Rehabilitation in transverse myelitis

Cristina L. Sadowsky, Daniel Becker, Glendaliz Bosques, Janet M. Dean, John W. McDonald, Albert Recio, Elliot Frohman

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

The consequences of neurologic injuries related to transverse myelitis (TM) are longlasting and require rehabilitative interventions in about two-thirds of cases. Because numerous neural repair mechanisms are dependent on maintenance of an optimal amount of activity both above and belowthe injury level, rehabilitation and exercise are useful not only for compensatory functional purposes but also as tools in neural system restoration. The application of established neurophysiologic principles to post-TMrehabilitation has substantial impact on optimizing residual functional capabilities while facilitating the processes of central plasticity and reorganization of sensory and motor programming. The process of neurorehabilitation thereby serves both to treat the patient with TM and to help physicians interrogate and dissect the mechanisms involved in spinal cord injury, neuroprotection, and, ultimately, recovery. Post-TM rehabilitation is lifelong and should be integrated into daily living in a home setting as part of the global management of paralysis, a chronic condition with significant comorbidities.

Original languageEnglish (US)
Pages (from-to)816-830
Number of pages15
JournalCONTINUUM Lifelong Learning in Neurology
Volume17
Issue number4
DOIs
StatePublished - Aug 2011

ASJC Scopus subject areas

  • Clinical Neurology
  • Genetics(clinical)

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