Quantifying Postoperative Deficits of Physical Function Following Spinal Surgery

Mayer, Tom G.; Mooney, Vert; Gatchel, Robert J.; Barnes, Dennis; Terry, Arthur F.; Smith, Sue; Mayer, Holly

doi:10.1097/00003086-198907000-00012

Cited by 24 publications

(7 citation statements)

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“…Previous authors have suggested that a patient's subjective rating of pain/disability is not a reliable indicator of his or her impairment (i.e., objectively measured functional capacity) 3 months after spine surgery for degenerative disorders [37]. This would seem not to be the case, at least in the diagnostic group examined in the present study and as far as measures of spinal mobility are concerned.…”

Section: Resultscontrasting

confidence: 59%

A prospective study of the interrelationship between subjective and objective measures of disability before and 2 months after lumbar decompression surgery for disc herniation

et al. 2005

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Section: Resultscontrasting

confidence: 59%

A prospective study of the interrelationship between subjective and objective measures of disability before and 2 months after lumbar decompression surgery for disc herniation

et al. 2005

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“…Less extensive surgical procedure also has been associated with good outcomes in other studies [Taylor, 19891. More extensive decompressive surgery causes widespread surgical injury to bones, ligaments, and muscle structures, and so it also affects coordination and the functioning of the lumbar spine. In any case, the patient's motivation to restore function and strength after operation is essential to attaining optimal surgical results [Mayer et al, 1989;Taylor, 19893. In the regression analysis, the strenuousness of occupation had no effect on the postoperative working capacity in either gender. However, more women and men returned to light work than to heavy work, but this difference was significant (p < 0.05) only in men.…”

Section: Discussionmentioning

confidence: 99%

Pre- and postoperative factors associated with return to work following surgery for lumbar spinal stenosis

Herno¹,

Airaksinen²,

Saari³

et al. 1996

Am. J. Ind. Med.

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Low back disorders are an increasingly common and costly health problem in Western countries. It has been recommended that the return to work of patients should be the most important outcome measure of medical care. The aim of this study was to compare women's and men's working capacity after lumbar spinal stenosis (LSS) operations and to identify the factors related to it. The subjects of this study were 185 women (mean age 54 years, mean follow‐up time 4.2 years) and 254 men (mean age 52 years, mean follow‐up time 4.3 years). After the operation, 37% of the women and 41% of the men returned to work. None of the patients who had retired before the operation returned to work afterward. The variables that predicted postoperative ability to work for women were: being fit to work at the time of operation, age <50 years at the time of operation, and duration of LSS symptoms <2 years. For men, these variables were: being fit to work at the time of operation, age <50 years at the time of operation, no prior surgery, and the extent of the surgical procedure equal to or less than 1 laminectomy. Women's and men's working capacity do not differ after LSS operation. If the aim is to maximize working capacity, then, when an LSS operation is indicated, it should be performed without delay. In LSS patients who are >50 years old and on sick leave, it is unrealistic to expect that they will return to work. Therefore, after such an extensive surgical procedure, re‐education of patients for lighter job could improve the chances of these patients returning to work. © 1996 Wiley‐Liss, Inc.

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“…PLIF was first introduced in 1944 by Briggs and Milligan 5) and is used widely to treat scoliosis, spondylolisthesis, spinal instability, and spinal stenosis. However, PLIF is very expensive, and patients may still suffer from LBP after the surgery as a result of adverse effects, such as muscle strength weakness due to extensive spinal muscle dissection, loss of trunk flexibility due to interbody fusion, a significant loss of performance ability, and are at risk of persistent dysfunction 1,4,6) .…”

Section: Introductionmentioning

confidence: 99%

Effects of Exercise Rehabilitation on Pain, Disability, and Muscle Strength after Posterior Lumbar Interbody Fusion Surgery: a Randomized Controlled Trial

Kang

Cho²,

Shim

et al. 2012

J Phys Ther Sci

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Abstract.[Purpose] The present study examined how exercise rehabilitation, extension exercise rehabilitation, and stabilization exercise rehabilitation programs for 8 weeks affected the lumbar region of elderly patients who underwent posterior lumbar interbody fusion surgery.[Methods] Sixty participants were divided into 3 groups. The participants' lumbar extensor muscle strength was evaluated at 7 angles (72°, 60°, 48°, 36°, 24°, 12°, and 0°) from flexion to extension by MedX after 8 weeks; and pain, disability, and maximum muscle strength were also measured.[Results] Extension exercise rehabilitation significantly decreased disability compared with the other exercise methods. On the other hand, stabilization exercise rehabilitation significantly increased lumbar deep muscle strength and endurance compared with the other exercise methods. When strength was compared using MedX, extension exercise rehabilitation increased strength significantly more than the other methods at the lumbar flexion angles of 12° and 0°.[Conclusion] The three exercise programs decreased pain and disability, and increased lumbar deep muscle strength of the posterior lumbar interbody fusion patients. Therefore, these methods help patients attain pain-free lives.

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Quantifying Postoperative Deficits of Physical Function Following Spinal Surgery

Cited by 24 publications

References 0 publications

A prospective study of the interrelationship between subjective and objective measures of disability before and 2 months after lumbar decompression surgery for disc herniation

A prospective study of the interrelationship between subjective and objective measures of disability before and 2 months after lumbar decompression surgery for disc herniation

Pre- and postoperative factors associated with return to work following surgery for lumbar spinal stenosis

Effects of Exercise Rehabilitation on Pain, Disability, and Muscle Strength after Posterior Lumbar Interbody Fusion Surgery: a Randomized Controlled Trial

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