Assesment of the effectiveness of physical thraphy and rehabilitation programme starts immediately after lumbar disc surgery

Ozkara, Gulsah Ogutluler; Özgen, Merih; Özkara, Emre; Armağan, Onur; Arslantaş, Ali; Atasoy, Metin Ant

doi:10.5137/1019-5149.jtn.8440-13.0

Cited by 16 publications

(20 citation statements)

References 32 publications

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“…The quality of evidence was concluded to be low as more than half of the studies had high risk of bias and heterogeneity in rehabilitation programs warranting the need for more research with methodological rigor and the stratification of rehabilitation content [39] . Findings from a recently published RCTs from Ozkara et al [40] support the conclusion drawn by Oosterhuis et al [39] . Furthermore in a RCT conducted by Louw et al [41] , preoperative neuroscience education for lumbar radiculopathy resulted in significantly better patient-rated preparation for lumbar discectomy surgery, fulfillment of postoperative expectations as well as less health care utilization compared to usual preoperative education provided by surgeons and staff.…”

Section: Research Directionssupporting

confidence: 80%

Evidence base and future research directions in the management of low back pain

Abbott

2016

WJO

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Low back pain (LBP) is a prevalent and costly condition. Awareness of valid and reliable patient history taking, physical examination and clinical testing is important for diagnostic accuracy. Stratified care which targets treatment to patient subgroups based on key characteristics is reliant upon accurate diagnostics. Models of stratified care that can potentially improve treatment effects include prognostic risk profiling for persistent LBP, likely response to specific treatment based on clinical prediction models or suspected underlying causal mechanisms. The focus of this editorial is to highlight current research status and future directions for LBP diagnostics and stratified care.

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Section: Research Directionssupporting

confidence: 80%

Evidence base and future research directions in the management of low back pain

Abbott

2016

WJO

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“…Kulig et al found exercise and education to improve functional status more than education alone and also participation in physical therapy groups (Kulig et al, 2009). Other studies also found that exercise improved disability (Dolan, Greenfield, Nelson, & Nelson, 2000;Ozkara et al, 2015).…”

Section: Background and Objectivesmentioning

confidence: 99%

“…The optimal recovery rate after surgery depends on technical outcome and rehabilitation (McGregor, Burton, Sell, & Waddell, 2007). While surgery techniques may influence outcome, especially open lumbar surgery and microdiscectomy (Ozkara et al, 2015), the influence of post-operative interventions remains unclear. So far, studies are inconclusive regarding which interventions are most effective and the underlying mechanisms (Oosterhuis et al, 2014).…”

Section: Background and Objectivesmentioning

confidence: 99%

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Effect of information and exercise programmes after lumbar disc surgery: A randomized controlled trial

Jentoft

Kvåle

Aßmus

et al. 2020

Physiotherapy Res Intl

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Objective: The aim of this study was to compare two physiotherapy interventions following lumber disc surgery regarding effect on pain, functioning and fear of movement. Methods: This study is a prospective randomized controlled study. When admitted to hospital for first time lumbar disc surgery, the participants were randomized to one of two post-operative intervention groups: one group received information only and the other exercise in combination with information. Outcomes were collected at baseline, 6-8 weeks and 12-months post-surgery. The primary outcome was to record changes in back/hip pain and leg pain. Secondary outcomes were evaluation of changes in function, fear-avoidance beliefs and kinesiophobia. Results: Seventy patients completed the study and were included in the analysis, of which 37 were randomized to the group receiving information only and the remaining 33 receiving both exercise and information. For primary outcomes, at 12 months postoperatively, the group receiving both exercise and information had significantly lower leg pain compared with those receiving only information (p < .033). For secondary outcomes, at 12 months postoperatively, a significant difference (p < .027) was detected for function, which favoured those that received both exercise and information. There was no significant difference in the results for the other secondary outcomes. Both groups showed clinically important changes in relation to pain and function from baseline to 12 months. The effect of treatment showed a statistically significant difference in favour of exercise and information, but the difference was not clinically relevant. Conclusion: Exercise in combination with information reduced leg pain and improved function, which was statistically more evident over a period of time. Postoperative physiotherapy after lumbar disc surgery could include exercises in addition to All authors fulfil the criteria according to the International Committee of Medical Journal Editors (ICMJE).

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“…Postoperative wrong protocols comprise inappropriate rehabilitation, improper timing for returning to previous job, failure to change harmful patient's life style (like frequent exposure to strenuous physical activity at work) and gaining appropriate body mass index [4546]. …”

Section: Beware Of Wrong Protocolmentioning

confidence: 99%

Ten Important Tips in Treating a Patient with Lumbar Disc Herniation

2016

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Lumbar disc herniation is a common spinal disorder that usually responds favorably to conservative treatment. In a small percentage of the patients, surgical decompression is necessary. Even though lumbar discectomy constitutes the most common and easiest spine surgery globally, adverse or even catastrophic events can occur. Appropriate patient selection and effective neural decompression constitute the most important points for better surgical outcomes and avoidance of unpleasant complications. Other important tips include timely performance of magnetic resonance imaging, correct interpretation of scan data, preoperative detection of underlying instability, exclusion of non-discogenic sciatica, determination of the main cause of clinical pathology, avoidance of the wrong side or level, and being sure that the more detailed procedure does not necessarily mean the more effective procedure.

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Assesment of the effectiveness of physical thraphy and rehabilitation programme starts immediately after lumbar disc surgery

Cited by 16 publications

References 32 publications

Evidence base and future research directions in the management of low back pain

Evidence base and future research directions in the management of low back pain

Effect of information and exercise programmes after lumbar disc surgery: A randomized controlled trial

Ten Important Tips in Treating a Patient with Lumbar Disc Herniation

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