Location
LSU Health Science Center - New Orleans
Event Website
https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx
Document Type
Event
Start Date
8-4-2024 3:00 PM
End Date
8-4-2024 5:00 PM
Description
Introduction:
This case report highlights the pivotal role of physical therapy (PT) in managing and rehabilitating a 60-year-old male diagnosed with cervical myelopathy. Severe spinal stenosis, particularly at C3-C4, warranted PT intervention before and after anterior cervical fusion surgery (ACDF). The patient's initial presentation featured impaired sensation, muscle weakness, and balance issues translating to overall impaired functional mobility.
Purpose:
To emphasize the crucial involvement of PT in the acute care and recovery of a patient with cervical myelopathy, detailing the tailored plan of care and interventions.
Methods:
PT diagnoses identified deficits in functional mobility, activity tolerance, weakness, and impaired sensation. The care plan covered preoperative, postoperative, and rehabilitation phases, employing PT interventions three times weekly for 10-15 minutes, emphasizing massed practice targeting mobility and endurance. Formal outcome measures were deferred initially in the acute care setting, considering the patient's complex medical history and imminent surgery.
Results:
Despite notable progress in ambulation and balance, challenges like weakness and impaired sensation persisted, emphasizing the continued need for PT interventions. Regular follow-ups served as crucial feedback mechanisms for plan adjustments.
Discussion:
The case underscores the instrumental role of PT in achieving successful acute interventions, shedding light on the ongoing challenges and the necessity for tailored, research-driven approaches to enhance patient motivation and adherence in chronic conditions like cervical myelopathy. Potential future PT outcome measures, including the Modified Rankin Scale, Functional Independence Measure, 10-Meter Walk Test, JOACMEQ, and the Nurick Grading System, were discussed for their potential in refining rehabilitation plans.
Recommended Citation
Mousa, Najah, "Management and Rehabilitation of Cervical Myelopathy Post ACDF" (2024). School of Allied Health Professions Research Day. 24.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/24
Included in
Management and Rehabilitation of Cervical Myelopathy Post ACDF
LSU Health Science Center - New Orleans
Introduction:
This case report highlights the pivotal role of physical therapy (PT) in managing and rehabilitating a 60-year-old male diagnosed with cervical myelopathy. Severe spinal stenosis, particularly at C3-C4, warranted PT intervention before and after anterior cervical fusion surgery (ACDF). The patient's initial presentation featured impaired sensation, muscle weakness, and balance issues translating to overall impaired functional mobility.
Purpose:
To emphasize the crucial involvement of PT in the acute care and recovery of a patient with cervical myelopathy, detailing the tailored plan of care and interventions.
Methods:
PT diagnoses identified deficits in functional mobility, activity tolerance, weakness, and impaired sensation. The care plan covered preoperative, postoperative, and rehabilitation phases, employing PT interventions three times weekly for 10-15 minutes, emphasizing massed practice targeting mobility and endurance. Formal outcome measures were deferred initially in the acute care setting, considering the patient's complex medical history and imminent surgery.
Results:
Despite notable progress in ambulation and balance, challenges like weakness and impaired sensation persisted, emphasizing the continued need for PT interventions. Regular follow-ups served as crucial feedback mechanisms for plan adjustments.
Discussion:
The case underscores the instrumental role of PT in achieving successful acute interventions, shedding light on the ongoing challenges and the necessity for tailored, research-driven approaches to enhance patient motivation and adherence in chronic conditions like cervical myelopathy. Potential future PT outcome measures, including the Modified Rankin Scale, Functional Independence Measure, 10-Meter Walk Test, JOACMEQ, and the Nurick Grading System, were discussed for their potential in refining rehabilitation plans.
https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/24