Clinical Rehabilitation Effect of Postoperative Lower-Limb Training on the Patients Undergoing OLIF Surgery: A Retrospective Study

Abstract

Background. In this study, it was aimed to investigate the clinical rehabilitation effect of lower-limb training on the patients that undergo oblique lumbar interbody fusion (OLIF) procedures. Methods. The eligible participants undergoing OLIF procedures between 01/2017 and 07/2019 were identified. All the patients underwent one-segment fusion operation (L3-4 or L4-5). Based on whether the participants received postoperative rehabilitation training, they were divided into two groups: intervention group and control group. Postoperatively, the participants in the intervention group were trained with lower-extremity rehabilitation exercise and maintained for three months. All participants got reexamined at the first postoperative week, the second postoperative week, the first postoperative month, and the third postoperative month (last follow-up). Comparisons were made in terms of the lower-extremity muscle force, visual analogue scale (VAS) score, lumbar JOA score, Oswestry disability index (ODI), the incidence of deep venous thrombosis (DVT), and patient satisfaction. Results. Seventy-seven participants in the intervention group (32 males and 45 females) and 82 in the control group (39 males and 43 females) were incorporated in this study. The median age of the participants was 57 years (39∼73) in the intervention group and 54 years (35∼71) in the control group. No statistical significance between the two groups was found (P>0.05). ODI score was less in the intervention group as compared to the control group in the first week after surgery (P=0.029). VAS and JOA scores were better in the intervention group in the first two weeks after surgery (P<0.05). DVT incidence in the intervention group was lower than the control group at final follow-up (P=0.037). Both group participants have achieved good grading in muscle force rehabilitation but no significant differences between the two groups. Additionally, satisfaction was higher in the intervention group than the control group. Conclusions. In summary, postoperative lower-extremity rehabilitation exercise can effectively accelerate patients’ health recovery from the OLIF surgery and increase their satisfaction.

Clinical effect of application of nursing concept of rehabilitation surgery for improvement of quality of postoperative recovery in orthopedics

“…A previous study showed that postoperative lower extremity rehabilitation exercise can effectively accelerate patients' health recovery from the oblique lumbar interbody fusion surgery and increase their satisfaction [16], which was similar with our results. Another study has shown that rehabilitation nursing combined with conservative treatment can shorten the healing period and improve functional recovery in elderly compression fracture patients [17].…”

Effect of Health Belief Model Education on Increasing Cognition and Self-Care Behaviour among Elderly Women with Malignant Gynaecological Tumours in Fujian, China

“…Based on the individual differences in elderly patients with gynaecological malignant tumours, rehabilitation intervention based on the HBM can help patients fully understand the mechanism and severity and the importance of cooperative treatment and health exercise training for LEDVT and enhance their health beliefs and active participation consciousness. Postoperative rehabilitation training can effectively reduce the occurrence of deep vein thrombosis (DVT) [ 34 ]. One-on-one guidance from the intervention nurse can promote the patients' transition from passive exercise to active routine exercise, improve the prognosis of patients, and effectively reduce the incidence of LEDVT [ 22 ].…”

Orthostatic Hypotension Following Posterior Spinal Fusion Surgeries for Spinal Deformity Correction in Adolescents: Prevalence and Risk Factors

“…For patients with risk factors for PONV, including the female sex, a history of motion sickness or previous PONV, a nonsmoking status, and the use of postoperative opioid drugs, therapies should be given to decrease the occurrence or severity of PONV and postoperative OH. Early postoperative exercise, including lower limb strength training, is an essential component of rehabilitation protocols following posterior spinal fusion surgeries and can improve function and shorten the hospital stay (21)(22)(23). According to our ndings, better patient education of early postoperative ambulation to encourage patients to perform early postoperative out-ofbed exercises and postoperative strategies to increase the mobility of the lower limbs may be helpful to decrease the incidence of postoperative OH following posterior spinal fusion surgeries for the treatment of adolescent spinal deformities.…”