Clinical characteristics and rehabilitation outcomes of patients with transverse myelitis Transvers miyelitli hastalarin klinik özellikleri ve rehabilitasyon sonuçlari
Journal of Rheumatology and Medical Rehabilitation, cilt.18, sa.2, ss.51-54, 2007 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 2
- Basım Tarihi: 2007
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.51-54
- Anahtar Kelimeler: Complication, Etiology, Functional improvement, Tranverse myelitis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Transverse myelitis (TM) is an uncommon syndrome characterized by segmental motor, sensory and autonomic dysfunction of the spinal cord. The aim of this study is to evaluate the inpatients rehabilitated in our hospital with tranverse myelitis with respect to demographic characteristics, ambulation levels, complications and bladder disorders retrospectively. Material and Methods: Demographical characteristics, neurological levels, ambulation levels, etiological factors, complications (neurogenic bladder, neurogenic bowel, deep venous thrombosis, pressure ulcers, infections, pain) and urodynamic findings of the patients were recorded. Results: The complications determined in patients were respectively; neurogenic bladder, spasticity, urinary tract infection, pulmoner infection, pressure ulcers, neurogenic bowel, pain, and deep venous thrombosis. While the ambulation levels were at wheelchair in 52.8% and ambulation in 47.2% at admission; 33.3% of the patients were at wheelchair and 66.7% were ambulant at discharge. Significant improvement was found at ambulation levels after the rehabilitation programme (p= 0.016). It was demonstrated that findings of neurogenic bladder continued in 62.5% of the ambulant patients. Conclusion: In conclusion, the ratios of motor improvement and ambulation are high in patients with TM, but it must be in mind that urinary system problems may continue although totally motor improvement occurs. Copyright © 2007 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.