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Physiotherapeutic rehabilitation following lumbar total disc replacement: A retrospective study
Faculty of Health Science and Medicine, Bond University, Queensland, Australia; Physiomax, Gold Coast, Australia.
Faculty of Health Science and Medicine, Bond University, Queensland, Australia; Physiomax, Gold Coast, Australia.
Karolinska University Hospital, Sweden; Gold Coast Spine, Gold Coast, Australia.
Faculty of Health Science and Medicine, Bond University, Queensland, Australia; Department of Physiotherapy, Karolinska University Hospital, Stockholm, Sweden; Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0002-4318-9216
2016 (English)In: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 21, no 3, 155-163 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND PURPOSE:

This study sought to answer the following questions: What are the outcomes of physiotherapy post lumbar total disc replacement (LTDR) compared with patient self-mediated rehabilitation? Is a difference in outcomes related to the number of physiotherapy sessions?

METHODS:

This is a retrospective observational study of 600 patients post TDR. Patient outcomes for self-mediated rehabilitation (Group 1), 1-3 sessions of clinic-based physiotherapy (Group 2) and ≥4 sessions of clinic-based physiotherapy (Group 3) were analysed. Outcomes measures included the Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMQ), Short Form-36 Physical (SF-36 PCS) and Mental Subscale Components (SF-36 MCS), Visual Analogue Scale (VAS) for back and leg pain intensity. Patient's pre-operative baseline measures and post-operative follow-up measures at 3, 6, 12 and 24 months post-operatively were analysed.

RESULTS:

Oswestry Disability Index and RMQ had significantly lower scores in Group 3 compared with Group 1 at 3, 6, 12 and 24 months follow-up. Significantly lower scores for Group 2 compared with Group 1 were observed for the ODI at 3 months follow-up and for the RMQ at 3 and 6 months follow-up. Significantly lower scores were observed in Group 3 compared with Group 1 for VAS back pain at 3 months and VAS leg pain at 6 months follow-up. Significantly higher scores in Group 3 compared with Group 1 were also observed in the SF-36 PCS at 6, 12 and 24 months. Significantly higher scores in Group 2 compared with Group 1 were observed at 6 months follow up. These trends were also observed when investigating the percentage of patients with a greater 50% improvement in the outcome measure.

CONCLUSIONS:

Physiotherapy post-LTDR produces statistically significant and possibly clinically important improvements in functional disability, pain and quality of life outcomes compared with self-mediated rehabilitation. Copyright © 2015 John Wiley & Sons, Ltd.

Place, publisher, year, edition, pages
John Wiley & Sons, 2016. Vol. 21, no 3, 155-163 p.
Keyword [en]
orthopaedics, outcome measures, physiotherapy, spinal surgery
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-117517DOI: 10.1002/pri.1630ISI: 000382488700004PubMedID: 25892105Scopus ID: 2-s2.0-84928027953OAI: oai:DiVA.org:liu-117517DiVA: diva2:809010
Available from: 2015-04-30 Created: 2015-04-30 Last updated: 2017-03-09Bibliographically approved

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