The Role of Comprehensive Rehabilitation Management in Noncontiguous Spinal Tuberculosis Involving Thoracic and Lumbar: A Case Report

Fitria Wardhani, Indrayuni Wardhani

2017

Abstract

Spinal tuberculosis is the most common form of skeletal TB, caused by Mycobacterium tuberculosa. There are only a few cases reported with noncontiguous spinal tuberculosis (involving more than one center of vertebrae) in the literature. It is considered the most dangerous form because involvement of the spinal cord results in neurological impairment. The aim of this study was to provide a comprehensive rehabilitation program for noncontiguous spinal tuberculosis. A 36-year-old woman with noncontiguous spinal tuberculosis involving thoracic and lumbar segments is reported. The patient presented with progressive paraplegia. The patient was treated with anti-tuberculosis drug therapy and was operated on first for thoracic spinal lesion and underwent second surgery for lumbar spinal lesion. The rehabilitation program included active breathing exercises, chest expansion exercises, endurance exercises, ROM exercises, strengthening exercises, sensory reeducation, TLSO FEL control, and gait training with a walker. Competence in daily living after comprehensive rehabilitation management was assessed using Barthel Index (BI) and Functional Independence Measurement (FIM). Comprehensive rehabilitation intervention improves a person’s living tasks and social reintegration.

Paper Citation

in Harvard Style

Wardhani F. and Wardhani I. (2017). The Role of Comprehensive Rehabilitation Management in Noncontiguous Spinal Tuberculosis Involving Thoracic and Lumbar: A Case Report.In Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM, ISBN 978-989-758-334-6, pages 81-84. DOI: 10.5220/0007316100810084

in Bibtex Style

@conference{imrm17,
author={Fitria Wardhani and Indrayuni Wardhani},
title={The Role of Comprehensive Rehabilitation Management in Noncontiguous Spinal Tuberculosis Involving Thoracic and Lumbar: A Case Report},
booktitle={Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,},
year={2017},
pages={81-84},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007316100810084},
isbn={978-989-758-334-6},
}

in EndNote Style

TY - CONF

JO - Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,
TI - The Role of Comprehensive Rehabilitation Management in Noncontiguous Spinal Tuberculosis Involving Thoracic and Lumbar: A Case Report
SN - 978-989-758-334-6
AU - Wardhani F.
AU - Wardhani I.
PY - 2017
SP - 81
EP - 84
DO - 10.5220/0007316100810084