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The effect of physiotherapeutic rehabilitation following lumbar total disc replacement
Bond University, Australia.
Bond University, Australia; Physiomax, Gold Coast, Australia.
Gold Coast Spine, Gold Coast, Australia.
Bond University, Australia.ORCID iD: 0000-0002-4318-9216
2013 (English)In: APA Conference 2013: New moves, Australian Physiotherapy Association , 2013, 2-2 p.Conference paper, Abstract (Other academic)
Abstract [en]

Question: What is the effect of physiotherapeutic rehabilitation post total disc replacement?

Design: Retrospective cohort study.

Participants: Six hundred patients who received lumbar disc replacement (TDR) or hybrid surgery (TDR + fusion) between 1997 and 2008.

Intervention: Group 1 received no post-surgical physiotherapy. Group 2 received one to three physiotherapy sessions. Group 3 received four or more physiotherapy sessions.

Outcome Measures: Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMQ), Short Form-36 Physical (SF-36 PCS). Preoperative measures taken at baseline, and again at follow-up at 3, 6, 12 and 24 months postoperatively were audited.

Results: RMQ demonstrated a significant better improvement in Group 3 compared to Group 1 after 3, 6, 12 and 24 months (p = 0.001, <0.001, 0.001 and 0.04, respectively), and for Group 2 compared to Group 1 after 3 and 6 months (p = 0.01 and 0.01, respectively). A significant better change in Group 3 compared to Group 1 was seen in the ODI after 3, 6 and 12 months (p = 0.007, p = 0.006 and 0.003, respectively). A significant better change in Group 2 compared to Group 1 was observed in the SF-36 PCS after 6 months (p = 0.01). A significant better change in Group 3 compared to Group 1 for SF-36 PCS at 6, 12 and 24 months (p = <0.001, 0.012 and 0.004, respectively) was observed.

Conclusion: Four or more sessions of post-operative physiotherapy demonstrated consistent statistically significant improvements in functional disability outcomes. However, these results were not considered clinically significant.

Key Practice Points:

•  Four or more sessions of post-operative physiotherapy may improve functional disability outcomes in patients post TDR surgery.

•  Prospective randomised controlled trials evaluating the effectiveness of specific physiotherapy interventions post-TDR surgery are indicated.

Place, publisher, year, edition, pages
Australian Physiotherapy Association , 2013. 2-2 p.
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-123557OAI: oai:DiVA.org:liu-123557DiVA: diva2:886201
Conference
National Conference of the Australian Physiotherapy Association (APA) Conference 2013, Melbourne, Australia, 17-20 October 2013
Available from: 2015-12-21 Created: 2015-12-21 Last updated: 2016-01-08Bibliographically approved

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Abbott, Allan
Physiotherapy

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