The results of rehabilitation on motor and functional improvement of the spinal tuberculosis

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dc.contributor.authorNas, K
dc.contributor.authorKemaloglu, MS
dc.contributor.authorÇevik, R
dc.contributor.authorCeviz, A
dc.contributor.authorNecmioglu, S
dc.contributor.authorBükte, Y
dc.contributor.authorCosut, A
dc.date.accessioned2024-04-24T16:18:58Z
dc.date.available2024-04-24T16:18:58Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives. - To evaluate the result of rehabilitation on motor and functional improvement in spinal tuberculosis. Method. - Prospective case study. Data were collected from 47 patients with spinal tuberculosis medically and/or surgically treated, and rehabilitated over 6 months of period, after spinal decompression and fusion. The main outcome measures were motor development of the patients who were evaluated at the beginning, in the 1st week, in the 3rd month, and in the 6th month. Functional development of the patients was evaluated at the beginning and in the 6th month. Functional assessment was made according to Modified Barthel Index (MBI), and motor examination was made according to American Spinal Injury Association (ASIA). Results. - The study population consisted of 47 patients (22 males and 25 females) mean aged 37.9 +/- 18.3 years (range 5-76 years). The most common site of spinal tuberculosis was the thoracic region. Localized back pain, paraparesis, sensory dysfunction and fever were typical clinical manifestations. Surgical management was performed as anterior or posterior drainage of abscess and/or stabilization of the spine. The rehabilitation program was performed in all patients during the preoperative, early postoperative and late postoperative 6 month periods. Muscle-strengthening exercises on necessary localization such as pectoral, abdominal, lower extremities; truncal and sacrospinal extensors were started for the rehabilitation. The motor score for the lower limbs and the MBI scores for activities of daily living (ADL) and mobility improved significantly (P < 0.001). The self-care and mobility categories of the MBI on admission; were 14.8% severely dependent and 10.6% independent. However, at the end of the rehabilitation program, 4.2% were severely dependent and 70.2% independent. In conclusion. - Early diagnosis and appropriate medical and/or surgical treatment together with a rehabilitation program will improve the life quality of patients with spinal tuberculosis. (C) 2003 Elsevier SAS. All rights reserved.en_US
dc.identifier.doi10.1016/S1297-319X(03)00135-0
dc.identifier.endpage316en_US
dc.identifier.issn1297-319X
dc.identifier.issue4en_US
dc.identifier.pmid15288857
dc.identifier.scopus2-s2.0-3843131875
dc.identifier.scopusqualityQ2
dc.identifier.startpage312en_US
dc.identifier.urihttps://doi.org/10.1016/S1297-319X(03)00135-0
dc.identifier.urihttps://hdl.handle.net/11468/16352
dc.identifier.volume71en_US
dc.identifier.wosWOS:000223478800011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherEditions Scientifiques Medicales Elsevieren_US
dc.relation.ispartofJoint Bone Spine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSpinal Tuberculosisen_US
dc.subjectRehabilitationen_US
dc.subjectMotoren_US
dc.subjectFunctionalen_US
dc.subjectManagementen_US
dc.titleThe results of rehabilitation on motor and functional improvement of the spinal tuberculosisen_US
dc.titleThe results of rehabilitation on motor and functional improvement of the spinal tuberculosis
dc.typeArticleen_US

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