Rehabilitation in spinal infection diseases

Abstract

Spinal cord infections were the diseases defined by Hypocrite yet the absence of modern medicine and there was not a real protocol in rehabilitation although there were many aspects in surgical treatment options. The patients whether surgically or conservatively treated had a lot of neurological, motor, and sensory disturbances. Our clinic has quite experience from our previous researchs. Unfortunately, serious spinal cord infections are still present in our region. In these patients the basic rehabilitation approaches during early, pre-operation, post-operation period and in the home environment will provide significant contributions to improve the patients' sensory and motor skills, develop the balance and proriocaption, increase the independence of patients in daily living activities and minimize the assistance of other people. There is limited information in the literature related with the nature of the rehabilitation programmes to be applied for patients with spinal infections. The aim of this review is to share our clinic experience and summarise the publications about spinal infection rehabilitation. There are very few studies about the rehabilitation of spinal infections. There are still not enough studies about planning and performing rehabilitation programs in these patients. Therefore, a comprehensive rehabilitation programme during the hospitalisation and home periods is emphasised in order to provide optimal management and prevent further disability.

Functional Outcomes in Spinal Tuberculosis: A Review of the Literature

“…In terms of rehabilitation, the main goal in treating spinal tuberculosis is to achieve recovery through adequate mobilization, as immobilization could lead to complications such as contractures, pressure ulcers, and muscle wasting. The rehabilitation goals for spinal tuberculosis are specified at each of the spinal tuberculosis stages (acute, subacute, and chronic) [30]. In the acute stage, the goal is to achieve optimal bed mobilization; for example, isometric exercises to strengthen the paraspinal and gluteal muscles are essential for standing, balance, and ambulation exercises in later stages [30].…”

“…The rehabilitation goals for spinal tuberculosis are specified at each of the spinal tuberculosis stages (acute, subacute, and chronic) [30]. In the acute stage, the goal is to achieve optimal bed mobilization; for example, isometric exercises to strengthen the paraspinal and gluteal muscles are essential for standing, balance, and ambulation exercises in later stages [30]. The subacute stage focuses on active and active-assisted exercises followed by retraining of sitting balance and standing with or without assistance or aids [30].…”

“…In the acute stage, the goal is to achieve optimal bed mobilization; for example, isometric exercises to strengthen the paraspinal and gluteal muscles are essential for standing, balance, and ambulation exercises in later stages [30]. The subacute stage focuses on active and active-assisted exercises followed by retraining of sitting balance and standing with or without assistance or aids [30]. Ambulation is primarily used at the chronic stage, through a gradual increase in the intensity in the gait retraining and abdominal core exercises [30].…”

“…The subacute stage focuses on active and active-assisted exercises followed by retraining of sitting balance and standing with or without assistance or aids [30]. Ambulation is primarily used at the chronic stage, through a gradual increase in the intensity in the gait retraining and abdominal core exercises [30].…”

Traumatic spinal cord injury in West Virginia: Impact on long-term outcomes by insurance status and discharge disposition

“…[ 2 , 4 ] However, specialized rehabilitation after the acute injury can mitigate long-term complications and disability to achieve maximum recovery. [ 5 , 6 ]…”