Document Detail

Comparison of usual surgical advice versus a nonaggravating six-month gym-based exercise rehabilitation program post-lumbar discectomy: results at one-year follow-up.
MedLine Citation:
PMID:  16825039     Owner:  NLM     Status:  MEDLINE    
BACKGROUND CONTEXT: Discectomy is the surgery of choice for the lumbosacral radicular syndrome. Previous studies on the postsurgical management of these cases compare one exercise regime to another. This study compares an exercise-based group with a control group involving no formal exercise or rehabilitation. PURPOSE: The outcomes of a formal postsurgical exercise-based rehabilitation when compared with the usual rehabilitative surgical advice were evaluated. STUDY DESIGN: A randomized clinical trial comparing management regimes after lumbar discectomies. PATIENT SAMPLE: Ninety-three lumbar discectomy patients were randomized to two groups. OUTCOME MEASURES: The following postoperative outcomes were used: levels of pain; levels of function; psychological well-being; time off work; levels of medication; and number of doctor/therapist visits. METHODS: Ninety-three lumbar discectomy patients were randomized to two groups. The treatment group undertook a 6-month supervised nonaggravating exercise program. The control group followed the usual surgical advice to resume normal activities as soon as the pain allowed. Both groups were followed for 1 year by using validated outcome measures. RESULTS: The results are based on an intention-to-treat analysis. Patients in both groups improved during the 1-year follow-up (p=.001). There was no statistical significance between the groups at the clinical endpoint. The treatment group returned to work 7 days earlier and had fewer days off work in the 1-year follow-up period. CONCLUSION: There was no statistical advantage gained by the group that performed the 6-month supervised nonaggravating exercise program at 1-year follow-up. They did, however, have fewer days off work.
Barry L Donaldson; Edward A Shipton; Grahame Inglis; Darren Rivett; Chris Frampton
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2006-06-12
Journal Detail:
Title:  The spine journal : official journal of the North American Spine Society     Volume:  6     ISSN:  1529-9430     ISO Abbreviation:  Spine J     Publication Date:    2006 Jul-Aug
Date Detail:
Created Date:  2006-07-07     Completed Date:  2006-11-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101130732     Medline TA:  Spine J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  357-63     Citation Subset:  IM    
Department of Anesthesia, University of Otago, Corner Riccarton and Hagley Avenues, Christchurch, Canterbury 8004, New Zealand.
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MeSH Terms
Diskectomy / rehabilitation*
Exercise Therapy*
Follow-Up Studies
Middle Aged
Postoperative Care
Random Allocation
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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