Twelve-year follow-up of a randomized controlled trial of comprehensive physiotherapy following disc herniation operation

Ebenbichler, Gerold; Inschlag, Silke; Pflüger, Verena; Stemberger, Regina; Wiesinger, G.; Novak, Klaus; Krall, Christoph; Resch, K. L.

doi:10.1177/0269215514552032

Cited by 18 publications

(23 citation statements)

References 19 publications

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“…Participants received various surgeries including standard discectomy, micro-discectomy, discectomy with fusion, discectomy with foraminectomy/foraminotomy, discectomy with laminectomy, hemilaminectomy, laminectomy with fusion, lumbar intervertebral bone grafting and fusion, lumbar disc herniation nucleotomy, and lumbar transforaminal endoscopic surgery. Ten rehabilitation interventions were assessed: exercise (14 RCTs) ( Aldemir and Gurkan, 2021 ; Abdi et al, 2023 ; Uysal et al, 2023 ; Zuo et al, 2021 ; Beneck et al, 2014 ; Choi et al, 2005 ; Häkkinen et al, 2005 ; He et al, 2021 ; Jentoft et al, 2020 ; Lu and Bai, 2020 ; Manniche et al, 1993 ; Paulsen et al, 2019 , 2020 ; Skall et al, 1994 ; Zhang et al, 2018 ), education/self-management (2 RCTs) ( Bono et al, 2017 ; Erdogan and Bulut, 2020 ), psychological intervention (1 RCT) ( Ostelo et al, 2003a , 2003b ), passive physical modalities (1 RCT) ( Kulikov et al, 2018 ), multimodal care (education + exercise) (2 RCTs) ( Ebenbichler et al, 2015 ; Erdogmus et al, 2007 ; Oosterhuis et al, 2017 ), pregabalin (1 RCT) ( Zarei et al, 2016 ), acupuncture (1 RCT) ( Zhao et al, 2008 ), systemic enzyme therapy (1 RCT) ( Pekař and Steindler, 2010 ), Traditional Chinese Medicine (TCM) (1 RCT) ( Fu and Ji, 2017 ), and Complementary and Alternative Therapy (CAM) (including usual care, supplementing qi, activating blood circulation and tonifying kidney therapy) (1 RCT) ( Zheng et al, 2015 ). The duration of rehabilitation interventions varied: 1) during hospitalization (4 RCTs) ( Jentoft et al, 2020 ; Bono et al, 2017 ; Erdogan and Bulut, 2020 ; Zheng et al, 2015 ); 2) 2 weeks (1 RCT) ( Zarei et al, 2016 ); 3) six to 12 weeks (11 RCTs) ( Aldemir and Gurkan, 2021 ; Abdi et al, 2023 ; Zuo et al, 2021 ; Beneck et al, 2014 ; Choi et al, 2005 ; He et al, 2021 ; Manniche et al, 1993 ; Paulsen et al, 2019 , 2020 ; ...…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of postsurgical rehabilitation following lumbar disc herniation surgery: A systematic review

Yu,

Cancelliere,

Mior

et al. 2024

Brain and Spine

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Section: Resultsmentioning

confidence: 99%

Effectiveness of postsurgical rehabilitation following lumbar disc herniation surgery: A systematic review

Yu,

Cancelliere,

Mior

et al. 2024

Brain and Spine

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“…Über ähnliche Ergebnisse berichten Ebenbichler et al in einer weiteren RKSS mit dem gleichen Studienaufbau. Die Autoren berichten weiterhin, dass der positive Effekt einer postoperativen Behandlung wie Nackenmassage oder Physiotherapie langfristig sein kann [8].…”

Section: Lumbale Bandscheibenoperationenunclassified

Postoperative Mobilisierung und Belastung nach lumbalen Wirbelsäuleneingriffen

2022

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ZusammenfassungDie postoperative Mobilisierung, Belastung und physiotherapeutische Behandlung ist ein wichtiger Bestandteil der Therapie von lumbalen Pathologien. Insbesondere physiotherapeutische und rehabilitative Behandlungen werden für die Verbesserung der klinischen Ergebnisse nach lumbalen spinalen operativen Eingriffen durchgeführt. Mehrere Studien haben den Einfluss der postoperativen Behandlung nach lumbalen Wirbelsäuleneingriffen untersucht. Die postoperative Behandlung nach lumbalen Wirbelsäulenoperationen wird allerdings bis heute nicht einheitlich durchgeführt. Der Anfang der physiotherapeutischen Behandlung nach dem Eingriff, die Dauer, Form und Intensität der physiotherapeutischen Behandlungen variieren in der internationalen Literatur. Ziel dieser Übersichtsarbeit ist Empfehlungen für die postoperative Behandlung von drei verschiedenen lumbalen spinalen Eingriffen (lumbale Bandscheibenoperation, lumbale stabilitätserhaltende Dekompressionsoperation und lumbale Fusionsoperation) in Bezug auf die Mobilisierung, Belastung und Rehabilitation anhand der aktuellen Studienlage und Erfahrung aus der eigenen Institution auszusprechen.

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“…Physical therapy and rehabilitation after lumbar decompression surgery are helpful for the functional recovery of patients [5][6][7][8][9]. However, due to the influence of factors such as the time at which postoperative rehabilitation is implemented, the number of cases studied and the design of the rehabilitation program implemented, the results of previous studies are inconsistent.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of lumbar kinetic chain training for staged rehabilitation after percutaneous endoscopic lumbar discectomy

Lyu

Bai

Chen

et al. 2021

BMC Musculoskelet Disord

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Background Percutaneous endoscopic lumbar discectomy (PELD) is a promising minimally invasive treatment for lumbar disc herniation (LDH). Postoperative rehabilitation can improve patient outcomes. Not only rehabilitation for surgical trauma but also rehabilitation for lumbar spine and lower kinetic chain dysfunction should be performed. The aims of this study were to investigate the efficacy of a lumbar kinetic chain training for staged rehabilitation after PELD for LDH. Methods Fifty one LDH patients treated with PELD were studied. After surgery, patients underwent lumbar kinetic chain training for staged rehabilitation( staged group) or regular low back rehabilitation (regular group). The staged rehabilitation programme included three phases from 2 to 6, 7–12, and 13–24 weeks postoperatively, and different physical therapies were performed during these phases. The low back pain visual analogue scale (VAS), JOA score, ODI, SF-36, and cross-sectional area of the lumbar multifidus on MRI were assessed, and gait analysis was performed. Results Twenty five patients in staged group and twenty six patients in regular group were included. There were no significant differences in age or sex between the two groups at baseline (p > 0.05). The VAS score decreased and the JOA and SF-36 scores increased in both groups from baseline to 6 weeks (P < 0.05). In the staged group, compared with the regular group, the VAS and ODI scores were lower and the JOA and SF-36 scores were higher at 6 weeks (P < 0.05); the VAS and ODI scores were lower and the SF-36 score was higher at 12 weeks (P < 0.05); the SF-36 score was higher at 24 weeks (P < 0.05); the cross-sectional area of the lumbar multifidus showed no differences at 12 weeks (P > 0.05); and the left-right support ratio of gait was higher at 24 weeks (P < 0.05). Conclusions The staged rehabilitation programme for LDH after PELD promoted postoperative recovery, and the efficacy of lumbar kinetic chain training was higher than that of regular low back muscle exercise.

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Twelve-year follow-up of a randomized controlled trial of comprehensive physiotherapy following disc herniation operation

Abstract: Participating in a comprehensive physiotherapy program following lumbar disc surgery may be associated with better long-term health benefits over no intervention, but may not be superior to sham therapy.

Cited by 18 publications

References 19 publications

Effectiveness of postsurgical rehabilitation following lumbar disc herniation surgery: A systematic review

Effectiveness of postsurgical rehabilitation following lumbar disc herniation surgery: A systematic review

Postoperative Mobilisierung und Belastung nach lumbalen Wirbelsäuleneingriffen

Efficacy of lumbar kinetic chain training for staged rehabilitation after percutaneous endoscopic lumbar discectomy

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