Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report

Thomas A. Koc; Jenna Tucker; Christopher Durante; Razija Hasanovic; Sara Gotthold; Timothy Marshall

doi:doi:10.11648/j.rs.20210604.11

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Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report

Thomas A. Koc, Jenna Tucker, Christopher Durante, Razija Hasanovic, Sara Gotthold, Timothy Marshall

Published in Rehabilitation Science (Volume 6, Issue 4)

Received: 28 September 2021 Accepted: 20 October 2021 Published: 29 October 2021

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Abstract

Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.

Published in	Rehabilitation Science (Volume 6, Issue 4)
DOI	10.11648/j.rs.20210604.11
Page(s)	53-59
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Physical Therapy, Interventions, Outcomes

References

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APA Style

Thomas A. Koc, Jenna Tucker, Christopher Durante, Razija Hasanovic, Sara Gotthold, et al. (2021). Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabilitation Science, 6(4), 53-59. https://doi.org/10.11648/j.rs.20210604.11

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ACS Style

Thomas A. Koc; Jenna Tucker; Christopher Durante; Razija Hasanovic; Sara Gotthold, et al. Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabil. Sci. 2021, 6(4), 53-59. doi: 10.11648/j.rs.20210604.11

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AMA Style

Thomas A. Koc, Jenna Tucker, Christopher Durante, Razija Hasanovic, Sara Gotthold, et al. Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabil Sci. 2021;6(4):53-59. doi: 10.11648/j.rs.20210604.11

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@article{10.11648/j.rs.20210604.11,
  author = {Thomas A. Koc and Jenna Tucker and Christopher Durante and Razija Hasanovic and Sara Gotthold and Timothy Marshall},
  title = {Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report},
  journal = {Rehabilitation Science},
  volume = {6},
  number = {4},
  pages = {53-59},
  doi = {10.11648/j.rs.20210604.11},
  url = {https://doi.org/10.11648/j.rs.20210604.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20210604.11},
  abstract = {Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.},
 year = {2021}
}

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TY  - JOUR
T1  - Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report
AU  - Thomas A. Koc
AU  - Jenna Tucker
AU  - Christopher Durante
AU  - Razija Hasanovic
AU  - Sara Gotthold
AU  - Timothy Marshall
Y1  - 2021/10/29
PY  - 2021
N1  - https://doi.org/10.11648/j.rs.20210604.11
DO  - 10.11648/j.rs.20210604.11
T2  - Rehabilitation Science
JF  - Rehabilitation Science
JO  - Rehabilitation Science
SP  - 53
EP  - 59
PB  - Science Publishing Group
SN  - 2637-594X
UR  - https://doi.org/10.11648/j.rs.20210604.11
AB  - Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.
VL  - 6
IS  - 4
ER  -

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Author Information

Thomas A. Koc

School of Physical Therapy, Kean University, Union, United States of America
Jenna Tucker

School of Physical Therapy, Kean University, Union, United States of America
Christopher Durante

Prostaff Physical Therapy, Nutley, United States of America
Razija Hasanovic

School of Physical Therapy, Kean University, Union, United States of America
Sara Gotthold

School of Physical Therapy, Kean University, Union, United States of America
Timothy Marshall

School of Physical Therapy, Kean University, Union, United States of America

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APA Style

Thomas A. Koc, Jenna Tucker, Christopher Durante, Razija Hasanovic, Sara Gotthold, et al. (2021). Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabilitation Science, 6(4), 53-59. https://doi.org/10.11648/j.rs.20210604.11

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ACS Style

Thomas A. Koc; Jenna Tucker; Christopher Durante; Razija Hasanovic; Sara Gotthold, et al. Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabil. Sci. 2021, 6(4), 53-59. doi: 10.11648/j.rs.20210604.11

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AMA Style

Thomas A. Koc, Jenna Tucker, Christopher Durante, Razija Hasanovic, Sara Gotthold, et al. Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report. Rehabil Sci. 2021;6(4):53-59. doi: 10.11648/j.rs.20210604.11

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@article{10.11648/j.rs.20210604.11,
  author = {Thomas A. Koc and Jenna Tucker and Christopher Durante and Razija Hasanovic and Sara Gotthold and Timothy Marshall},
  title = {Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report},
  journal = {Rehabilitation Science},
  volume = {6},
  number = {4},
  pages = {53-59},
  doi = {10.11648/j.rs.20210604.11},
  url = {https://doi.org/10.11648/j.rs.20210604.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rs.20210604.11},
  abstract = {Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.},
 year = {2021}
}

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TY  - JOUR
T1  - Management of a Patient with Cavernous Malformation Surgical Repair at C7-T3: A Case Report
AU  - Thomas A. Koc
AU  - Jenna Tucker
AU  - Christopher Durante
AU  - Razija Hasanovic
AU  - Sara Gotthold
AU  - Timothy Marshall
Y1  - 2021/10/29
PY  - 2021
N1  - https://doi.org/10.11648/j.rs.20210604.11
DO  - 10.11648/j.rs.20210604.11
T2  - Rehabilitation Science
JF  - Rehabilitation Science
JO  - Rehabilitation Science
SP  - 53
EP  - 59
PB  - Science Publishing Group
SN  - 2637-594X
UR  - https://doi.org/10.11648/j.rs.20210604.11
AB  - Background: Cavernous malformations (CM) are rare vascular lesions occurring within the brain or spinal cord, managed using surgical and/or non-surgical interventions. Limited studies exist outlining physical therapy (PT) intervention guidelines or functional outcomes for individuals with CMs. Objective: This case outlines PT interventions that were used for a 35-year old female 6 weeks status post-surgical management of a C7-T3 spinal cord CM, and their impacts on the Timed-Up and Go (TUG), Five-Time Sit to Stand (5xSTS), and Observational Gait Analysis (OGA) functional outcome measures. Case Description: The patient participated in 41 visits of outpatient PT over 18.5 weeks focusing on compound and closed kinetic chain (CKC) interventions to improve lower extremity functional strength and coordination, gait and balance, endurance, agility, and core stabilization. Outcomes: TUG and 5xSTS times met the patient’s goals by visit 23, three weeks into treatment. OGA demonstrated improvements with steadier ambulation, a decreased base of support, increased arm swing and trunk rotation, coordination and timing, and endurance over the 18.5 weeks of treatment. Conclusion: These findings suggest that compound and CKC interventions and gait training may have potential to improve functional mobility, standing balance, and gait quality in this patient with a spinal cord CM.
VL  - 6
IS  - 4
ER  -

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