Applications in Rehabilitation Medicine and Related Fields

2005 ◽  
pp. 403-433
Author(s):  
A. Rainoldi ◽  
R. Casale ◽  
P. Hodges ◽  
G. Jull
Keyword(s):  
Rehabilitation Medicine

The Application of Sensors in Rehabilitation Medicine

2017 ◽  
Vol 27 (3) ◽  
pp. 61
Author(s):  
Jiwen QIU ◽  
Qing XIA ◽  
Yuxin FANG ◽  
Meidan ZHAO ◽  
Yongming GUO
Keyword(s):  
Rehabilitation Medicine

scholarly journals Management of recurrent or progressive spinal metastases: reirradiation techniques and surgical principles

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. i45-i53
Author(s):  
Rupesh Kotecha ◽  
Nicolas Dea ◽  
Jay S Detsky ◽  
Arjun Sahgal
Keyword(s):  
Progressive Disease ◽  
Organs At Risk ◽  
Methodological Approach ◽  
Spinal Metastases ◽  
Multidisciplinary Care ◽  
Rehabilitation Medicine ◽  
Surgical Approaches ◽  
Mechanical Instability ◽  
Conventional Radiotherapy ◽  
Treated Site

Abstract With the growing incidence of new cases and the increasing prevalence of patients living longer with spine metastasis, a methodological approach to the management of patients with recurrent or progressive disease is increasing in relevance and importance in clinical practice. As a result, disease management has evolved in these patients using advanced surgical and radiotherapy technologies. Five key goals in the management of patients with spine metastases include providing pain relief, controlling metastatic disease at the treated site, improving neurologic deficits, maintaining or improving functional status, and minimizing further mechanical instability. The focus of this review is on advanced reirradiation techniques, given that the majority of patients will be treated with upfront conventional radiotherapy and further treatment on progression is often limited by the cumulative tolerance of nearby organs at risk. This review will also discuss novel surgical approaches such as separation surgery, minimally invasive percutaneous instrumentation, and laser interstitial thermal therapy, which is increasingly being coupled with spine reirradiation to maximize outcomes in this patient population. Lastly, given the complexities of managing recurrent spinal disease, this review emphasizes the importance of multidisciplinary care from neurosurgery, radiation oncology, medical oncology, neuro-oncology, rehabilitation medicine, and palliative care.

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