Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2009-3-3
pubmed:abstractText
The effectiveness of physiotherapy after first-time lumbar disc surgery is still largely unknown. Studies in this field are heterogeneous and behavioural treatment principles have only been evaluated in one earlier study. The aim of this randomised study was to compare clinic-based physiotherapy with a behavioural approach to a home-based training programme regarding back disability, activity level, behavioural aspects, pain and global health measures. A total of 59 lumbar disc patients without any previous spine surgery or comorbidity participated in the study. Clinic-based physiotherapy with a behavioural approach was compared to home-based training 3 and 12 months after surgery. Additionally, the home training group was followed up 3 months after surgery by a structured telephone interview evaluating adherence to the exercise programme. Outcome measures were: Oswestry Disability Index (ODI), physical activity level, kinesiophobia, coping, pain, quality of life and patient satisfaction. Treatment compliance was high in both groups. There were no differences between the two groups regarding back pain disability measured by ODI 3 and 12 months after surgery. However, back pain reduction and increase in quality of life were significantly higher in the home-based training group. The patients in the clinic-based training group had significantly higher activity levels 12 months after surgery and were significantly more satisfied with physiotherapy care 3 months after surgery compared to the home-based training group. Rehabilitation after first-time lumbar disc surgery can be based on home training as long as the patients receive both careful instructions from a physiotherapist and strategies for active pain coping, and have access to the physiotherapist if questions regarding training arise. This might be a convenient treatment arrangement for most patients.
pubmed:commentsCorrections
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pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1432-0932
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
398-409
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:19020904-Activities of Daily Living, pubmed-meshheading:19020904-Adaptation, Psychological, pubmed-meshheading:19020904-Adult, pubmed-meshheading:19020904-Ambulatory Care Facilities, pubmed-meshheading:19020904-Behavior Therapy, pubmed-meshheading:19020904-Diskectomy, pubmed-meshheading:19020904-Exercise Therapy, pubmed-meshheading:19020904-Female, pubmed-meshheading:19020904-Home Care Services, pubmed-meshheading:19020904-Humans, pubmed-meshheading:19020904-Intervertebral Disc Displacement, pubmed-meshheading:19020904-Lumbar Vertebrae, pubmed-meshheading:19020904-Male, pubmed-meshheading:19020904-Middle Aged, pubmed-meshheading:19020904-Outcome Assessment (Health Care), pubmed-meshheading:19020904-Postoperative Care, pubmed-meshheading:19020904-Recovery of Function, pubmed-meshheading:19020904-Treatment Outcome
pubmed:year
2009
pubmed:articleTitle
Clinic-based training in comparison to home-based training after first-time lumbar disc surgery: a randomised controlled trial.
pubmed:affiliation
Department of Orthopaedic Surgery, Center for Clinical Research, Central Hospital, Uppsala University, 721 89, Västerås, Sweden. annchristin.johansson@ltv.se
pubmed:publicationType
Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't