,062–0,240]. Intrarater reliability (39 patients) was excellent (0,97) and interrater reliability (31 patients) was good (0,85). Internal consistency was high (0.85). Discussion This validation study found good to excellent clinimetric properties of the new standardized version of the “400 points assessment” comparable to the original version. Our results confirm the clinical applicability of this instrument assessing hand function. Results will be refined after final inclusion of the last patients. Sensivity to change and construct validity with the Jebsen test will soon be available. [ABSTRACT FROM AUTHOR]

Summary Introduction Evolution of comatose patients can be made either towards a persistent vegetative state (or unresponsive wakefulness syndrome–UWS), minimally conscious state or a recovery of self and environment awareness. Investigations remain insufficient to estimate the prognosis and optimize the orientation and long-term follow-up of these patients in physical and rehabilitation medicine (PRM). Multimodal magnetic resonance imaging (MRI) are being evaluated for the diagnosis and prognosis of altered consciousness states [1,2] . Diffusion tensor imaging (DTI) could predict the mid-term evolution within a 95%-specificity. Case report A 29-years-old woman gives birth by vaginal delivery (pre-eclampsia) with the onset of a HELLP syndrome. At 4 A.M., comatose state (GCS: 3/5). TDM showed a parenchymal pontine and midbrain hematoma. No sign of awakening. The brain MRI (M3) showed atrophy (pons, midbrain, and middle cerebellar peduncles). DTI sequence with tractography shows a complete interruption of the left corticospinal tract as well as a rarefaction of inferior cerebellar peduncle fibers. The patient occasionally opens her eyes, without eye-tracking or other awakening sign (M10). The question then arises of the orientation of this patient in a persistent vegetative states unit and the future taking care by PRM team. Discussion DTI MRI with measure of anisotropy fraction could be a promising tool in order to predict the prognosis of altered conscious states and optimize the orientation and long-term follow-up of these patients in PRM. [ABSTRACT FROM AUTHOR]

Aim The Amputation Body Image Scale (ABIS ® ) and its shortened version (ABIS-R ® ) are self-administered questionnaires addressing the patient's perspective, only available in English [1] and Turkish. The aim of this study was the French cross-cultural adaptation and validation of the ABIS (ABIS-F) and its shortened version ABIS-R (ABIS-R-F). Psychometrics properties: internal consistency, test-retest reliability, construct validity. Method One hundred and twenty-nine patients (23% women), with a mean age of 62 years, with lower limb amputation for at least 1 year (vascular 75%, traumatic 25%) were recruited in 5 clinical centers. Translation and cross-cultural adaptation (ABIS 20 items; ratings of 1-5; high score indicating high body disturbance, and ABIS-R 14 items, ratings of 0–2) were made according to international guidelines. Internal consistency was calculated by the coefficient of Cronbach. Test-retest reliability was assessed by intraclass correlation in a subgroup who completed the ABIS on 2 occasions with an interval of 5 to 7 days. Construct validity was estimated through correlations with SF-36 mental component summary (MCS) and SF-36 physical component summary (PCS). Correlations with some scales of the Brief Pain Inventory (BPI): pain severity, highest pain and pain interference with activities. Results High internal consistency (ABIS-F: α = 0.91, ABIS-R-F: α = 0.90). Test-retest reliability (24 patients) was good: ABIS-F 0.87 [95% CI 0.69–0.95] and for ABIS-R at 0.86 [95% CI 0.66–0.94]. Correlations with SF-36 were negative: ABIS-F/SF-36 CM: –0.40 [–0.54 to –0.21], ABIS-R-F/SF-36 CM: –0.42 [–0.56 to –0.24]; ABIS-F/SF-36 CP: –0.40 [–0.54 to –0.21], ABIS-R-F/SF-36 CP: –0.44 [–0.58 to –0.26]. Correlations with pain were positive for both ABIS questionnaires: respectively for ABIS-F and for ABIS-R-F: pain severity, 0.39 [0.20–0.54] and 0.38 [0.19–0.53]: highest pain, 0.39 [0.20–0.54] and 0.39 [0.20–0.54]: interference with activities, 0.53 [0.36–0.65] for both. No floor or ceiling effects. Discussion/conclusion The ABIS-F and the ABIS-R-F have the same good psychometric properties as the original ABIS ® and ABIS-R ® . They could be applied with confidence in patients with lower limb amputation. The ABIS-R-F (the shortened version) is as reliable as the ABIS-F (the longer version). [ABSTRACT FROM AUTHOR]

Objective Exercise behavior has shown its interest in cancers and may have a prognosis value in brain tumors [1] . The aim of this prospective study is to show the effectiveness of a guided personalized rehabilitation-reconditioning program in brain tumors. Patients Inclusion criteria: patients over 18; complain of fatigue and decrease or interruption of a physical activity; histological diagnosis of brain tumor; Karnofsky Performance Status > 60. Exclusion criteria: major neurological or cognitive impairment; cardiac or pulmonary contraindication; high risk of tumor progression. Methods Patients underwent an incremental, physician-supervised cardiopulmonary exercise test (CPET) before including the personalized rehabilitation reconditioning program. The program included 5 to 10 individualized sessions, supervised by a physiotherapist; from 30 to 45 minutes per session; 1 to 2 times per week; altered or continuous on walking treadmill or bicycle. The endurance phase was calculated depending on results of the CPET. The objectives of the sessions were personalized; the physical therapist gave the patient therapeutic advices to continue physical activity after the reconditioning program, with a written notebook of follow-up for self- sessions provided at home. The primary outcome was a 6-minute walk test (6MWT) [2] . Results Nineteen patients, mean aged of 53 years old (standard deviation 14.2) were proposed by the neurologist to follow the program; 11 had high-grade glioma and 8 of them low-grade glioma. Fourteen patients were included; 9 completed the program, 3 are currently following it. At follow up, all patients who had completed the program increased their walking speed from 1.68 m/sec (6 km/h) to 1.92 m/sec (6.9 km/h) ( p = 0.022). Discussion Brain tumor survivors can improve walking function after a personalized and guided rehabilitation reconditioning program. This study is a preliminary study before a controlled study measuring the effects of such a program on quality of life and survey in glioblastoma. [ABSTRACT FROM AUTHOR]