Integrated use of the bobopro interactive table in the rehabilitation treatment of balance and proprioceptive deficits in the outcome of sarcoma exeresis in the lower limb: case report

Introduction Several studies show that soft tissue sarcoma patients undergoing surgery may experience reduced functional outcome and quality of life compared to the average population. Aim The aim of this case report is to show how an interactive platform, BoboPro, could be used as a supplementary instrumentation in assessment and treatment of balance and proprioceptive de cits. Materials and methods The patient had a mixoid liposacoma of the posterior compartment of the thigh and underwent a surgical resection of part of the sartorius, gracilis, semimembranosus muscles and semitendinosus muscle tendon. Three months after surgery he was assessed by our rehabilitation service. After evaluation through physical examination, validated scales and the interactive platform BoboPro with static and dynamic tests, he was found to have limited range of motion of knee and mild disturbance of double-leg stance balance and one-leg stance. Then the patient began a personalized rehabilitation treatment. At the end a new assessment was performed. Results After the rehabilitation treatment the patient showed an improvement in articularity and strenght of the lower limb treated with surgery. In the BoboPro system tests there was an improvement of about 30% in terms of accuracy in keeping the double-leg stance and of about 15% in the left-leg stance. Conclusion The peculiarity of our case is that BoboProallowed to point out a mild balance de cit and its improvement after rehabilitation exercise, even if it is not a standardized system. Its intuitive graphic feedback contributed to improve the patient’s compliance. This case report shows that BoboPro is an interesting tool as far as practicity and versatility is concerned.