4 research outputs found
Effectiveness of postoperative home-exercise compared with usual care on kinesiophobia and physical activity in spondylolisthesis : A randomized controlled trial
Objective: To study the effectiveness of a 12-month
exercise therapy on kinesiophobia and physical activity
in patients with spondylolisthesis after lumbar
spine fusion.
Design: Randomized controlled trial.
Subjects: Patients (n=98) with spondylolisthesis
who had undergone lumbar spine fusion.
Methods: All patients (mean age 59 years) had received
lumbar spine fusion surgery and identical postoperative
instructions. Three months postoperatively,
they were randomized into an exercise group
(n=48) or usual care group (n=50). The exercise
group received 12-month progressive home-based
training with regular booster sessions, and the usual
care group a single session of physiotherapy instruction.
Kinesiophobia was assessed with the Tampa
Scale for Kinesiophobia (TSK) and physical activity
by the International Physical Activity Questionnaire
(IPAQ) preoperatively, 3 months after lumbar spine
fusion, and at the end of the 12-month intervention.
Results: Before the intervention, the median (first
quartile; third quartile) of TSK was 32.5 (29.0; 37.0)
in the exercise group and 30.0 (25.8; 36.0) in the
usual care group, changing to 30.0 (25; 36) in the
exercise group and to 30.5 (24; 36.3) in the usual
care group (between-group p=0.17). IPAQ metabolic
equivalent minutes per week increased from
1,863 (1,040; 3,042) to 3,190 (1,634; 6,485) in the
exercise group and from 2,569 (1,501; 4,075) to
3,590 (1,634; 6,484) in the usual care group (between-group
p=0.92).
Conclusion: Progressive 12-month home-exercise
starting 3 months postoperatively was not superior
to usual care in decreasing kinesiophobia or increasing
physical activity in spondylolisthesis.peerReviewe
Disability and health-related quality of life in patients undergoing spinal fusion: a comparison with a general population sample.
Background.
The aim of the present study was to compare one-year-follow-up data on disability and health-related quality of life (HRQoL) between spinal fusion patients and age- and sex-matched general population.
Methods.
The data on fusion patients were collected prospectively using a spinal fusion data base in two Finnish hospitals. A general population sample matched for age, sex and residential area was drawn from the Finnish Population Register. All participants completed a questionnaire and the main outcome measures were the Oswestry Disability Index (ODI) and the Short Form-36 questionnaire (SF-36).
Results.
Altogether 252 (69% females) fusion patients and 682 (67% females) population sample subjects participated in the study. In general population the mean ODI was 15 (SD 17) in females and 9 (SD 13) in males. The corresponding preoperative ODI values were 47 (SD16) and 40 (SD 15) and one year follow-up values 22 (SD 17) and 23 (SD 20). In both sexes the ODI decreased significantly after surgery but remained higher than in the general population, p < 0.001. The physical component summary score (PCS) of the SF-36 was lower in the patients than general population sample both preoperatively and at one-year follow-up (p < 0.001). The mental component summary score (MCS) was lower preoperatively (p < 0.001), but reached the general population level after one year in both men (p = 0.42) and women (p = 0.61).
Conclusions.
Disability and HRQoL improved significantly after spinal fusion surgery during a one- year follow-up. However, the patients did not reach the level of the general population in the ODI or in the physical component of HRQoL at that time, although in the mental component the difference disappeared.peerReviewe