The effectiveness of exercise programmes after lumbar disc surgery: a randomized controlled study

Abstract

It seems that intensive exercise is more effective in reduction of pain and disability, but whether it is cost-effective is not clear.

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

“…Yilmaz et al [52], however, found supervised dynamic lumbar stabilisation training to be more beneficial than home-based training, which in turn was more effective than no training. This is a pattern that has also been reported in other studies [4,15].…”

“…In the Swedish spine register, based on 1,021 disc patients surgically treated during 2003, the corresponding mean levels of leg and back pain at 12-month follow-up were 23 and 26, respectively [46]. The excellent results of the homebased training group were unexpected and contrasting to previous studies, but in those, the control groups had a less active or no exercise programme, and compliance with the prescribed home training was not reported [4,15,52].…”

“…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.…”

“…Regarding patients who had undergone lumbar disc surgery, home exercises have been compared to supervised exercise programmes in four studies [4,15,22,52], the results of which are contradictory. Johannsen et al [22] found these two treatment approaches almost equally effective regarding global health aspects, disability, pain and mobility.…”

Psychosocial, educational, and somatic factors in chronic nonspecific low back pain

“…Reviewing the data in the literature 3, similar studies analyzed the correlation between spinal surgery and depression. Filiz et al [17] found that physical therapy was most effective in alleviating both the postoperative pain and depression. In patients who had undergone surgery for spinal canal stenosis, treating depression both pre-and post-operatively was vital to the effectiveness of surgery [18].…”