Document Detail


The effectiveness of exercise programmes after lumbar disc surgery: a randomized controlled study.
MedLine Citation:
PMID:  15704503     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare two different exercise programmes versus a control group, after lumbar disc surgery. DESIGN: A prospective, single-blind, randomized controlled study. SETTING: Outpatient clinic of Istanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation. SUBJECTS: Sixty patients diagnosed as having single level lumbar disc herniation with clinical examination and MRI evaluation and who had undergone lumbar discectomy (post-operative first month) at a single level. Patients with serious pathologies involving the cardiac and respiratory systems that could prevent them from doing exercises were excluded. Intervention: The patients were randomly split into three groups. The first group received an intensive exercise programme and back school education while the second group received a home exercise programme and back school education. The third group was defined as the control group and did not receive education or exercise. MAIN MEASURES: The patients were evaluated at the beginning and end of the treatment with clinical parameters, pain levels, endurance tests and weight-lifting tests, modified Oswestry Disability Index, Beck Depression Inventory, Low Back Pain Rating Scale and return to work. RESULTS: The groups doing exercises experienced a decrease in the severity of pain and disability, also functional parameters showed better improvement than the control group. The intensive exercise programme was better than the home exercise programme. CONCLUSIONS: It seems that intensive exercise is more effective in reduction of pain and disability, but whether it is cost-effective is not clear.
Authors:
Mustafa Filiz; Aysegul Cakmak; Emel Ozcan
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical rehabilitation     Volume:  19     ISSN:  0269-2155     ISO Abbreviation:  Clin Rehabil     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-11     Completed Date:  2005-04-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  4-11     Citation Subset:  IM    
Affiliation:
Istanbul University, Istanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Disability Evaluation
Exercise Therapy*
Female
Humans
Intervertebral Disk Displacement / surgery*
Low Back Pain / rehabilitation*
Lumbar Vertebrae*
Male
Pain Measurement
Pain, Postoperative / rehabilitation*
Single-Blind Method

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


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