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Oosterhuis et al (2014)
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Rehabilitation after lumbar disc surgery
Slide2Rehabilitation after lumbar disc surgery Oosterhuis et al
(2014)Overview of the studyObjectives To determine whether active rehabilitation after lumbar disc surgery is more effective than no treatment and to describe which type of active rehabilitation is most effective
Methods
Evidence current up to 1 May 2013
Participants: Adults (18 and 65 years) who had lumbar disc surgery due to
lumbar disc prolapse
Interventions: Active rehabilitation after lumbar surgery including exercise
therapy, strength and mobility training, physiotherapy, and multidisciplinary
programs
Outcomes:
Primary: Pain, global measure of
improvement, back pain-specific functional status, return-to-work
Secondary: Physical examination, behavioural outcomes, generic functional status
Slide322 trials (2503 participants)
Results & ConclusionsInterventions
Evidence
Quality
of evidence
Rehabilitation
No better than control for function at short term
Very
l
ow
No differences between intensive and less active program for global perceived effect at short term, but resulted in earlier return to work
ExercisesMore effective than no treatment for pain at short-termVery lowMore effective for function at short-term but no difference at long-termLowHigh intensity exercise programsMore effective than low intensity exercise programs for pain at short termVery lowMore effective for function at short termLow
Rehabilitation after lumbar disc surgery Oosterhuis et al (2014)
Adverse events: Some events were reported but they did not increase the reoperation rate
The effectiveness of rehabilitation after lumbar disc surgery is unclear. Exercise programs seem to be more effective when started 4 to 6 weeks after surgery