Rehabilitation management of patients with spinal tuberculosis (Review)

Dhouibi,Jaouher; Kalai,Amine; Chaabeni,Amr; Aissa,Ahlem; Ben Salah Frih,Zohra; Jellad,Anis

doi:10.3892/mi.2024.152

May-June 2024 Volume 4 Issue 3

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May-June 2024 Volume 4 Issue 3

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Rehabilitation management of patients with spinal tuberculosis (Review)

Authors:
- Jaouher Dhouibi
- Amine Kalai
- Amr Chaabeni
- Ahlem Aissa
- Zohra Ben Salah Frih
- Anis Jellad
View Affiliations / Copyright

Affiliations: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Monastir, Monastir 5000, Tunisia, Regional Hospital of Enfidha, Sousse 4030, Tunisia

Copyright: © Dhouibi et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
Article Number: 28
|
Published online on: April 4, 2024

https://doi.org/10.3892/mi.2024.152
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Abstract

Spinal tuberculosis (ST) is a serious condition and a global health concern, accounting for a significant portion of musculoskeletal tuberculosis cases. It can lead to sever spinal and neurological complications. The management of ST involves a multidisciplinary approach, including medical treatment, surgery and rehabilitation. Rehabilitation is crucial through the course of the disease's and is tailored for each stage according to the patients' complaints, and clinical and functional complications. In the case of neurological issues due to spinal compression, rehabilitation aims at overcoming bed confinement complications, involving mobilization techniques, strengthening exercises and related vesico‑sphincter disorders (urodynamics, catheterizing). The role of rehabilitation for the management of pain in patients with ST is based on bracing (restricting movements and relieving the pressure on harmed structures), and analgesic physical means (electrical stimulation and massage techniques). Several rehabilitation options may be used to address musculoskeletal complications. Range of motion exercises, muscle strengthening, and posture and balance correction using sensory perception and proprioception techniques, are commonly involved. Cardiorespiratory reconditioning is required to improve respiratory function, walking ability and cardiovascular endurance. Ultimately, rehabilitation allows for the minimization of disability and the prevention of the loss of autonomy, particularly in elderly patients. The advantage of the rehabilitation approach is its multi‑optional characteristics including physical therapy, occupational therapy, ergonomic advices and assistive equipment. Despite its crucial role, rehabilitation remains understudied in the management of ST. Thus, the present mini‑review aimed to address the rehabilitation options for the clinical features and complications of ST, according to the course of the disease.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Rehabilitation management of patients with spinal tuberculosis (Review)

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