Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 6]: An Unexplored Opportunity?
Author
Boerger, Timothy FHyngstrom, Allison S
Furlan, Julio C
Kalsi-Ryan, Sukhvinder
Curt, Armin
Kwon, Brian K
Kurpad, Shekar N
Fehlings, Michael G
Harrop, James S
Aarabi, Bizhan
Rahimi-Movaghar, Vafa
Guest, James D
Wilson, Jefferson R
Davies, Benjamin M
Kotter, Mark R N
Koljonen, Paul A
Date
2022-02Journal
Global Spine JournalPublisher
SAGE Publications Inc.Type
Article
Metadata
Show full item recordAbstract
Study Design: Narrative review. Objective: Degenerative cervical myelopathy is one of the most frequent impairments of the spinal cord encountered internationally in adults. Currently, surgical decompression is the recommended treatment for people with DCM (PwCM) presenting with moderate to severe symptoms or neurological deficits. However, despite surgical intervention, not all patients make a complete recovery due to the irreversible tissue damage within the spinal cord. The objective of this review is to describe the state and gaps in the current literature on rehabilitation for PwCM and possible innovative rehabilitation strategies. Methods: Literature search. Results: In other neurological disorders such as stroke and acute traumatic spinal cord injury (SCI), timely and strategic rehabilitation has been shown to be indispensable for maximizing functional outcomes, and it is imperative that appropriate perioperative rehabilitative interventions accompany surgical approaches in order to enable the best outcomes. In this review, the current state of knowledge regarding rehabilitation for PwCM is described. Additionally, various therapies that have shown to improve outcomes in comparable neurological conditions such as stroke and SCI which may be translated to DCM will be reviewed. Conclusions: We conclude that locomotor training and arm/hand therapy may benefit PwCM. Further, we conclude that body weight support, robotic assistance, and virtual/augmented reality therapies may be beneficial therapeutic analogs to locomotor and hand therapies. © The Author(s) 2022.Keyword
body weight supportcervical
gait
hand
myelopathy
rehabilitation
spondylosis
therapy
virtual reality
Identifier to cite or link to this item
http://hdl.handle.net/10713/18229ae974a485f413a2113503eed53cd6c53
10.1177/21925682211050925
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