Health Condition 1: C412- Malignant neoplasm of vertebral column
Conditions
Interventions
Intervention1: Rehabilitation and home program using Taylors brace: Patients will be given a customised Taylors brace and will be evaluated for pain, activities of daily living, neurological status an
Sponsors
Tata Memorial Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1.All patients with secondary thoracolumbar spine metastasis. 2.Patients assessed for spinal instability using Spinal Instability Neoplastic Score (SINS). 3.Patients with stable metastatic thoracolumbar spine having complaints of acute localised pain between thoracic (T3) to lumbar (L2) vertebrae. 4.Patients planned for 3 weekly chemotherapy cycle, treated with / without radiation therapy and/or receiving radiation therapy, treated with/without surgery for metastatic thoracolumbar vertebral lesion/lesions. 5.Patients having asymptomatic distant metastasis other than spine. 6.Patients who can follow up initially for two days physically in the Occupational Therapy department and every three weekly for next three months physically (during prescribed chemotherapy cycles, every 21 days)or telephonically. 7.Both male& female above 18 years of age
Exclusion criteria
Exclusion criteria: 1.Metastatic spinal lesions of cervical vertebrae (C1-C7), thoracic vertebrae (T1-T2), lumbar vertebrae (L3-L5) and sacral spine. 2.Metastatic spinal lesions requiring cervicothoracic brace, lumbar brace and lumbosacral brace. 3.Pathological spine fractures. 4.Patients with other complaints like Lymphedema associated with the disease 5.Spinal deformity. 6.Patients with prior psychiatric or cognitive impairments affecting their self-care activity. 7.Hearing problems which might affect/impair patientââ?¬•s ability to comprehend and understand therapistââ?¬•s instructions and guidance related to therapy/Home program. 8.Inability to read, and/or comprehend Hindi and or English.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To assess the efficacy of Taylorââ?¬â?¢s brace in facilitating participation in different life tasks in patients having stable metastatic thoracolumbar spine using Canadian Occupational Therapy Performance Measure (COPM)Timepoint: 12 weeks after enrollment | — |
Secondary
| Measure | Time frame |
|---|---|
| 2.To assess efficacy of Taylorââ?¬â?¢s brace in maintaining or improving pain score along with other medical interventions as measured on Numerical Pain Rating Scale (NPRS) 3.To assess quality of life of patients with stable metastatic spine with Taylorââ?¬â?¢s brace using Functional Assessment of Chronic Illness Therapy- Palliative care (FACIT-PAL). 4.To assess patientââ?¬â?¢s compliance with the prescribed Taylorââ?¬â?¢s brace use. Timepoint: 12 weeks after enrollment | — |
Countries
India
Contacts
Public ContactDr Arti Ramesh Kharade
Tata Memorial Hospital
Outcome results
None listed