Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial

Abstract

Background: The introduction of early rehabilitation exercise is the foundation of treatment post-Posterior lumbar interbody fusion (PLIF) surgery, and the search for additional sources of reinforcement physiotherapy seems to be very important. Methods: The patients were randomly divided into the vitamin D3 (n = 15; D3) supplemented group and received 3200 IU per day for five weeks before surgery and the placebo group (n = 18; Pl) received vegetable oil during the same time. The patients began the supervisor rehabilitation program four weeks after surgery. Results: The limits of stability (LOS) were significantly improved in the D3 group after 5 and 14 weeks (p < 0.05), while in the Pl group, progress was only observed after 14 weeks (p < 0.05). The LOS were also higher in the D3 group than in the Pl group after five weeks of supervised rehabilitation (p < 0.05). In the postural stability (PST) test, significant progress was observed in the D3 group after 14 weeks (p < 0.02). In addition, neither rehabilitation nor supplementation had significant effects on the risk of falls (RFT). Conclusions: Vitamin D supplementation seems to ameliorate the effects of an early postoperative rehabilitation program implemented four weeks after posterior lumbar interbody fusion. Early physiotherapy treatment after PLIF surgery combined with vitamin D supplementation appears to be a very important combination with regard to the patients’ recovery process.

Best Practice Guidelines for Assessment and Management of Osteoporosis in Adult Patients Undergoing Elective Spinal Reconstruction

“…On the other hand, Donnally et al 37 found no significant difference. Clinical outcomes in several studies demonstrated that higher vitamin D levels have been associated with improved ODI scores and decreased pain after spine surgery 34,38–40 . Calcium intake should be the recommended daily amount per clinical guidelines, 700 to 1200 mg per day 41 .…”

“…Clinical outcomes in several studies demonstrated that higher vitamin D levels have been associated with improved ODI scores and decreased pain after spine surgery. 34,[38][39][40] Calcium intake should be the recommended daily amount per clinical guidelines, 700 to 1200 mg per day. 41 Supplementation beyond that has not been proven to be helpful, and above 2000 mg per day is potentially harmful.…”

Vitamin D Supplementation Improves the Effects of the Rehabilitation Program on Balance and Pressure Distribution in Patients after Anterior Cervical Interbody Fusion-Randomized Control Trial

“…Despite this, we are not aware of any study where the effects of vitamin D on supervising the rehabilitation of cervical spine patients have been evaluated. Recently, some beneficial effects of vitamin D supplementation were observed during the functional recovery of patients after hip fractures and posterior interbody fusions [ 23 , 24 ]. Vitamin D has a pleiotropic function in the human body, including anti-inflammatory, and protects from skeletal muscle atrophy, improves proprioception, and many others [ 25 ].…”

The Proper Diet and Regular Physical Activity Slow Down the Development of Parkinson Disease

“…Moreover, vitamin D deficiency, diagnosed early and adequately compensated by diet, sun exposure, and supplements, may minimize the risk or prevent the occurrence of many diseases such as PD, SM, AD, arterial hypertension, and atherosclerosis RA, or various types of cancer [ 75 ]. In addition, it has been reported that preoperative supplementation with vitamin D induced faster recovery in LBP patients after PLIF surgery [ 76 ].…”