title: Manual therapy and therapeutic exercise in patient with symptomatic cervical spondylotic myelopathy: a case report.
abstract: Cervical spondylotic myelopathy (CSM) is caused by narrowing of the cervical spinal canal, although surgical decompression is an obvious indication for spinal cord stenosis, there are not enough data to determine that surgery is the most indicated intervention for milder forms. The purpose of the present case report was to describe the outcomes results of the physical therapy treatment with emphasis on manual therapy and therapeutic exercise for a patient with CSM. A 58-year-old male patient attended the physical therapy clinic due to pain and paresthesia in the upper and lower limbs. The magnetic resonance imaging was compatible with spondylotic myelopathy. Following physical therapy treatment, the patient exhibited an improvement in functional capacity (triangle step test and timed 10-m walk), pain, paresthesia, mJOA scale and Neck Disability Index. Based on the lack of rapid evolution of neurological impairment, physical therapy treatment was indicated, which achieved satisfactory results.
authors.affiliation: Physical Therapy, Communications Disorders and Occupational Therapy Department, School of Medicine, University of São Paulo, Cipotânea Street, 51 - Butantã, 05360-160 São Paulo, SP, Brazil. Electronic address: gabriel_alm@hotmail.com.
authors.forename: Gabriel Peixoto Leão
authors.initials: GP
authors.lastname: Almeida
authors.forename: Kysia Karine Almeida
authors.initials: KK
authors.lastname: Carneiro
authors.forename: Amélia Pasqual
authors.initials: AP
authors.lastname: Marques
mesh_terms: D004185:Disability Evaluation; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D013118:Spinal Cord Diseases / Q000534:rehabilitation; D055009:Spondylosis / Q000534:rehabilitation*
keywords: Exercise therapy; Musculoskeletal manipulations; Rehabilitation; Spinal cord diseases