Authors:
Fitria Wardhani
and
Indrayuni Wardhani
Affiliation:
Universitas Airlangga, Indonesia
Keyword(s):
Spinal tuberculosis, Noncontiguous spondylitis, Rehabilitation, Barthel index, Functional Independence Measurement
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.
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