📄 Pages: 5-7 🏷️ Rehabilitation 📅 January-March 2026

Background: Transverse myelitis (TM) is a rare inflammatory disorder of the spinal cord that can cause motor, sensory, and autonomic dysfunction. Rehabilitation strategies are essential for optimising recovery, yet standardised physiotherapy protocols remain limited.
Case Presentation: A 23-year-old male with acute TM following a viral illness presented with lower back pain, bilateral leg weakness, sensory impairment, and bladder dysfunction. MRI revealed a longitudinally extensive inflammatory demyelinating lesion of the spinal cord.
Intervention: A tailored physiotherapy program was initiated, integrating functional mobility training, flexibility restoration interventions targeting musculotendinous structures, progressive resistance, and lumbopelvic stabilisation training. Medical management included antibiotics, antihypertensives, antithrombotics, and anticonvulsants.
Outcome: In the 10 days of the rehabilitation program, the patient showed marked improvement in muscle strength, where the power in the lower limbs on both sides improved from 3/5 to 5/5, along with improved functional mobility, pain, and bladder control. The patient's functional disability improved, and the Oswestry Disability Index decreased from 68% (severe disability) to 32% (moderate disability).
Conclusion: Early, structured physiotherapy combining exercise therapy and flexibility-oriented intervention can enhance functional recovery in Acute TM patients. This case underscores the importance of individualized rehabilitation programs in neurorehabilitation.