Rehabilitation of people with spinal cord damage due to tumor: literature review, international survey and practical recommendations for optimizing their rehabilitation

The study addresses the challenges of rehabilitating individuals with spinal cord dysfunction (SCDys) caused by tumors. It highlights that many spinal rehabilitation units (SRUs) are hesitant to admit these patients, especially those with malignant tumors. The research combines a literature review, a survey of healthcare professionals, and expert opinions to develop practical recommendations for managing these patients in SRUs. The goal is to improve access to specialized rehabilitation and optimize outcomes for individuals with tumor-related SCDys. The study proposes a framework, called NOMPS (Neurological, Oncologic, Medical, Pain, and Support status), to guide decisions regarding admission and management of these patients. It emphasizes the importance of considering various factors, including the type and prognosis of the tumor, the patient's medical condition, and their social support system.

• 1
  Most respondents reported that people with benign tumors were routinely admitted for rehabilitation but only a smaller percentage reported that people with malignant tumors were routinely admitted.
• 2
  The literature review showed that patients with SCDys due to tumor had a shorter length of stay in SRUs, comparable improvement in functional abilities, and similar rates of discharge back into the community compared to those with traumatic SCI.
• 3
  The research supports the admission of people with SCDys due to tumor into specialist SRUs, arguing that they have better outcomes compared to general rehabilitation units due to improved access to vital services and expertise.