Quality of Life and Disability: Can They Be Improved by Active Postoperative Rehabilitation After Spinal Fusion Surgery in Patients with Spondylolisthesis? A Randomised Controlled Trial with 12-month Follow-up

Overview

Journal Eur Spine J

Specialty Orthopedics

Date 2016 Oct 1

PMID 27687823

Citations 12

Authors

Outi Ilves

Arja Hakkinen

Joost Dekker

Liisa Pekkanen

Kirsi Piitulainen

Salme Jarvenpaa

Ilkka Marttinen

Kimmo Vihtonen

Marko H Neva

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of the study was to investigate the effectiveness of the postoperative 12-month exercise program compared to usual care on disability and health-related quality of life (HRQoL) in patients after lumbar spine fusion surgery (LSF).

Methods: Altogether, 98 patients with isthmic (31) or degenerative (67) spondylolisthesis were randomised to exercise therapy group (EG) (n = 48) or usual care group (UCG) (n = 50) 3 months after LSF. EG patients had home-based progressive strength and aerobic training program for 12 months. UCG patients received only oral and written instructions of exercises. Oswestry Disability Index (ODI) and HRQoL (RAND-36) were evaluated at the time of randomization, at the end of the intervention and 1 year after intervention.

Results: The mean ODI score decreased from 24 (12) to 18 (14) in the EG and from 18 (12) to 13 (11) in the UCG during intervention (between-groups p = 0.69). At 1-year follow-up, 25 % of the EG and 28 % of the UCG had an ODI score ≥20. No between-group differences in HRQoL change were found at any time point. The mean (95 % CI) physical functioning dimension of the HRQoL improved by 10.0 (4.6-15.3) in the EG and by 7.8 (2.5-13.0) in the UCG. In addition, the role physical score improved by 20.0 (7.7-32.3) in the EG and by 16.4 (4.4-28.4) in the UCG during the intervention.

Conclusions: The exercise intervention did not have an impact on disability or HRQoL beyond the improvement achieved by usual care. However, disability remained at least moderate in considerable proportion of patients.

Citing Articles

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Scandelli F, De Leo D, Marino G, De Martino E, Cannizzaro D, Adamo P J Clin Med. 2024; 13(23).

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Rehabilitation after lumbar spine surgery in adults: a systematic review with meta-analysis.

Manni T, Ferri N, Vanti C, Ferrari S, Cuoghi I, Gaeta C Arch Physiother. 2023; 13(1):21.

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Barbosa T, Raposo A, Cunha P, Cruz Oliveira N, Lobarinhas A, Varanda P EFORT Open Rev. 2023; 8(8):626-638.

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Effectiveness of the perioperative encounter in promoting regular exercise and physical activity: a systematic review and meta-analysis.

Pritchard M, Lewis S, Robinson A, Gibson S, Chuter A, Copeland R EClinicalMedicine. 2023; 57:101806.

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The treatment effect of posterior lumbar fusion surgery on patients suffering from lumbar disc herniation concurrent with peroneal nerve paralysis.

Gao S, Li Z, Li X, Rudd S, Wang H, Gao Z Front Surg. 2023; 9:1063528.

PMID: 36684276 PMC: 9852713. DOI: 10.3389/fsurg.2022.1063528.

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