Rehabilitation after lumbar disc surgery

Oosterhuis, Teddy; Costa, Leonardo Oliveira Pena; Maher, Christopher G.; Vet, Henrica C.W. de; Tulder, Maurits W. van; Ostelo, Raymond

doi:10.1002/14651858.cd003007.pub3

Cited by 118 publications

(176 citation statements)

References 65 publications

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“…This list resulted from a search of outcome domains measured in clinical trials included in five recent systematic reviews [12,13,32,33] (one of which not published yet) with addition of the (sub) domains included in the comprehensive International Classification of Functioning (ICF) core set for LBP [34], and in a conceptual model developed to characterize the burden of LBP [35]. This conceptual model and the ICF core set were adopted to account for the patients' perspective in this early phase.…”

Section: Generation Of a List Of Potential Core Domainsmentioning

confidence: 99%

Core outcome domains for clinical trials in non-specific low back pain

et al. 2015

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Purpose Inconsistent reporting of outcomes in clinical trials of patients with non-specific low back pain (NSLBP) hinders comparison of findings and the reliability of systematic reviews. A core outcome set (COS) can address this issue as it defines a minimum set of outcomes that should be reported in all clinical trials. In 1998, Deyo et al. recommended a standardized set of outcomes for LBP clinical research. The aim of this study was to update these recommendations by determining which outcome domains should be included in a COS for clinical trials in NSLBP.Methods An International Steering Committee established the methodology to develop this COS. The OMERACT Filter 2.0 framework was used to draw a list of potential core domains that were presented in a Delphi study. Researchers, care providers and patients were invited to participate in three Delphi rounds and were asked to judge which domains were core. A priori criteria for consensus were established before each round and were analysed together with arguments provided by panellists on importance, overlap, aggregation and/or addition of potential core domains. The Steering Committee discussed the final results and made final decisions.

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Section: Generation Of a List Of Potential Core Domainsmentioning

confidence: 99%

Core outcome domains for clinical trials in non-specific low back pain

et al. 2015

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“…38 There is low-quality evidence to support that physical therapy and vigorous activity at 4-6 weeks after operation leads to less pain and disability. There is not an increased risk of repeat operation in those who participate in early therapy or exercise.…”

Section: Rehabilitation As a Surgical Adjunctmentioning

confidence: 99%

Untitled

2017

IPMRJ

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This article presents a focused review on the role of rehabilitation in lumbar spine pain. Rehabilitation treatments are commonly used in the treatment of spine pain, before and after surgical operations. There is broad variation in rehabilitation treatments which makes assessment of effect very difficult. Rehabilitation is effective in the treatment of lumbar spine pain, and in some cases is as effective as surgery. Surgical outcomes can be superior for nerve compression and instability. Physical activity immediately after common spine operations improves outcomes but the incremental benefit appears small for most patients. When compared to surgical treatment, rehabilitation is remarkably safe. For patients with complex pathology, complicating medical conditions, difficult psychological or social situations, or those who do not improve after surgical intervention, intensive rehabilitation can often improve pain and function over many years.

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“…A recent systematic review and meta-analysis by Oosterhuis et al [39] summarized 22 clinical trials investigating the effectiveness of rehabilitation after firsttime lumbar discectomy surgery. The results suggest that exercise programs conducted four to six weeks post-operatively result in less pain and disability with small to medium effect sizes compared to usual care.…”

Section: Research Directionsmentioning

confidence: 99%

Evidence base and future research directions in the management of low back pain

Abbott

2016

WJO

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Low back pain (LBP) is a prevalent and costly condition. Awareness of valid and reliable patient history taking, physical examination and clinical testing is important for diagnostic accuracy. Stratified care which targets treatment to patient subgroups based on key characteristics is reliant upon accurate diagnostics. Models of stratified care that can potentially improve treatment effects include prognostic risk profiling for persistent LBP, likely response to specific treatment based on clinical prediction models or suspected underlying causal mechanisms. The focus of this editorial is to highlight current research status and future directions for LBP diagnostics and stratified care.

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Rehabilitation after lumbar disc surgery

Abstract: Analysis 2.2. Comparison 2 Treatments that start immediately post-surgery. High intensity versus low intensity, Outcome 2 Pain on VAS (long term

Cited by 118 publications

References 65 publications

Core outcome domains for clinical trials in non-specific low back pain

Core outcome domains for clinical trials in non-specific low back pain

Untitled

Evidence base and future research directions in the management of low back pain

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