patients determined to require postoperative rehabilitation
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Patients who have been fully informed of the study and who have given written consent of their own free will after full understanding of the study 2)Patients undergoing surgery with a diagnosis of spondylotic thoracic myelopathy, ossification of the posterior longitudinal ligament, ossification of the yellow ligament, or extramedullary tumor of the spinal cord 3)Before surgery, patients must score 1 or 2 on the Japanese Orthopedic Association-Leg Motor Function (JOA-LE) of the Japanese Orthopedic Association Cervical Myelopathy Treatment Outcome Criteria. 4)Eligible age is between 35 and 75 years old 5)Gender-neutral 6)Patients who can be followed up in the hospital for 6 months after surgery
Exclusion criteria
Exclusion criteria: 1) History of myelopathy surgery 2) Patients with impaired consciousness 3) Patients with concomitant neurological diseases that may affect the evaluation of neurological symptoms, such as cerebral infarction 4)Patients with preoperative and postoperative lower extremity muscle strength scores totaling 42 or less on both sides or MMT 3 or less in one of the key muscles, consisting of muscles representing the 5 myelinated segments L2-S1 of the ASIA assessment criteria 5)Other patients judged unsuitable for the study by the investigator(s)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in 10 m maximum walking speed (m/sec) before and 14 days after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)10m maximum walking speed (m/sec) (crude point and amount of change) 2)Percentage of 0.1 m/sec improvement in 10 m maximum walking speed (m/sec) change 3)Change in 10m maximum walking speed (m/sec) by the number of times rehabilitation is performed 4)10m maximum walking speed (steps) (crude point and amount of change) 5)Change in 10m maximum walking speed (m/sec) relative to change in JOA score 6)Amount of change in Timed up and Go test (sec) 7)JOA-LE (crude point and amount of change) 8)2-minute walk (crude point and amount of change) 9)Frequency of adverse event | — |
Contacts
Chiba University Hospital