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    Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 6]: An Unexplored Opportunity?

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    Author
    Boerger, Timothy F
    Hyngstrom, 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
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    Date
    2022-02
    Journal
    Global Spine Journal
    Publisher
    SAGE Publications Inc.
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1177/21925682211050925
    Abstract
    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 support
    cervical
    gait
    hand
    myelopathy
    rehabilitation
    spondylosis
    therapy
    virtual reality
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/18229
    ae974a485f413a2113503eed53cd6c53
    10.1177/21925682211050925
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