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Quality of life and disability: can they be improved by active postoperative rehabilitation after spinal fusion surgery in patients with spondylolisthesis? A randomised controlled trial with 12-month follow-up.

Authors :
Ilves, Outi
Häkkinen, Arja
Dekker, Joost
Pekkanen, Liisa
Piitulainen, Kirsi
Järvenpää, Salme
Marttinen, Ilkka
Vihtonen, Kimmo
Neva, Marko
Neva, Marko H
Source :
European Spine Journal; Mar2017, Vol. 26 Issue 3, p777-784, 8p
Publication Year :
2017

Abstract

<bold>Purpose: </bold>The aim of the study was to investigate the effectiveness of the postoperative 12-month exercise program compared to usual care on disability and health-related quality of life (HRQoL) in patients after lumbar spine fusion surgery (LSF).<bold>Methods: </bold>Altogether, 98 patients with isthmic (31) or degenerative (67) spondylolisthesis were randomised to exercise therapy group (EG) (n = 48) or usual care group (UCG) (n = 50) 3 months after LSF. EG patients had home-based progressive strength and aerobic training program for 12 months. UCG patients received only oral and written instructions of exercises. Oswestry Disability Index (ODI) and HRQoL (RAND-36) were evaluated at the time of randomization, at the end of the intervention and 1 year after intervention.<bold>Results: </bold>The mean ODI score decreased from 24 (12) to 18 (14) in the EG and from 18 (12) to 13 (11) in the UCG during intervention (between-groups p = 0.69). At 1-year follow-up, 25 % of the EG and 28 % of the UCG had an ODI score ≥20. No between-group differences in HRQoL change were found at any time point. The mean (95 % CI) physical functioning dimension of the HRQoL improved by 10.0 (4.6-15.3) in the EG and by 7.8 (2.5-13.0) in the UCG. In addition, the role physical score improved by 20.0 (7.7-32.3) in the EG and by 16.4 (4.4-28.4) in the UCG during the intervention.<bold>Conclusions: </bold>The exercise intervention did not have an impact on disability or HRQoL beyond the improvement achieved by usual care. However, disability remained at least moderate in considerable proportion of patients. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09406719
Volume :
26
Issue :
3
Database :
Complementary Index
Journal :
European Spine Journal
Publication Type :
Academic Journal
Accession number :
121519155
Full Text :
https://doi.org/10.1007/s00586-016-4789-5