Challenges in rehabilitation of patients with nontraumatic spinal cord dysfunction due to tumors

Wien Klin Wochenschr, 2019 · DOI: https://doi.org/10.1007/s00508-019-1528-z · Published: July 16, 2019

Spinal Cord Injury Oncology Rehabilitation

Simple Explanation

The incidence of cancer-associated non-traumatic spinal cord dysfunction is increasing because the population is aging and cancer treatment is improving. Cancer patients often have other health problems that make it difficult for them to complete rehabilitation programs. This review discusses the challenges and opportunities in rehabilitating these patients. Rehabilitation is often more effective in specialized facilities that are equipped to handle spinal cord dysfunction. These facilities provide better access to vital services and expertise. However, access to these specialized rehabilitation units is limited due to the medical complexity and fragility of cancer patients. Despite the difficulties, patients with spinal cord tumors can benefit from inpatient rehabilitation programs. These programs can improve functionality, mood, quality of life, and survival, even with increased medical problems.

Study Duration

1978 to 2018

Participants

Not specified

Evidence Level

Narrative Review

Key Findings

1
Patients with NTSCD due to tumors can benefit from inpatient rehabilitation programs in terms of functionality, mood, and quality of life.
2
Early detection and timely submission to rehabilitation can lead to better functional independence, although long-term results are limited by poor survival time.
3
The ideal setting for rehabilitation for people with NTSCD due to tumors is a Spinal Rehabilitation Unit (SRU).

Research Summary

The incidence of cancer-associated non-traumatic spinal cord dysfunction is rising due to population aging and better cancer treatment. Patients with spinal cord tumors can benefit in areas of functionality, mood, quality of life, and survival from inpatient rehabilitation programs, in spite of increased medical comorbidity from the disease process itself. Full access to treatment in SRUs is still limited due to concerns about fragility and medical complexity associated with this diagnosis.

Practical Implications

Optimized Rehabilitation Programs

Rehabilitation programs should be designed considering the oncological prognosis, individual needs, and potential complications.

Improved Access to SRUs

Efforts should be made to improve access to specialized spinal rehabilitation units for patients with NTSCD due to tumors.

Comprehensive Care Planning

A multidisciplinary approach is essential for determining the best treatment plan for patients with NTSCD, including regular consultation meetings.

Study Limitations

1
Limited literature on survival and functional outcomes after rehabilitation for this patient population.
2
Predicting neurological improvement, rehabilitation outcomes, and survival is extremely challenging.
3
The narrative review methodology may have inherent biases.

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury