6533b830fe1ef96bd12967a0
RESEARCH PRODUCT
Randomized controlled trial of postoperative exercise rehabilitation program after lumbar spine fusion: study protocol
Sami TarnanenArja HäkkinenKimmo VihtonenKeijo HäkkinenLiisa PekkanenJoost DekkerMarko H Nevasubject
Quality of lifemedicine.medical_specialtylcsh:Diseases of the musculoskeletal systemSports medicinemedicine.medical_treatmentPainLumbar vertebraelaw.inventionDisability EvaluationYoung AdultStudy ProtocolPhysical medicine and rehabilitationPostoperative ComplicationsRheumatologyQuality of lifeRandomized controlled triallawOutcome Assessment Health CaremedicineHumansOrthopedics and Sports MedicineExercisePain MeasurementRehabilitationLumbar VertebraeDisabilitybusiness.industryRehabilitationLow back painCombined Modality TherapyHome Care ServicesLumbar fusionSpineExercise TherapySelf Caremedicine.anatomical_structureSpinal FusionTreatment OutcomeResearch DesignSpinal fusionOrthopedic surgeryPhysical therapyExercise Movement Techniquesmedicine.symptomlcsh:RC925-935businessLow Back Paindescription
Abstract Background Lumbar spine fusion (LSF) effectively decreases pain and disability in specific spinal disorders; however, the disability rate following surgery remains high. This, combined with the fact that in Western countries the number of LSF surgeries is increasing rapidly it is important to develop rehabilitation interventions that improve outcomes. Methods/design In the present RCT-study we aim to assess the effectiveness of a combined back-specific and aerobic exercise intervention for patients after LSF surgery. One hundred patients will be randomly allocated to a 12-month exercise intervention arm or a usual care arm. The exercise intervention will start three months after surgery and consist of six individual guidance sessions with a physiotherapist and a home-based exercise program. The primary outcome measures are low back pain, lower extremity pain, disability and quality of life. Secondary outcomes are back function and kinesiophobia. Exercise adherence will also be evaluated. The outcome measurements will be assessed at baseline (3 months postoperatively), at the end of the exercise intervention period (15 months postoperatively), and after a 1-year follow-up. Discussion The present RCT will evaluate the effectiveness of a long-term rehabilitation program after LSF. To our knowledge this will be the first study to evaluate a combination of strength training, control of the neutral lumbar spine position and aerobic training principles in rehabilitation after LSF. Trial registration ClinicalTrials.gov Identifier NCT00834015
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2012-01-01 |