Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity?

Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity? Publisher

Boerger TF¹ ; Hyngstrom AS² ; Furlan JC^{3, 4} ; Kalsiryan S^{3, 4} ; Curt A⁵ ; Kwon BK⁶ ; Kurpad SN¹ ; Fehlings MG⁷ ; Harrop JS⁸ ; Aarabi B⁹ ; Rahimimovaghar V¹⁰ ; Guest JD¹¹ ; Wilson JR⁷ ; Davies BM¹² Show All Authors

Boerger TF¹
Hyngstrom AS²
Furlan JC^{3, 4}
Kalsiryan S^{3, 4}
Curt A⁵
Kwon BK⁶
Kurpad SN¹
Fehlings MG⁷
Harrop JS⁸
Aarabi B⁹
Rahimimovaghar V¹⁰
Guest JD¹¹
Wilson JR⁷
Davies BM¹²
Kotter MRN¹²
Koljonen PA¹³

Show Affiliations

1. Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, United States
2. Department of Physical Therapy, Marquette University, Milwaukee, WI, United States
3. KITE Research Institute, University Health Network, Toronto, ON, Canada
4. Division of Physical Medicine and Rehabilitation, Department of Medicine, University of Toronto, Toronto, ON, Canada
5. University Spine Center, Balgrist University Hospital, Zurich, Switzerland
6. Department of Orthopedics, Vancouver Spine Surgery Institute, The University of British Columbia, Vancouver, BC, Canada
7. Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada
8. Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, PA, United States
9. Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, United States
10. Department of Neurosurgery, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
11. Department of Neurosurgery and The Miami Project to Cure Paralysis, The Miller School of Medicine, University of Miami, Miami, FL, United States
12. Department of Neurosurgery, University of Cambridge, Cambridge, United Kingdom
13. Department of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong

Source: Global Spine Journal Published:2022

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.

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Style	Citing Format
MLA	Boerger TF, et al.. "Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity?." Global Spine Journal, vol. 12, no. 1, 2022, pp. 97S-108S.
APA	Boerger TF, Hyngstrom AS, Furlan JC, Kalsiryan S, Curt A, Kwon BK, Kurpad SN, Fehlings MG, Harrop JS, Aarabi B, Rahimimovaghar V, Guest JD, Wilson JR, Davies BM, Kotter MRN, Koljonen PA (2022). Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity?. Global Spine Journal, 12(1), 97S-108S.
Chicago	Boerger TF, Hyngstrom AS, Furlan JC, Kalsiryan S, Curt A, Kwon BK, Kurpad SN, et al.. "Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity?." Global Spine Journal 12, no. 1 (2022): 97S-108S.
Harvard	Boerger TF et al. (2022) 'Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity?', Global Spine Journal, 12(1), pp. 97S-108S.
Vancouver	Boerger TF, Hyngstrom AS, Furlan JC, Kalsiryan S, Curt A, Kwon BK, et al.. Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity?. Global Spine Journal. 2022;12(1):97S-108S.
BibTex	@article{ author = {Boerger TF and Hyngstrom AS and Furlan JC and Kalsiryan S and Curt A and Kwon BK and Kurpad SN and Fehlings MG and Harrop JS and Aarabi B and Rahimimovaghar V and Guest JD and Wilson JR and Davies BM and Kotter MRN and Koljonen PA}, title = {Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity?}, journal = {Global Spine Journal}, volume = {12}, number = {1}, pages = {97S-108S}, year = {2022} }
RIS	TY - JOUR AU - Boerger TF AU - Hyngstrom AS AU - Furlan JC AU - Kalsiryan S AU - Curt A AU - Kwon BK AU - Kurpad SN AU - Fehlings MG AU - Harrop JS AU - Aarabi B AU - Rahimimovaghar V AU - Guest JD AU - Wilson JR AU - Davies BM AU - Kotter MRN AU - Koljonen PA TI - Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [Ao Spine Recode-Dcm Research Priority Number 6]: An Unexplored Opportunity? JO - Global Spine Journal VL - 12 IS - 1 SP - 97S EP - 108S PY - 2022 ER -

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