The effect of early initiation of rehabilitation after lumbar spinal fusion: a randomized clinical study

Spine
Lisa Gregersen OestergaardFinn B Christensen

Abstract

A multicenter randomized clinical trial including 82 patients. To examine the effect of early initiation of rehabilitation after instrumented lumbar spinal fusion. Lumbar spinal fusion has been performed for more than 70 years. Yet, few studies have examined patients' subsequent rehabilitation. Group-based rehabilitation is both efficient and cost-effective in rehabilitation of lumbar spinal fusion patients. Patients with degenerative disc diseases undergoing instrumented lumbar spinal fusion were randomly assigned to initiate their rehabilitation 6 weeks (6-wk group) or 12 weeks after lumbar spinal fusion (12-wk group). Both groups received the same group-based rehabilitation. Primary outcome was the Oswestry Disability Index. Secondary outcome was the Dallas Pain Questionnaire, the Low Back Pain Rating Scale, and absence from work. Wilcoxon rank-sum test was used to compare the groups in terms of differences from baseline to 6 months and 1-year follow-up. Results are presented in median with 25th and 75th percentiles. According to the Oswestry Disability Index, at 1-year follow-up, the 6-week-group had a median reduction of -6 (-19; 4) compared with -20 (-30;-7) in the 12-week group (P, 0.05). The Dallas Pain Questionnaire sh...Continue Reading

References

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Aug 25, 2011·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·Lisa Gregersen OestergaardFinn Bjarke Christensen

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Citations

Apr 9, 2013·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·Lisa G OestergaardFinn B Christensen
Apr 26, 2013·Spine·Alexander R Vaccaro, Charles Fisher
May 1, 2013·Spine·Alexander R VaccaroPeter G Whang
Feb 23, 2019·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·James GreenwoodMichael Hurley
Sep 8, 2018·Clinical Spine Surgery : a Spine Publication·Kyle MombellPatrick Morrissey
Jun 6, 2014·Journal of Spinal Disorders & Techniques·Andriy NoshchenkoVikas V Patel
Mar 16, 2017·Journal of Neurosurgery. Spine·Marcella MaderaUNKNOWN for the Seton Spine Rehabilitation Study Group
Mar 11, 2016·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 R C JanssenThomas J Hoogeboom
Jul 1, 2021·Annals of Physical and Rehabilitation Medicine·Arnaud DupeyronEmmanuel Coudeyre

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