Device-assisted muscle strengthening in the rehabilitation of patients after surgically stabilized vertebral fractures

Kramer, Michael D.; Dehner, Christoph; Katzmaier, P.; Neuwirth, Frank; Ebert, Volker; Elbel, Martin; Hartwig, E.

doi:10.1016/j.apmr.2004.09.008

Cited by 5 publications

(1 citation statement)

References 29 publications

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“…Moreover, the addition of a muscle-strengthening exercise program to the postoperative rehabilitation of thoracolumbar fractures has been shown to induce hypertrophy of the paraspinal musculature but has not been shown to correlate with pain relief. 68 More comprehensive, randomized trials are needed to further refine the necessity of bracing and muscle strengthening following a thoracolumbar injury.…”

Section: ◆ Rehabilitation Of Thoracolumbar Traumamentioning

confidence: 99%

4 The Impact of Evidence-Based Medicine in Thoracolumbar Trauma

Vaccaro¹,

Fehlings²,

Dvorak³

2011

Spine and Spinal Cord Trauma

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Section: ◆ Rehabilitation Of Thoracolumbar Traumamentioning

confidence: 99%

4 The Impact of Evidence-Based Medicine in Thoracolumbar Trauma

Vaccaro¹,

Fehlings²,

Dvorak³

2011

Spine and Spinal Cord Trauma

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The Effect of Exercise Training on Lower Trunk Muscle Morphology

et al. 2014

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Approximately half of the included studies reported an increase in lower trunk muscle size following participation in an exercise programme. Among positive trials, studies involving motor control exercises combined with non-machine-based resistance exercise, as well as machine-based resistance exercises, demonstrated medium to large effects on trunk muscle size. Most studies examining the effect of non-machine-based resistance exercise and all studies investigating cardiovascular exercise reported no effect on trunk muscle morphology. However, these results should be interpreted with caution because of the substantial risk of bias and suboptimal reporting of exercise details in the included studies. Additional research, using methods ensuring a low risk of bias, are required to further elucidate the effects of exercise on trunk muscle morphology.

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Limitations in clinical outcome after posterior stabilization of thoracolumbar fractures do not correlate with dynamic trunk muscle dysfunction: an ultrasound controlled prospective cohort study

Pishnamaz¹,

Schemmann²,

Herren³

et al. 2018

Eur J Med Res

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Background and PurposePosterior stabilization of the spine is associated with iatrogenic muscle damage. This is discussed to represent an important cause of postoperative pain, especially in open reduction and fixation. The aim of this study was to visualize muscular changes after open or percutaneous posterior stabilization of traumatic thoracolumbar spine fractures and to investigate whether or not these changes are related to the clinical outcome.MethodsThis prospective cohort study was performed between 05/2012 and 10/2014. A group of posteriorly stabilized patients (study group; SG) with traumatic fractures (AOSpine Type A3 or A4) of the thoracolumbar junction (T11–L2) without neurological deficit were matched to a healthy control group (CG) by age, gender and body mass index. Follow-up: 12 months after surgery. Parameters: muscle size, voluntary muscular activation (VMA) using a standardized ultrasound protocol and standardized questionnaires (VAS Spine Score; ODI; SF-36) were analyzed. Statistics: SPSS (Version 20, 76 Chicago, IL, USA). T test, Chi squared test, analysis of variance and a correlation analysis were performed. Significance level was at p < 0.05.ResultsTwenty-five patients (SG) and 23 control individuals (CG) were included. At follow-up, voluntary muscular activation of the lumbar multifidus (LM) as well as the transverse abdominis muscle (TrA) was diminished in all patients compared to the control group (VMA LM at level L3/4: SG 3.2%; CG 5.1%; p < 0.05; VMA TrA: SG 33.43%; CG 37.84%; p < 0.05). Concomitant interviews revealed health restrictions in all patients when compared with the control group. A correlation between muscle function and clinical outcome could not been demonstrated (rs > 0.07; NS).ConclusionIn surgically treated A3 and A4 fractures, there is continuous muscular deficit 1 year after surgery as documented by ultrasound and clinical control. But, by means of our study we conclude that those muscular deficits alone seem not to be decisive for the clinical outcome 1 year after surgery.

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Device-assisted muscle strengthening in the rehabilitation of patients after surgically stabilized vertebral fractures

Cited by 5 publications

References 29 publications

4 The Impact of Evidence-Based Medicine in Thoracolumbar Trauma

4 The Impact of Evidence-Based Medicine in Thoracolumbar Trauma

The Effect of Exercise Training on Lower Trunk Muscle Morphology

Limitations in clinical outcome after posterior stabilization of thoracolumbar fractures do not correlate with dynamic trunk muscle dysfunction: an ultrasound controlled prospective cohort study

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