Cervical Myelopathy: diagnose, treatment and rehabilitation
Journal Title: Rehabilitacja Medyczna - Year 2018, Vol 22, Issue 4
Abstract
Cervical myelopathy, known in literature as Cervical Spondylotic Myelopathy or Degenerative Cervical Myelopathy, is one of the most common causes of disability in the elderly. This is an example of a disease that occurs much more often than it is diagnosed. The cause of compression of the roots and cervical core are degenerative changes leading to critical stenosing of the spinal canal. The first complaints usually are: numbness in the hands and shoulder pain; after some time, gait disturbances, sphincter dysfunction and impotence. Neurological examination shows paresis and atrophy of the hand muscles, later, paresis of the lower limbs with neurogenic bladder dysfunction may occur. The basis of the diagnosis is neurological examination, MRI and neurophysiological examination. There are a number of specific clinimetric scales and tests facilitating the diagnosis and evaluation of cervical myelopathy treatment results. The natural course of this disease, difficult to predict, usually slowly progressing. Some patients require surgical treatment, however, the improvement observed at the beginning, disappears. In comprehensive rehabilitation, both components used in patients with radiculopathy as well in paraplegia are applied. In this review article, the current state of knowledge on the diagnosis, treatment and rehabilitation of people with cervical myelopathy has been described.<br/><br/>
Authors and Affiliations
Józef Opara
Keywords
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- EP ID EP420626
- DOI 10.5604/01.3001.0013.7823
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