Management in a rehabilitation department in Pott's disease

Turki, E.; Jemni, Sonia; Frioui, Samia; Lazreg, N.; Mtaouaa, S.; Khachnaoui, F.

doi:10.1016/j.rehab.2016.07.218

Cited by 1 publication

(5 citation statements)

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“…Most rehabilitation regimes are best outlined to the patient during inpatient rehabilitation. Both studies examining the effect of inpatient rehabilitation on functional outcomes have demonstrated significant improvement in FIM [20,21]. Regardless whether patients were treated conservatively or surgically in the initial treatment for spinal tuberculosis, neurologically impaired individuals need to undergo retraining and mobilization of their muscles.…”

Section: Discussionmentioning

confidence: 99%

“…Gradual retraining of the mobility function and performance of daily living activities improve the functional outcome. The study by Toulgui et al [21] showed that the average FIM of patients who received inpatient rehabilitation improved from 62.3 to 112 at 2 years after diagnosis (mean inpatient rehabilitation stay of 32 days) followed by regular outpatient rehabilitation follow-up. There is insufficient literature to compare the functional recovery in spinal tuberculosis patients who had rehabilitation and those who did not.…”

Section: ) Surgical Treatmentmentioning

confidence: 99%

“…The rehabilitation training given should be adapted to the individualized functional recovery levels of the patients [20]. Although Zaoui et al [20] found significant neurological improvement through rehabilitation only in patients with AIS B to E classification, Toulgui et al [21] found substantial neurological recovery even in those with complete paraplegia (AIS A).…”

Section: Modes Of Treatmentmentioning

confidence: 99%

Section: ) Surgical Treatmentmentioning

confidence: 99%

“…3) Rehabilitation approach For both surgical and conservative management, inpatient rehabilitation is necessary as it is shown to improve FIM [21,20]. Toulgui et al [21] emphasize the importance of initial mobilization whereby initial mobilization of the injured segment is recommended with the aid of orthosis. The basic principle of rehabilitating individuals with spi-nal tuberculosis involves prescribing isometric exercises during the early phase of treatment, followed by strengthening of spinal extensor and isotonic exercises of the abdomen, pelvis and lower limbs (the latter for incomplete motor paraparesis) [24].…”

Section: ) Surgical Treatmentmentioning

confidence: 99%

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Functional Outcomes in Spinal Tuberculosis: A Review of the Literature

et al. 2021

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Spinal tuberculosis often leads to neurological deficit and subsequent deterioration in functional outcomes. This review assesses the recent evidence on functional outcomes in spinal tuberculosis, highlighting functional recovery, assessment tools for functional measures, and associative factors for functional recovery. Using PubMed, a literature search was done using the terms "spinal tuberculosis," "tuberculous spondylitis," "tuberculous spondylodiscitis," and "functional outcome" for original articles published between January 2010 and December 2019. A total of 191 search results were found. Detailed screening showed that 19 articles met the eligibility criteria: 13 of these focused on surgical methods, four on conservative management, and two on rehabilitation approaches. The outcome measures used for functional assessment were the Oswestry Disability Index (11 articles), Japanese Orthopaedic Association score (n=3), modified Barthel Index (n=2), Functional Independence Measure (n=2), and 36-item Short-Form Health Survey (n=1). Functional outcome was mainly affected by pain, spinal cord compression, and inpatient rehabilitation. No significant difference in functional outcome was found between conservative management and surgery for cases with uncomplicated spinal tuberculosis. Most studies focused on surgery as the mode of treatment and used pain-related functional measures; however, these assessed functional limitations secondary to pain, and not neurological deficits. Further studies may consider examining functional outcomes in spinal tuberculosis by utilizing spinal cord-specific functional outcome measures, to evaluate outcome measures as a prognostic tool, and to measure functional outcomes from specific rehabilitation interventions.

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Section: Discussionmentioning

confidence: 99%

Section: ) Surgical Treatmentmentioning

confidence: 99%