Manipulative rehabilitation applied soon after lumbar disc surgery improves late post-operative functional disability: A preliminary 2-year follow-up study

Kim, Byungho J.; Kim, Taeyeong; Ahn, Junghoon; Cho, Heecheol; Kim, Dongyun; Yoon, BumChul

doi:10.3233/bmr-169546

Cited by 8 publications

(17 citation statements)

References 30 publications

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“…Much research had been done to explore the effect of rehabilitation on postoperative patients [9,27-29]. Compared with previous experiments, we aimed to explore the application of mobile phone–based rehabilitation in postoperative patients with LBP through a well-designed clinical trial.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness and Safety of Utilizing Mobile Phone–Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial

Hou

Yang

Tang

et al. 2019

JMIR Mhealth Uhealth

107

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Background Rehabilitation is crucial for postoperative patients with low back pain (LBP). However, the implementation of traditional clinic-based programs is limited in developing countries, such as China, because of the maldistribution of medical resources. Mobile phone–based programs may be a potential substitute for those who have no access to traditional rehabilitation. Objective The aim of this study was to examine the efficacy of mobile phone–based rehabilitation systems in patients who underwent lumbar spinal surgery. Methods Patients who accepted spinal surgeries were recruited and randomized into 2 groups of rehabilitation treatments: (1) a mobile phone–based eHealth (electronic health) program (EH) or (2) usual care treatment (UC). The primary outcomes were (1) function and pain status assessed by the Oswestry Disability Index (ODI) and (2) the visual analog scale (VAS). Secondary outcomes were (1) general mental health and (2) quality of life (Likert scales, EuroQol-5 Dimension health questionnaire, and 36-item Short-Form Health Survey). All the patients were assessed preoperatively and then at 3, 6, 12, and 24 months postoperatively. Results A total of 168 of the 863 eligible patients were included and randomized in this study. Our analysis showed that the improvement of primary outcomes in the EH group was superior to the UC group at 24 months postoperatively (ODI mean 7.02, SD 3.10, P <.05; VAS mean 7.59, SD 3.42, P <.05). No significant difference of primary outcomes was found at other time points. A subgroup analysis showed that the improvements of the primary outcomes were more significant in those who completed 6 or more training sessions each week throughout the trial (the highest compliance group) compared with the UC group at 6 months (ODI mean 17.94, SD 5.24, P <.05; VAS mean 19.56, SD 5.27, P <.05), 12 months (ODI mean 13.39, SD 5.32, P <.05; VAS mean 14.35, SD 5.23, P <.05), and 24 months (ODI mean 18.80, SD 5.22, P <.05; VAS mean 21.56, SD 5.28, P <.05). Conclusions This research demonstrated that a mobile phone–based telerehabilitation system is effective in self-managed rehabilitation for postoperative patients with LBP. The effectiveness of eHealth was more evident in participants with higher compliance. Future research should focus on improving patients’ compliance. Trial Registration Chinese Clinical Trial Registry ChiCTR-TRC-13003314; http://www.chictr.org.cn/showproj.aspx?proj=6245 (Archived by WebCite at http://www.webcitation.org/766RAIDNc)

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Section: Discussionmentioning

confidence: 99%

The Effectiveness and Safety of Utilizing Mobile Phone–Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial

Hou

Yang

Tang

et al. 2019

JMIR Mhealth Uhealth

107

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“…There are a lot of research been done to explore the effect of rehabilitation on the postoperative patients [9,[24][25][26].…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness and Safety of Utilizing Mobile Phone–Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial (Preprint)

Hou¹,

Yang²,

Yang³

et al. 2018

Preprint

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Background:Rehabilitation is very important for postoperative patients with low back pain. However, the promotion of traditional clinic-based program is limited in developing countries like China, due to the maldistribution of medical resources. Smartphones may be a potential substitute for those who have no access to traditional rehabilitation. Objective:The aim of this study was to examine the efficacy of a smartphone based rehabilitation system in patients accepted lumbar spinal operation. Methods:Postoperative patients with low back pain were recruited and randomized to rehabilitation treatment provide by smartphone based e-health program (EH) or usual care treatment (UC) as control group. Primary outcomes were function and pain status assessed by Oswestry Disability Index (ODI) and visual analogue scale (VAS). Secondary outcomes were general mental health and life status (Likert scales, EQ-5D and SF-36). All the patients were assessed pre-operatively and then at 3, 6, 12 and 24 months post-operatively. ResultsA total of 168 of the 863 eligible patients were included and randomized in this study. The analysis showed that the improvement in EH group was superior to UC group at 24 months postoperatively (mean difference: ODI 7.02, SD 3.1, P<0.05; VAS 7.59, SD 3.42, P<0.05). No significant difference of primary outcomes was found at the other time points. Subgroup analysis showed that the improvements of the primary outcomes were more significant in those considered as high compliance in the EH group throughout the trial, compared with the UC group at 6, 12 and 24 months. Conclusion:This research demonstrated that E-health, a smart phone based tele-rehabilitation system can be an effective rehabilitation tool in self-management for postoperative patient with low back pain.The effectiveness of E-health was more evident in high adherent participants. Still, more researches are needed to understand factors associated with patients' adherence.Trial Registration: Chinese clinical trial registry, ChiCTR-TRC-13003314,

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“…Wenn die Patientin oder der Patient ein Responder auf manuelle Therapie ist 68 , dann sollte auch diese Maßnahme in Kombination mit aktiver Therapie zur Schmerzmodulation ausgeschöpft werden 24 . Eine Variation manualtherapeutischer Techniken kann hier am unteren Rücken zum Einsatz kommen 20 , 69 , 70 , 71 . Zur Reduktion einer gesteigerten Mechanosensitivität des neuralen Gewebes können neurodynamische Mobilisationen appliziert werden.…”

Section: Postoperative Physiotherapie In Der Spätphase Der Rehabilita...unclassified

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

Thalhamer¹

2022

MSK – Muskuloskelettale Physiotherapie

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Manipulative rehabilitation applied soon after lumbar disc surgery improves late post-operative functional disability: A preliminary 2-year follow-up study

Abstract: This study demonstrated the potential of manipulative rehabilitation and importance of post-operative management after lumbar disc surgery. Definitive trials with larger sample sizes are required to confirm the feasibility and potential therapeutic effectiveness of this approach.

Cited by 8 publications

References 30 publications

The Effectiveness and Safety of Utilizing Mobile Phone–Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial

The Effectiveness and Safety of Utilizing Mobile Phone–Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial

The Effectiveness and Safety of Utilizing Mobile Phone–Based Programs for Rehabilitation After Lumbar Spinal Surgery: Multicenter, Prospective Randomized Controlled Trial (Preprint)

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

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