Rehabilitation in Transverse Myelitis

An excellent article addressing rehabilitation in transverse myelitis was recently published in Continuum,  a continuing medical education publication of the American Academy of Neurology (AAN).  We have received permission from AAN for our readers to print one copy of the article for your personal, non-commercial use.  The article may be obtained through the Continuum web site from the following link:

The article may be downloaded and printed from this pdf.

The following is the abstract of the article.

Sadowsky CL, Becker D, Bosques G, Dean JM, McDonald III JW, Recio A, Frohman EM. Rehabilitation in transverse myelitis. Continuum Lifelong Learning Neurol 2010;17(4)816–830.


The consequences of neurologic injuries related to transverse myelitis (TM) are long- lasting and require rehabilitative interventions in about two-thirds of cases. Because numerous neural repair mechanisms are dependent on maintenance of an optimal amount of activity both above and below the injury level, rehabilitation  and exercise are useful not only for compensatory functional purposes but also as tools in neural system restoration. The application of established neurophysiologic principles to post-TM rehabilitation has substantial  impact on optimizing residual functional capabilities while facilitating the processes of central plasticity and reorganization of sensory and motor programming. The process of neurorehabilitation thereby serves both to treat the patient with TM and to help physicians interrogate  and dissect the mechanisms involved in spinal cord injury, neuroprotection, and, ultimately, recovery. Post-TM rehabilitation is lifelong and should be integrated into daily living in a home setting as part of the global management of paralysis, a chronic condition with significant comorbidities.

The Transverse Myelitis Association is in no way affiliated with the AAN.


NeuroRecovery Network
Developing and expanding access to activity-based therapies, resulting in improved health, quality of life, and function.

International Center for Spinal Cord Injury
At Kennedy Krieger Institute