The Effect of Early Initiation of Rehabilitation after Lumbar Spinal Fusion

A Randomized Clinical Study

Lisa G Oestergaard, Claus Vinther Nielsen, Cody Bünger, Rikke Søgaard, Soeren Fruensgaard, Peter Helmig, Finn Bjarke Christensen

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    Resumé

    ABSTRACT: Study design: A multicenter RCT including 82 patients.Objective: To examine the effect of early initiation of rehabilitation after instrumented lumbar spinal fusion.Summary of Background Data: Lumbar spinal fusion has been performed for more than 70 years. Yet, only few studies have examined patients' subsequent rehabilitation. Group-based rehabilitation is both efficient and cost-effective in rehabilitation of lumbar spinal fusion patients.Methods: Patients with degenerative disc diseases undergoing instrumented lumbar spinal fusion were randomly assigned to initiate their rehabilitation 6 weeks (6w-group) or 12 weeks after lumbar spinal fusion (12w-group). Both groups received the same group-based rehabilitation. Primary outcome was the Oswestery Disability Index (ODI). Secondary outcome was the Dallas Pain Questionnaire (DPQ), the Low Back Pain Rating Scale, and absence from work. Wilcoxon rank sum test was used to compare the groups in terms of differences from baseline to 6 months and 1-year follow-up.Results: According to the ODI, at 1-year follow-up, the 6w-group had a median reduction of -6(-19;4) compared with -20(-30;-7) in the 12w-group (p
    OriginalsprogEngelsk
    TidsskriftSpine
    ISSN0362-2436
    DOI
    StatusUdgivet - 2012

    Fingeraftryk

    Nonparametric Statistics
    Low Back Pain
    Clinical Studies
    Surveys and Questionnaires

    Citer dette

    Oestergaard, Lisa G ; Nielsen, Claus Vinther ; Bünger, Cody ; Søgaard, Rikke ; Fruensgaard, Soeren ; Helmig, Peter ; Christensen, Finn Bjarke. / The Effect of Early Initiation of Rehabilitation after Lumbar Spinal Fusion : A Randomized Clinical Study. I: Spine. 2012.
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    abstract = "ABSTRACT: Study design: A multicenter RCT including 82 patients.Objective: To examine the effect of early initiation of rehabilitation after instrumented lumbar spinal fusion.Summary of Background Data: Lumbar spinal fusion has been performed for more than 70 years. Yet, only few studies have examined patients' subsequent rehabilitation. Group-based rehabilitation is both efficient and cost-effective in rehabilitation of lumbar spinal fusion patients.Methods: Patients with degenerative disc diseases undergoing instrumented lumbar spinal fusion were randomly assigned to initiate their rehabilitation 6 weeks (6w-group) or 12 weeks after lumbar spinal fusion (12w-group). Both groups received the same group-based rehabilitation. Primary outcome was the Oswestery Disability Index (ODI). Secondary outcome was the Dallas Pain Questionnaire (DPQ), the Low Back Pain Rating Scale, and absence from work. Wilcoxon rank sum test was used to compare the groups in terms of differences from baseline to 6 months and 1-year follow-up.Results: According to the ODI, at 1-year follow-up, the 6w-group had a median reduction of -6(-19;4) compared with -20(-30;-7) in the 12w-group (p",
    author = "Oestergaard, {Lisa G} and Nielsen, {Claus Vinther} and Cody B{\"u}nger and Rikke S{\o}gaard and Soeren Fruensgaard and Peter Helmig and Christensen, {Finn Bjarke}",
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    The Effect of Early Initiation of Rehabilitation after Lumbar Spinal Fusion : A Randomized Clinical Study. / Oestergaard, Lisa G; Nielsen, Claus Vinther; Bünger, Cody; Søgaard, Rikke; Fruensgaard, Soeren; Helmig, Peter; Christensen, Finn Bjarke.

    I: Spine, 2012.

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    TY - JOUR

    T1 - The Effect of Early Initiation of Rehabilitation after Lumbar Spinal Fusion

    T2 - A Randomized Clinical Study

    AU - Oestergaard, Lisa G

    AU - Nielsen, Claus Vinther

    AU - Bünger, Cody

    AU - Søgaard, Rikke

    AU - Fruensgaard, Soeren

    AU - Helmig, Peter

    AU - Christensen, Finn Bjarke

    PY - 2012

    Y1 - 2012

    N2 - ABSTRACT: Study design: A multicenter RCT including 82 patients.Objective: To examine the effect of early initiation of rehabilitation after instrumented lumbar spinal fusion.Summary of Background Data: Lumbar spinal fusion has been performed for more than 70 years. Yet, only few studies have examined patients' subsequent rehabilitation. Group-based rehabilitation is both efficient and cost-effective in rehabilitation of lumbar spinal fusion patients.Methods: Patients with degenerative disc diseases undergoing instrumented lumbar spinal fusion were randomly assigned to initiate their rehabilitation 6 weeks (6w-group) or 12 weeks after lumbar spinal fusion (12w-group). Both groups received the same group-based rehabilitation. Primary outcome was the Oswestery Disability Index (ODI). Secondary outcome was the Dallas Pain Questionnaire (DPQ), the Low Back Pain Rating Scale, and absence from work. Wilcoxon rank sum test was used to compare the groups in terms of differences from baseline to 6 months and 1-year follow-up.Results: According to the ODI, at 1-year follow-up, the 6w-group had a median reduction of -6(-19;4) compared with -20(-30;-7) in the 12w-group (p

    AB - ABSTRACT: Study design: A multicenter RCT including 82 patients.Objective: To examine the effect of early initiation of rehabilitation after instrumented lumbar spinal fusion.Summary of Background Data: Lumbar spinal fusion has been performed for more than 70 years. Yet, only few studies have examined patients' subsequent rehabilitation. Group-based rehabilitation is both efficient and cost-effective in rehabilitation of lumbar spinal fusion patients.Methods: Patients with degenerative disc diseases undergoing instrumented lumbar spinal fusion were randomly assigned to initiate their rehabilitation 6 weeks (6w-group) or 12 weeks after lumbar spinal fusion (12w-group). Both groups received the same group-based rehabilitation. Primary outcome was the Oswestery Disability Index (ODI). Secondary outcome was the Dallas Pain Questionnaire (DPQ), the Low Back Pain Rating Scale, and absence from work. Wilcoxon rank sum test was used to compare the groups in terms of differences from baseline to 6 months and 1-year follow-up.Results: According to the ODI, at 1-year follow-up, the 6w-group had a median reduction of -6(-19;4) compared with -20(-30;-7) in the 12w-group (p

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    DO - 10.1097/BRS.0b013e31825a17ab

    M3 - Journal article

    JO - Spine

    JF - Spine

    SN - 0362-2436

    ER -