Effects of Home Strength Training and Stretching Versus Stretching Alone After Lumbar Disk Surgery: A Randomized Study With a 1-Year Follow-Up

The Effect of an Early Lumbar Exercise Program on Trunk Strength and the Oswestry Disability Index after Herniated Nucleus Pulposus Surgery

“…They also suggest that evaluating the recovery of lumbar strength after HNP surgery can be used for identifying physical problems. Previous studies' results are also in accordance with our findings that the best improvement in muscle strength is induced by SSE, the high intensity exercise program in our study 1,13,24,25) . Once an individual has experienced deconditioning syndrome after HNP surgery, the disability index increases resulting in lower quality of life, e.g.…”

“…However, cooperative scientific research between surgeons and physical therapists about therapeutic exercises during the rehabilitation period after the surgery, have rarely been reported 9,13,16) . According to our results, the limitation of lumbar movement in the range of 0° to 72° was reduced in SG.…”

“…lumbar extension strength 13) . These studies strongly suggest the importance of highly intensive strengthening exercises to prevent atrophy, which is easily caused by immobility after the surgery.…”

“…However, early self-exercise programs after HNP surgery have been studied only by questionnaire survey, the results of which could easily be affected by the subjective views of testers and participants. Consequently, the necessity of objective measures such as the muscle tensile test, and spinal range of motion has been raised 8,12,13) . To our knowledge, there are few therapeutic studies about early self-exercise after HNP surgery which have used objective methods.…”

Clinic-based training in comparison to home-based training after first-time lumbar disc surgery: a randomised controlled trial

“…Ostelo et al [40] suggested that there is strong evidence that there is no difference between intensive and mild exercise programmes on long-term follow-up. Since that review, several randomised controlled studies have been published on this topic [4,11,12,15,19,24,25,52]. All add further support to early and active programmes, but the effect of different training programmes still tends to level out on long-term follow-up.…”