Early comprehensive physiotherapy after lumbar spine surgery (PEDro synthesis)

Machado, Gustavo C; Pinheiro, Marina B.

doi:10.1136/bjsports-2017-098165

Cited by 9 publications

(11 citation statements)

References 8 publications

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“…This is due to the excellent effect of instrumentation just after operation and that could encourage the patient to rehabilitation quickly. The disadvantage of prolonged bed rest and the advantage of rehabilitation with early ambulation have been made obvious by several studies, especially in elderly patients [25][26][27]. Although postoperative pain improved equally in both groups, if the immediate postoperative pain was improved enough to allow early ambulation for rehabilitation, the authors believe that instrumentation for spinal infection is a very reasonable treatment option.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of instrumentation for spinal infection in elderly patients

Woo

Kwon

Choi

2021

J Korean Soc Geriatr Neurosurg

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Despite increases in economic status, quality of life, and sanitary conditions, spinal infection remains a serious problem that can be life-threatening.Spinal infection markedly reduces the quality of life because it can lead to pain, neurological deficits (radiculopathy, myelopathy, etc.), deformity and side effects due to the long-term use of antibiotics [1]. Furthermore, the incidence of spinal infections has in-Objective: Spinal infection is a serious problem that is becoming increasingly common as the population ages. The mainstay of spinal infection treatment is proper antibiotic administration, and surgical management is considered if indicated. However, for various reasons, surgery in elderly patients is usually a challenge. The authors performed a retrospective study of operative cases of elderly spinal-infected patients in our hospital to evaluate the effectiveness, safety, and prognosis of spinal instrumentation. Methods: Thirty-five patients (age > 65 years) with spinal infection underwent surgical treatment from 2012 to 2019 and were followed up for more than 1 year. They were divided into two groups: instrumented (group 1) or non-instrumented (group 2). We analyzed the characteristics of patients, clinical outcomes, and surgical data. Results: The preoperative characteristics, postoperative pain relief, improvement of infection, duration of antibiotic use, duration of hospitalization, and perioperative complications did not show statistically significant differences between groups 1 and 2. Spinal infection recurred in one patient in group 1 and five patients in group 2. The recurrence rate was significantly lower in the instrumented group (P = 0.042). The mean period from surgery to ambulation was 6.21 days (range, 1-23 days) in group 1 and 12.56 days (range, 2-34 days) in group 2 (P = 0.049). Conclusion:Instrumentation to elderly patients did not increase the recurrence of infection or the incidence of significant complications in this study. Decompression with instrumentation is a reasonable and effective option for managing spinal infection in elderly patients.

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Section: Discussionmentioning

confidence: 99%

Clinical outcomes of instrumentation for spinal infection in elderly patients

Woo

Kwon

Choi

2021

J Korean Soc Geriatr Neurosurg

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“…Much of the literature to date emphasizes strength training and often does not provide exercise prescriptions that are functional and user friendly. 10,21,43,44 Many of the exercise protocols were done in a supine position and therefore restricted in their ability to transfer to functional activities. 43 The exception was the sit-to-stand exercise protocol.…”

Section: Discussionmentioning

confidence: 99%

“…5 The early referral to physiotherapy is also not routine practice. 5,10 There have been studies more recently to support the pain and mobility patterns postsurgery as part of the explanation to recurrent pain post lumbar disc surgery. 11,12 Kobayashi et al reported that the L5 nerve root moved on average 0.5 mm with the straight leg raise (SLR) and after surgical removal of the lumbar intervertebral disc herniation, excursion returned to an average of 3.8 mm.…”

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confidence: 99%

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

LeBlanc

Moldovan

Sabri

et al. 2021

Spine

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“…Allerdings ist die Schulung der Patienten bezüglich des postoperativen Verlaufs von großer Bedeutung [35]. Die Patienten sollen direkt postoperativ von einem Physiotherapeuten mobilisiert werden, damit sie schneller unabhängig werden und zurück in die Normalität kommen [36]. Das gilt insbesondere für ältere Patienten.…”

Section: Autounclassified

Postoperative Mobilisierung und Belastung nach lumbalen Wirbelsäuleneingriffen

2022

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ZusammenfassungDie postoperative Mobilisierung, Belastung und physiotherapeutische Behandlung ist ein wichtiger Bestandteil der Therapie von lumbalen Pathologien. Insbesondere physiotherapeutische und rehabilitative Behandlungen werden für die Verbesserung der klinischen Ergebnisse nach lumbalen spinalen operativen Eingriffen durchgeführt. Mehrere Studien haben den Einfluss der postoperativen Behandlung nach lumbalen Wirbelsäuleneingriffen untersucht. Die postoperative Behandlung nach lumbalen Wirbelsäulenoperationen wird allerdings bis heute nicht einheitlich durchgeführt. Der Anfang der physiotherapeutischen Behandlung nach dem Eingriff, die Dauer, Form und Intensität der physiotherapeutischen Behandlungen variieren in der internationalen Literatur. Ziel dieser Übersichtsarbeit ist Empfehlungen für die postoperative Behandlung von drei verschiedenen lumbalen spinalen Eingriffen (lumbale Bandscheibenoperation, lumbale stabilitätserhaltende Dekompressionsoperation und lumbale Fusionsoperation) in Bezug auf die Mobilisierung, Belastung und Rehabilitation anhand der aktuellen Studienlage und Erfahrung aus der eigenen Institution auszusprechen.

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Early comprehensive physiotherapy after lumbar spine surgery (PEDro synthesis)

Cited by 9 publications

References 8 publications

Clinical outcomes of instrumentation for spinal infection in elderly patients

Clinical outcomes of instrumentation for spinal infection in elderly patients

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

Postoperative Mobilisierung und Belastung nach lumbalen Wirbelsäuleneingriffen

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