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Early rehabilitation targeting cognition, behaviour and motor function after lumbar fusion: A randomised controlled trial
Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0002-4318-9216
Karolinska Institute, Stockholm, Sweden.
Gothenburg University, Gothenburg, Sweden.
2010 (English)In: Abstracts: Oral Presentations, 2010, 186-186 p.Conference paper, Abstract (Other academic)
Abstract [en]

Study Design: Open label randomised controlled trial with 3, 6, 12 month and 2-3 year follow-up.

Objective. To investigate the effectiveness of a psychomotor therapy focusing on cognition, behaviour and motor relearning compared to exercise therapy applied during the first 3 months after lumbar fusion.

Methods: The study recruited 107 patients, aged 18 to 65 years, selected for lumbar fusion due to 12 months of symptomatic spinal stenosis, degenerative/isthmic spondylolisthesis or degenerative disc disease. The exercise therapy group received a home program focusing on pain contingent training of back, abdominal and leg muscle functional strength and endurance, stretching and cardiovascular fitness. The psychomotor therapy group received a home program and 3 outpatient sessions focusing on modifying maladaptive pain cognitions, behaviours and motor control. Patient-rated questionnaires investigating functional disability, pain, health related quality of life, functional self-efficacy, outcome expectancy, fear of movement/(re)injury and copingwere assessed at baseline, 3, 6, 12 months and 2-3 years after surgery.

Results: Follow-up rates were 93% at 12 months and 81% at 2-3 years after surgery. Psychomotor therapy improved functional disability, self-efficacy, outcome expectancy and fear of movement/(re)injury significantly more than exercise therapy at respective follow-up occasions. Similar results occurred for pain coping but group differences were non-significant at 2-3 year follow-up.

Conclusions: The study shows that post-operative rehabilitation can be effectively implemented during the first 3 months after lumbar fusion and should include measures to modify psychological aswell as motor functions.

Place, publisher, year, edition, pages
2010. 186-186 p.
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-123561OAI: oai:DiVA.org:liu-123561DiVA: diva2:886209
Conference
Seventh SICOT/SIROT Annual International Conference & SOF Ortopediveckan, Gothenburg, Sweden, 31 August – 3 September 2010
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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