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Rehabilitation Method for two paraplegia cases with transverse myelitis because of
infection from early stage. : Considering Functional recovery of motor disturbance
Key words:transverse myelitis, paraplegia, rehabilitation, functional recovery
Abstract
We experienced two patients with post-infectious transverse myelitis. Both patients had paraparesis,
sensory disturbances and bowel and bladder dysfunction on admission. In rehabilitation program along
with medication, we put focus on their functional improvement such as appearance of spasticity and
tried to reduce sequelae. One patient could independently walk after six months from the onset. The
other starting rehabilitation with delay could walk with brace and Lofstrand crutches within doors after
a year from the onset. Our limited experiences suggested that functional recoveries in patients with
transverse myelitis were generally gradual and might take several years. Thus, medical stuffs should
plan to improve gait ability in the long-standing point of view. For such purpose, orthoses or assistant
tools for walking should be applied even in the early course of disease.
1.Positive sensory abnomalities
spontaneous pain
hyperalgesia(mechanical,thermal,deep somatic)
2.Vasscular abnormalities
vasodilatation
vasoconstriction
skin temperature asymmetries
skin color changes
3.Edema,sweating abnormalities
swelling
hyperhidrosis
hypohidrosis
4.Motor or tropic changes
motor weakness
tremor
dystonia
coordination deficits
nail or hair changes
skin atrophy
joint stiffness
soft tissue change
MMSE Mini-Mental State Examination WAIS- Wechsler Adult Intelligence Scale -
TMT Trail Making Test BADS Behavioural Assessment of the Dysexecutive Syndrome
WMS-R Wechsler Memory Scale-Revised RBMT The Rivermead Behavioral Memory Test
SLTA Standard Language Test of Aphasia FIM Functional Independence Measure
Abstract
Motor symptoms are cardinal clinical features of Parkinson's disease (PD) and addition to drug
therapies rehabilitation may present beneficial effect. However, non-motor symptoms have been
accumulated more attentions and rehabilitation may also give beneficial effect. Rehabilitation for
motor- and non-motor symptoms may be essential for improving fatigue and quality of life (QOL) in
PD patients.