Comparing the Effects of Early Versus Late Exercise Intervention on Pain and Neurodynamic Mobility Following Unilateral Lumbar Microdiscectomy

LeBlanc, Lorraine; Moldovan, Ioana; Sabri, Elham; Phan, Philippe; Agbi, Charles; Mohammed, Safraz; Alkherayf, Fahad

doi:10.1097/brs.0000000000004018

Cited by 3 publications

(1 citation statement)

References 43 publications

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“…postoperativen Woche zu starten. Ein früherer Rehastart bringt keine Vorteile in Bezug auf Schmerzreduktion, Wiedergewinn motorischer oder sensibler Funktionen oder Behinderungsgrad 8 , 9 , 10 .…”

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Ein „Best-Practice-Modell“ für die Rehabilitation nach lumbaler Nukleotomie

Thalhamer¹

2022

MSK – Muskuloskelettale Physiotherapie

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Ein „Best-Practice-Modell“ für die Rehabilitation nach lumbaler Nukleotomie

Thalhamer¹

2022

MSK – Muskuloskelettale Physiotherapie

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The effect of early rehabilitation after lumbar spine surgery: a systematic review and meta-analysis

Özden,

Koçyiğit

2024

Egypt J Neurosurg

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Background Evidence-based data are required to provide insightful information on the timing of rehabilitation after lumbar spine surgery (LSS). Objectives The aim of this study is to systematically review the outcomes of early rehabilitation interventions and conduct its meta-analysis in patients after LSS. Patients and methods A total of 1183 articles were retrieved through PubMed (n = 793), Web of Science (n = 721), Scopus (n = 335), and ScienceDirect (n = 83) databases. Fourteen studies were included in the systematic review. The quality analysis and risk of bias assessment of the trials included in the systematic review were performed using the Physiotherapy Evidence Database (PEDro) scoring and classification system. Narrative synthesis and standardized mean difference based pooling results were given for the systematic review and meta-analysis, respectively. Results The additional benefit of early rehabilitation on physical function was moderately effective (ES: − 0.62, 95% CI − 1.00; − 0.25) at the 1-month follow-up. In terms of pain, early rehabilitation provided additional improvement at 1 month (ES: 0.34, 95% CI − 0.03; 0.71), 3 months (ES: − 0.14, 95% CI − 0.37; 0.10), 6 months (ES: 0.35, 95% CI 0.04; 0.65) and 1 year (ES: 0.21, 95% CI − 0.09; 0.52) follow-up at a low level of evidence. Conclusions This systematic review demonstrated that early rehabilitation mainly improved disability in the early period (1-month follow-up). Regarding pain, short-term (1 month) and mid-term (6 months) follow-ups showed the most significant additional benefit. The positive effects of starting rehabilitation early after surgery on pain may have positively affected disability, specifically in the early period (1 month).

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Evaluation of the efficiency of rehabilitation interventions in patients after unilateral biportal endoscopic discectomy

Balan,

Kravchuk,

Fishchenko

et al. 2024

PJS

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Background. Unilateral bi-portal endoscopic discectomy (UBED), as other surgical methods of treatment, may require the use of additional rehabilitation interventions in the recovery process of patients. Unfortunately, studies on the effectiveness of nonpharmacological methods in the postoperative period for these patients are insufficient. The study purposed to evaluate the effectiveness of a rehabilitation intervention program in the patients who have undergone UBED. Materials and methods. The study was conducted at the Department of Neurosurgery of the Spine and Spinal Cord of the Ivano-Frankivsk Regional Clinical Hospital in 2022–2023. The sample consisted of the main group (MG, n = 74) — patients who underwent removal of the hernia of the intervertebral disc used UBED and complex rehabilitation and control group (CG, n = 68) — UBED was performed without a rehabilitation course. Study methods: we used visual-analogue scale (VAS) and Oswestry questionnaire before surgery and after it (in 1 day and 1, 6 and 12 months). Results. In the preoperative period, the back pain index was 5.3 ± 1.4 and 5.6 ± 1.1 cm in MG and CG, respectively. In the postoperative period the back pain index according to the VAS decreased to 1.5 ± 0.4 cm in one day after surgery in the MG with its positive dynamics during the year of observation. In CG this index also decreased to 1.4 ± 0.9 cm with a gradual improvement to 0.3 ± 0.1 cm in 12 months. At the 12 months after the surgery the Oswestry index demonstrated that quality of life was better in the subjects of MG compared to the CG (5.4 ± 3.2 and 17.4 ± 3.3 %, respectively). Conclusions. The use of physical exercises in combination with massage and hardware physiotherapy in patients who have UBED improved the quality of life of the patients in the long-term observation period, but did not affect the reduction of pain after the surgery in both short-term and long-term observation

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Comparing the Effects of Early Versus Late Exercise Intervention on Pain and Neurodynamic Mobility Following Unilateral Lumbar Microdiscectomy

Abstract: The manuscript submitted does not contain information about medical device(s)/drug(s).

Cited by 3 publications

References 43 publications

Ein „Best-Practice-Modell“ für die Rehabilitation nach lumbaler Nukleotomie

Ein „Best-Practice-Modell“ für die Rehabilitation nach lumbaler Nukleotomie

The effect of early rehabilitation after lumbar spine surgery: a systematic review and meta-analysis

Evaluation of the efficiency of rehabilitation interventions in patients after unilateral biportal endoscopic discectomy

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