Volume 26, Issue 124, June 2022

Positive effects of neuro-rehabilitation in a patient of cervical myelopathy with lower limb weakness: A case report

Gayatri Surendra Kaple¹, Ragini Dadgal^1♦, Pallavi Harjpal², Purva Mundada², Nikita Kaple²

¹Department of Neurosciences Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India
²Intern, Department of Neurosciences Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

^♦Corresponding author
Department of Neurosciences Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Sawangi (M), Wardha, Maharashtra, India

ABSTRACT

Introduction: Cervical myelopathy is a disease that causes the compression of the spinal cord. Cervical myelopathy occurs basically because of force applied to the anterior spinal cord with ischemia as a result of the distortion of the cord by anterior herniated discs, spondylotic spurs, and an ossified posterior longitudinal ligament, or spinal stenosis. Case presentation: A 55-year-old male who came with a chief complaint of weakness in both the lower limbs for approximately since 1 year. He was diagnosed previously with C5-C6-C7 cervical myelopathy and was surgically operated on with cervical discectomy in June 2010. In September 2021 he again started experiencing the bilateral lower limb weakness and in March 2022 he visited the tertiary rural hospital where he was diagnosed with C7-D1myelopathy. He underwent various interventions like MRI and EMG (Electromyography), and NCV (Nerve Conduction Velocity). He was then diagnosed with mid-left median motor axonal. The disease-specific outcome measures for cervical myelopathy are the Nurick grading scale and JOACMEQ. Conclusion: The physiotherapeutic intervention that was modulated was according to the condition of the patient which improved his quality of life and independence. Therefore, it helps in gaining patients' confidence intheirprognosis in the patient diagnosed with cervical myelopathy.

Keywords: Cervical myelopathy, Herniated discs, Spondylitic spurs, cervical discectomy, Physiotherapeutic intervention

Medical Science, 2022, 26, ms258e2278

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DOI: https://doi.org/10.54905/disssi/v26i124/ms258e2278

Published: 30 June 2022