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Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report

Received: 28 September 2021     Accepted: 20 October 2021     Published: 29 October 2021
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Abstract

Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.

Published in Rehabilitation Science (Volume 6, Issue 4)
DOI 10.11648/j.rs.20210604.11
Page(s) 53-59
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Physical Therapy, Interventions, Outcomes

References
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Cite This Article
  • APA Style

    Thomas A. Koc, Jenna Tucker, Christopher Durante, Razija Hasanovic, Sara Gotthold, et al. (2021). Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabilitation Science, 6(4), 53-59. https://doi.org/10.11648/j.rs.20210604.11

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    ACS Style

    Thomas A. Koc; Jenna Tucker; Christopher Durante; Razija Hasanovic; Sara Gotthold, et al. Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabil. Sci. 2021, 6(4), 53-59. doi: 10.11648/j.rs.20210604.11

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    AMA Style

    Thomas A. Koc, Jenna Tucker, Christopher Durante, Razija Hasanovic, Sara Gotthold, et al. Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabil Sci. 2021;6(4):53-59. doi: 10.11648/j.rs.20210604.11

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  • @article{10.11648/j.rs.20210604.11,
      author = {Thomas A. Koc and Jenna Tucker and Christopher Durante and Razija Hasanovic and Sara Gotthold and Timothy Marshall},
      title = {Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report},
      journal = {Rehabilitation Science},
      volume = {6},
      number = {4},
      pages = {53-59},
      doi = {10.11648/j.rs.20210604.11},
      url = {https://doi.org/10.11648/j.rs.20210604.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20210604.11},
      abstract = {Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report
    AU  - Thomas A. Koc
    AU  - Jenna Tucker
    AU  - Christopher Durante
    AU  - Razija Hasanovic
    AU  - Sara Gotthold
    AU  - Timothy Marshall
    Y1  - 2021/10/29
    PY  - 2021
    N1  - https://doi.org/10.11648/j.rs.20210604.11
    DO  - 10.11648/j.rs.20210604.11
    T2  - Rehabilitation Science
    JF  - Rehabilitation Science
    JO  - Rehabilitation Science
    SP  - 53
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    PB  - Science Publishing Group
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    UR  - https://doi.org/10.11648/j.rs.20210604.11
    AB  - Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.
    VL  - 6
    IS  - 4
    ER  - 

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Author Information
  • School of Physical Therapy, Kean University, Union, United States of America

  • School of Physical Therapy, Kean University, Union, United States of America

  • Prostaff Physical Therapy, Nutley, United States of America

  • School of Physical Therapy, Kean University, Union, United States of America

  • School of Physical Therapy, Kean University, Union, United States of America

  • School of Physical Therapy, Kean University, Union, United States of America

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