A systematic review of physiotherapy for spondylolysis and spondylolisthesis

McNeely, Margaret L.; Torrance, G. W.; Magee, David J.

doi:10.1016/s1356-689x(02)00066-8

Cited by 68 publications

(33 citation statements)

References 57 publications

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“…Recent reviews about chronic low back pain (CLBP) defined exercise therapy to be mildly to moderately superior to no-treatment for pain relief, at early follow-ups [80,81] . This finding was supported by different systematic reviews [82][83][84] . There are many exercise therapy programs described in the literature but no evidence exists to support one form of exercise therapy over another in terms of outcomes [85] .…”

Section: Rehabilitation Of the Failed Back Surgery Syndromesupporting

confidence: 62%

Failed Back Surgery: A Clinical Review

Şahin

Sargın

Atik

2015

International Journal of Orthopaedics

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Failed back surgery syndrome (FBSS, failed back syndrome) is a chronic disorder that has many impacts on the patients and health care systems. The predisposing factors may occur in the preoperative, intraoperative, and postoperative periods. The term FBSS is often misused. It is not actually a syndrome, but is a very generalized term that is often used to describe the condition of patients who had unsuccessful results with back surgery or spine surgery, or experienced continued pain after surgery. Patients describe uncontrolled persistent back, back/leg or leg pain with functional insufficiency with or without sciatica after 10-40% of the all spinal surgeries. Literature about the FBSS is insufficient, due to the complexity of this entity with variety of the underlying etiology and lack of high-quality clinical trials determining response to treatment modalities. This review aims to summarize current concepts in the ligthnings of literature findings.

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Section: Rehabilitation Of the Failed Back Surgery Syndromesupporting

confidence: 62%

Failed Back Surgery: A Clinical Review

Şahin

Sargın

Atik

2015

International Journal of Orthopaedics

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“…Psychological interventions, exercise, interdisciplinary rehabilitation, functional restoration, and spinal manipulation have shown statistically significant moderate effects on pain in patients with chronic LBP. [30][31][32][33][34] Other patients may simply need reassurance that they do not have serious spine pathology, which would also have been expedited in our care pathway. Although not the focus of this paper, earlier clinical assessment of this group has benefits beyond expediting the pathway for surgical candidates.…”

Section: Discussionmentioning

confidence: 99%

Improving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings

Zarrabian

Bidos

Fanti

et al. 2017

cjs

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RESEARCH • RECHERCHEImproving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings Background: The Inter-professional Spine Assessment and Education Clinics (ISAEC) were developed to improve primary care assessment, education and management of patients with persistent or recurrent low back pain-related symptoms. This study aims to determine the effect of ISAEC on access for surgical assessment, referral appropriateness and efficiency for patients meeting a priori referral criteria in rural, urban and metropolitan settings. Methods:We conducted a retrospective review of prospective data from networked ISAEC clinics in Thunder Bay, Hamilton and Toronto, Ontario. For patients meeting surgical referral criteria, wait times for surgical assessment, surgical referral-related magnetic resonance imaging (MRI) scans and appropriateness of referral were recorded. Results:Overall 422 patients, representing 10% of all ISAEC patients in the study period, were referred for surgical assessment. The average wait times for surgical assessment were 5.4, 4.3 and 2.2 weeks at the metropolitan, urban and rural centres, respectively. Referral MRI usage for the group decreased by 31%. Of the patients referred for formal surgical assessment, 80% had leg-dominant pain and 96% were deemed appropriate surgical referrals. Conclusion:Contrary to geographic concentration of health care resources in metropolitan settings, the greatest decrease in wait times was achieved in the rural setting. A networked, shared-cared model of care for patients with low back pain-related symptoms significantly improved access for surgical assessment despite varying geographic practice settings and barriers. The greatest reductions were noted in the rural setting. In addition, significant improvements in referral appropriateness and efficiency were achieved compared with historical reports across all sites. [ISAEC]) ont été mises sur pied pour améliorer les soins primaires d'évaluation, d'éducation et de prise en charge des patients atteints de symptômes persistants ou récurrents de lombalgie. Cette étude a pour but d'évaluer l'effet des ISAEC sur l'accès à une évaluation chirurgicale et sur la pertinence et l'efficacité de la référence des patients en milieux ruraux, urbains et métropolitains répondant a priori aux critères de référence. Contexte : Les cliniques interprofessionnelles d'évaluation de la colonne vertébrale et d'éducation (Inter-professional Spine Assessment and Education ClinicsMéthodes : Nous avons mené une étude rétrospective de données prospectives issues de cliniques du réseau des ISAEC situées à Thunder Bay, à Hamilton et à Toronto, en Ontario. Nous avons retenu pour l'étude les patients répondant aux critères de référence en chirurgie; pour chacun de ces patients, nous avons consigné le temps d'attente pour obtenir une évaluation chirurgicale, les images obtenues par résonance magnétique (IRM) aux fins de référence et la pertinence de la référence.Résultats : Au total, 422 patients, soit 10 % des ...

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“…4 Although conservative management of the patient with spondylolysis or spondylolisthesis is recommended, few studies have examined the efficacy of various treatment interventions. In a metaanalysis performed by McNeely et al, 18 the efficacy of physical therapist intervention in the treatment of spondylolysis and spondylolisthesis was systematically reviewed. Of the 71 potential studies, only 2 of the studies met the relevance criteria of the critical appraisal.…”

Section: Discussionmentioning

confidence: 99%

Differential Diagnosis of Spondylolysis in a Patient with Chronic Low Back Pain

Thein-Nissenbaum

Boissonnault²

2005

J Orthop Sports Phys Ther

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Study Design: Resident's case problem. Background: A 26-year-old male sought physical therapy services via direct access secondary to a flare-up of a chronic low back pain condition. The patient complained of recent onset of lumbosacral joint pain, including (1) constant right-sided deep-bruise sensation, (2) intermittent right-sided sharp stabbing pain, and (3) constant bilateral aching. The patient's past medical history included a hyperextension low back injury while playing football at age 17. Physical examination revealed (1) deep pain with palpation over the right lumbosacral joint region, (2) sharp right lumbosacral joint pain with 1 repetition of active trunk backward bending, and (3) a marked increase in pain and joint hypomobility with right unilateral joint assessment at the L4 and L5 spinal levels. Diagnosis: The examining therapist referred the patient for radiographic evaluation due to strong suspicions of a pars interarticularis bony defect. Lumbar plain films, oblique views, revealed an L5 bilateral pars defect, leading to a diagnosis of a longstanding bilateral L5 spondylolysis. Discussion: Patients with low back pain often seek physical therapy services. Identification of pathology requiring examination by other health care providers, leading to patient referral to other health care practitioners, is a potential important outcome of the therapist's examination. This resident's case problem illustrates the importance of a systematic examination scheme, including a thorough medical screening component that led to a patient referral for radiographic evaluation. The resultant diagnosis, although not representing serious pathology, did impact the therapist's patient plan of care. J Orthop Sports Phys Ther 2005;35:319-326.

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A systematic review of physiotherapy for spondylolysis and spondylolisthesis

Cited by 68 publications

References 57 publications

Failed Back Surgery: A Clinical Review

Failed Back Surgery: A Clinical Review

Improving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings

Differential Diagnosis of Spondylolysis in a Patient with Chronic Low Back Pain

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