Rehabilitation to improve outcomes of lumbar fusion surgery: a systematic review with meta-analysis

Bogaert, Liedewij; Thys, Tinne; Depreitere, Bart; Dankaerts, Wim; Amerijckx, Charlotte; Wambeke, Peter Van; Jacobs, Kristine; Boonen, Helena; Brumagne, Simon; Moke, Lieven; Schelfaut, Sebastiaan; Spriet, Ann; Peers, Koen; Swinnen, Thijs Willem; Janssens, Lotte

doi:10.1007/s00586-022-07158-2

Cited by 19 publications

(15 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 The multimodal rehabilitation might be beneficial for decreasing the disability scores, which have been reported in 2 previous meta-analysis studies. 7,9 Our metaanalysis also replicated this finding. It might be related to shift the conceptualization of pain to a coping skill to protect the body tissue 31 during cognitive or educational rehabilitation and interhemispheric interaction to improve the neural plasticity of primary motor cortex during motor rehabilitation.…”

Section: Discussionsupporting

confidence: 74%

“…First, our search deadline was March 2022, approximately 1 year more than the search deadline of the latest meta-analysis. 9 Second, our meta-analysis enrolled latest references, especially for the articles published in the 2021 and 2022. It might provide a more comprehensive viewpoint.…”

Section: Discussionmentioning

confidence: 99%

“…8 The latest meta-analysis of enrolled more randomized clinical trials (RCTs) studies and showed more conclusive effects of rehabilitation on the pain, fear, and disability. 9 Therefore, more enrollment of RCT studies might be helpful for elucidating the relationship between rehabilitation and relieving effects for the complications after lumbar fusion surgery.…”

Section: Neurospine Eissn 2586-6591 Pissn 2586-6583mentioning

confidence: 99%

See 2 more Smart Citations

The Rehabilitation-Related Effects on the Fear, Pain, and Disability of Patients With Lumbar Fusion Surgery: A Systematic Review and Meta-Analysis

et al. 2023

View full text Add to dashboard Cite

Objective: The lumbar fusion is an important surgery for the orthopedic diseases. The rehabilitation might improve the outcome of patients with lumbar fusion surgery. The rehabilitation-related effects can be revealed by a systemic review and meta-analysis of randomized clinical trials (RCTs). The purpose of this study is to clarify the rehabilitation effects in the patients with lumbar fusion surgery.Methods: We performed a systematic search and a meta-analysis for the RCT of rehabilitation treatment on the patients with lumbar fusion surgery. The comparison between rehabilitation treatment (including psychological rehabilitation, exercise, and multimodal rehabilitation) and typical treatment was performed to find if the rehabilitation treatment can improve the outcome after the lumbar fusion surgery. Fifteen studies of lumbar fusion patients under rehabilitation treatment and typical treatment were enrolled in a variety of rehabilitation modalities. The focused outcome was the rehabilitation-related effects on the fear, disability, and pain of patients after the lumbar fusion surgery.Results: Five hundred twenty-eight rehabilitation subjects and 498 controls were enrolled. The psychological-related rehabilitation showed a significant decrease in pain-related fear when compared to usual treatment. The multimodal rehabilitation can improve the disability outcome to a greater extent when compared to usual treatment. The multimodal rehabilitation seemed to have a more significantly positive effect to decrease disability after lumbar fusion surgery. In addition, the exercise and multimodal rehabilitation can relieve the pain after lumbar fusion surgery. The exercise rehabilitation seemed to have a more significantly positive effect to relieve pain after lumbar fusion surgery.Conclusion: The rehabilitation might relieve the pain-related fear, disability, and pain after lumbar fusion surgery.

show abstract

Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Neurospine Eissn 2586-6591 Pissn 2586-6583mentioning

confidence: 99%

See 1 more Smart Citation

The Rehabilitation-Related Effects on the Fear, Pain, and Disability of Patients With Lumbar Fusion Surgery: A Systematic Review and Meta-Analysis

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Postoperative exercise programs may include walking, stretching, and strengthening movements [ 37 ] and have been shown to reduce short-term pain and disability [ 38 , 39 ]. A recent systematic review of exercise interventions following lumbar decompression surgery identified 14 studies addressing a variety of exercise-based interventions, including strengthening, stabilization, and aerobic training [ 40 ].…”

Section: Post-surgical Interventions To Promote Physical Activitymentioning

confidence: 99%

Let’s Get Physical! A Comprehensive Review of Pre- and Post-Surgical Interventions Targeting Physical Activity to Improve Pain and Functional Outcomes in Spine Surgery Patients

Pester

Yoon

Yamin

et al. 2023

JCM

View full text Add to dashboard Cite

The goal of this comprehensive review was to synthesize the recent literature on the efficacy of perioperative interventions targeting physical activity to improve pain and functional outcomes in spine surgery patients. Overall, research in this area does not yet permit definitive conclusions. Some evidence suggests that post-surgical interventions may yield more robust long-term outcomes than preoperative interventions, including large effect sizes for disability reduction, although there are no studies directly comparing these surgical approaches. Integrated treatment approaches that include psychosocial intervention components may supplement exercise programs by addressing fear avoidance behaviors that interfere with engagement in activity, thereby maximizing the short- and long-term benefits of exercise. Efforts should be made to test brief, efficient programs that maximize accessibility for surgical patients. Future work in this area should include both subjective and objective indices of physical activity as well as investigating both acute postoperative outcomes and long-term outcomes.

show abstract

“…Physical exercise before and after surgery has been shown to be beneficial for certain types of surgery with mixed evidence 83,150–153 . Still, it is considered an important part of a multimodal treatment 6,101,103,128 .…”

Section: Addressing Perioperative Bio-psycho-social Aspectsmentioning

confidence: 99%

Mechanisms inherent in acute-to-chronic pain after surgery – risk, diagnostic, predictive, and prognostic factors

Rosenberger,

Segelcke,

Pogatzki-Zahn

2023

Current Opinion in Supportive &Amp; Palliative Care

View full text Add to dashboard Cite

Purpose of review Acute pain is an expected consequence of a surgery, but it is far from being well controlled, due to its complex bio-psycho-social nature. One major complication of acute pain is its risk of persistency beyond healing. This so-called chronic post-surgical pain (CPSP) is defined as new or increased pain due to surgery that lasts for at least 3 months after surgery. CPSP is frequent and constitutes an important socioeconomic challenge with significant impact on patients’ quality of life. Its importance has been recognized by its inclusion in the eleventh version of the ICD (International Classification of Diseases). Recent findings Evidence for most pharmacological and non-pharmacological interventions preventing CPSP is inconsistent. Identification of associated patient-related factors, such as psychosocial aspects, comorbidities, surgical factors, pain trajectories, or biomarkers may allow stratification and selection of treatment options based on underlying individual mechanisms. Consequently, the identification of patients at risk and implementation of individually tailored, preventive, multimodal treatment to reduce the risk of transition from acute to chronic pain is facilitated. Summary This review will give an update on current knowledge on mechanism-based risk, prognostic and predictive factors for CPSP in adults, and preventive and therapeutic approaches, and how to use them for patient stratification in the future.

show abstract

Rehabilitation to improve outcomes of lumbar fusion surgery: a systematic review with meta-analysis

Cited by 19 publications

References 48 publications

The Rehabilitation-Related Effects on the Fear, Pain, and Disability of Patients With Lumbar Fusion Surgery: A Systematic Review and Meta-Analysis

The Rehabilitation-Related Effects on the Fear, Pain, and Disability of Patients With Lumbar Fusion Surgery: A Systematic Review and Meta-Analysis

Let’s Get Physical! A Comprehensive Review of Pre- and Post-Surgical Interventions Targeting Physical Activity to Improve Pain and Functional Outcomes in Spine Surgery Patients

Mechanisms inherent in acute-to-chronic pain after surgery – risk, diagnostic, predictive, and prognostic factors

Contact Info

Product

Resources

About