Work Ability After Anterior Cervical Decompression and Fusion Followed by a Structured Postoperative Rehabilitation: Secondary Outcomes of a Prospective Randomized Controlled Multi-Centre Trial with a 2-year Follow-up.

Autor: Peolsson A; Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Lasarettsgatan, House 511, 14th floor, 58183, Linköping, Sweden. Anneli.Peolsson@liu.se.; Occupational and Environmental Medicine Center, Department of Health, Medicine and Caring Sciences, Unit of Clinical Medicine, Linköping University, Linköping, Sweden. Anneli.Peolsson@liu.se., Wibault J; Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Lasarettsgatan, House 511, 14th floor, 58183, Linköping, Sweden.; Department of Activity and Health, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden., Löfgren H; Neuro-Orthopedic Center, Jönköping, Region Jönköping County, and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden., Dedering Å; Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden., Öberg B; Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Lasarettsgatan, House 511, 14th floor, 58183, Linköping, Sweden., Zsigmond P; Department of Neurosurgery, Linköping University Hospital, and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden., Wåhlin C; Department of Health, Medicine and Caring Sciences, Unit of Physiotherapy, Linköping University, Lasarettsgatan, House 511, 14th floor, 58183, Linköping, Sweden.; Occupational and Environmental Medicine Center, Department of Health, Medicine and Caring Sciences, Unit of Clinical Medicine, Linköping University, Linköping, Sweden.; Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: Journal of occupational rehabilitation [J Occup Rehabil] 2022 Sep; Vol. 32 (3), pp. 473-482. Date of Electronic Publication: 2021 Dec 11.
DOI: 10.1007/s10926-021-10015-6
Abstrakt: Purpose Information on work ability after ACDF and postoperative rehabilitation is lacking. The aim of the present study is therefore to investigate the work ability benefits of a structured postoperative treatment (SPT) over a standard care approach (SA) in patients who underwent anterior cervical decompression and fusion (ACDF) for cervical radiculopathy and factors important to the 2-year outcome. Methods Secondary outcome and prediction model of a prospective randomized controlled multi-centre study with a 2-year follow-up (clinicaltrials.gov NCT01547611). The Work Ability Index (WAI) and Work Ability Score (WAS) were measured at baseline and up to 2 years after ACDF in 154 patients of working age who underwent SPT or SA after surgery. Predictive factors for the WAI at 2 years were analysed. Results Both WAI and WAS significantly improved with SPT and SA (p < 0.001), without any between-group differences. Thoughts of being able to work within the next 6 months, Neck Disability Index (NDI), and work-related neck load explained 59% of the variance in WAI at the 2-year follow-up after ACDF. Conclusions Patients improved over time without group differences, suggesting the improvement to be surgery related. Expectation to work within the next 6 months, self-reported neck functioning and work-related neck load were important to work ability and are central factors to ask early after ACDF, to identifying further interventions promoting return to work.
(© 2021. The Author(s).)
Databáze: MEDLINE
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