Nas Kemal, Karakoç Mehmet, Aydın Abdulkadir, Öneş Kadriye
Kemal Nas, Department of Physical Medicine and Rehabilitation, School of Medicine, Sakarya University, Korucuk, 54290 Sakarya, Turkey.
World J Orthop. 2015 Jan 18;6(1):1-7. doi: 10.5312/wjo.v6.i1.1.
Spinal cord infections were the diseases defined by Hypocrite yet the absence of modern medicine and there was not a real protocol in rehabilitation although there were many aspects in surgical treatment options. The patients whether surgically or conservatively treated had a lot of neurological, motor, and sensory disturbances. Our clinic has quite experience from our previous researchs. Unfortunately, serious spinal cord infections are still present in our region. In these patients the basic rehabilitation approaches during early, pre-operation, post-operation period and in the home environment will provide significant contributions to improve the patients' sensory and motor skills, develop the balance and proriocaption, increase the independence of patients in daily living activities and minimize the assistance of other people. There is limited information in the literature related with the nature of the rehabilitation programmes to be applied for patients with spinal infections. The aim of this review is to share our clinic experience and summarise the publications about spinal infection rehabilitation. There are very few studies about the rehabilitation of spinal infections. There are still not enough studies about planning and performing rehabilitation programs in these patients. Therefore, a comprehensive rehabilitation programme during the hospitalisation and home periods is emphasised in order to provide optimal management and prevent further disability.
脊髓感染是希波克拉底时代就已定义的疾病,但当时缺乏现代医学,尽管手术治疗选择有很多方面,但康复方面并没有真正的方案。无论是接受手术治疗还是保守治疗的患者,都存在许多神经、运动和感觉障碍。我们的诊所从之前的研究中积累了相当多的经验。不幸的是,严重的脊髓感染在我们地区仍然存在。对于这些患者,在早期、术前、术后以及家庭环境中的基本康复方法,将对提高患者的感觉和运动技能、发展平衡和本体感觉、增强患者在日常生活活动中的独立性以及减少他人的协助做出重大贡献。关于应用于脊髓感染患者的康复计划的性质,文献中的信息有限。本综述的目的是分享我们诊所的经验,并总结有关脊髓感染康复的出版物。关于脊髓感染康复的研究非常少。关于为这些患者规划和实施康复计划的研究仍然不足。因此,强调在住院和家庭期间进行全面的康复计划,以提供最佳管理并防止进一步残疾。