Mahdieh Hamedfar - Department of Physiotherapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
Mandana Rezaei - Department of Physiotherapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
Hanieh Javan - Department of Physiotherapy, Faculty of Rehabilitation Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
Zhinous Sheikholeslami

Meningioma is one of the most common brain tumors that originate from arachnoid cells. The incidence rate is 6.59 per 100,000. Meningioma is more prevalent in females. Medical treatments include surgery, chemotherapy, radiotherapy, and physical therapy. The purpose of this study was to report physiotherapy in a patient after craniotomy of meningeal tumor. The patient was a 53-year-oldwoman with a history of craniotomy and discharge of meningioma in the left fronto-parietal lobe who referred to the physiotherapy clinic. The patient’s chief complaint was an imbalance during walking and a major weakness in the lower extremity muscles. In the clinicalevaluation, mild cognitive and perceptual impairments were identified. Other findings were postural, balance and walking impairments, need for assistance in most transfer activities, and muscle weakness mainly in the ankle dorsi flexors, hamstring, and quadriceps muscles.The range of ankle dorsiflexion movement was limited to -35º. The patient had no sensory problems, but in the cranial nerves, the optic nerve was involved. Hypertonicity in ankle plantar flexors, shoulder internal rotators, abductors and flexors and elbow flexors was evident. The abnormal synergy patterns were not observed. The primary score of the patient’s independence level was 60 based on the Barthel index.Twenty two sessions of physiotherapy were applied primarily to increase the independence level of the patient in daily activities. Reassessment at the end of the physiotherapy revealed significant improvement in the strength of lower extremity muscles which wasfollowed by an increase in the range of ankle joint dorsiflexion (-10º). Hypertonicity was decreased in the involved muscles. Balance, posture, and transfer were also getting better scores. Conclusion: The score of the patient’s independence level increased to 95. Rehabilitation, including physical therapy interventions, after brain tumor can be effective in improving function, quality of life and the patient’sindependence level.