Proprioceptive use and sit-to-stand-to-sit after lumbar microdiscectomy: The effect of surgical approach and early physiotherapy

Clinical Biomechanics
Lotte JanssensBart Depreitere

Abstract

Individuals with non-specific low back pain show decreased reliance on lumbosacral proprioceptive signals and slower sit-to-stand-to-sit performance. However, little is known in patients after lumbar microdiscectomy. Patients were randomly assigned into transmuscular (n=12) or paramedian lumbar surgery (n=13). After surgery, the same patients were randomly assigned into individualized active physiotherapy starting 2 weeks after surgery (n=12) or usual care (n=13). Primary outcomes were center of pressure displacement during ankle and back muscles vibration (to evaluate proprioceptive use), and the duration of five sit-to-stand-to-sit movements, evaluated at 2 (baseline), 8 and 24 weeks after surgery. Two weeks after surgery, all patients showed smaller responses to back compared to ankle muscles vibration (P<0.05). Patients that underwent a transmuscular surgical procedure and patients that received physiotherapy switched to larger responses to back muscles vibration at 24 weeks, compared to 2 weeks after surgery (P<0.005), although not seen in the paramedian group and usual care group (P>0.05). Already 8 weeks after surgery, the physiotherapy group needed significantly less time to perform five sit-to-stand-to-sit movements co...Continue Reading

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References

Jul 1, 1996·Spine·D R Seaman
Mar 3, 1999·The European Journal of Neuroscience·Y P IvanenkoO V Kazennikov
Dec 10, 1999·Spine·G A LoupasisG Hartofilakidis
Nov 14, 2000·Spine·J C Fairbank, P B Pynsent
Jul 30, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Stephen R LordAnne Tiedemann
Jun 23, 2004·Journal of Theoretical Biology·Theodoros Kokkorogiannis
Sep 1, 2005·Experimental Brain Research·P J CordoC Flores-Vieira
Sep 1, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Katie BoucheLieven Danneels
Jan 20, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Monica Millisdotter, Björn Strömqvist
Mar 22, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·O AiraksinenUNKNOWN COST B13 Working Group on Guidelines for Chronic Low Back Pain
Aug 31, 2006·Muscle & Nerve·Stéphane Delliaux, Yves Jammes
Sep 1, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Esther WilliamsonAlison Rushton
Mar 6, 2007·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Henry Tsao, Paul W Hodges
Nov 27, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·K PuolakkaA Häkkinen
Jul 3, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Simon BrumagneEge Suuden-Johanson
Jul 9, 2008·Disability and Rehabilitation·Julia WilliamsonFiona Coutts
Jan 22, 2009·Archives of Physical Medicine and Rehabilitation·Gary L ShumRaymond Y Lee
May 20, 2009·Applied Ergonomics·Philippa M Dall, Andrew Kerr
Jun 30, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Tomasz SipkoMichał Kuczyński
Jul 23, 2009·IEEE Transactions on Bio-medical Engineering·Amaya ArcelusMartin Bilodeau
Sep 26, 2009·Physical Therapy·Kornelia KuligUNKNOWN Physical Therapy Clinical Research Network (PTClinResNet)
Feb 26, 2010·European Journal of Pain : EJP·Henry TsaoPaul W Hodges
Oct 16, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Wilco C H JacobsWilco C Peul
May 19, 2012·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Kurt ClaeysSimon Brumagne
Jul 12, 2012·Spine·Lucíola da Cunha Menezes CostaRob J E M Smeets
Jul 5, 2013·PloS One·Nicholas V KarayannisPaul W Hodges
Dec 10, 2013·Best Practice & Research. Clinical Rheumatology·Danielle A van der Windt, Kate M Dunn
Jan 21, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Steven J KamperMaurits W van Tulder
May 30, 2014·Medicine and Science in Sports and Exercise·Lotte JanssensSimon Brumagne
Dec 4, 2014·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Kurt ClaeysSimon Brumagne

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