Spinal Surgeons' Opinions on Pre- and Postoperative Rehabilitation in Patients Undergoing Lumbar Spinal Fusion Surgery
| Autor: | Paul C. Willems, Mari Lundberg, Ivan P.J. Huijnen, Reni M. A. van Erp, Rob J. E. M. Smeets, Jetse Jelsma |
|---|---|
| Přispěvatelé: | Physiotherapy, Human Physiology and Anatomy, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Revalidatiegeneeskunde, Orthopedie, MUMC+: MA Orthopedie (9) |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
fusion spinal surgery Postoperative Care/rehabilitation medicine.medical_treatment Lumbar Vertebrae/surgery GUIDELINES law.invention INITIATION 0302 clinical medicine Randomized controlled trial law Spinal Diseases/epidemiology Surveys and Questionnaires international survey Orthopedics and Sports Medicine 030212 general & internal medicine low back pain Netherlands Rehabilitation Lumbar Vertebrae Postoperative rehabilitation Low back pain Spinal fusion Spinal Diseases Female medicine.symptom PHYSIOTHERAPY LOW-BACK-PAIN medicine.medical_specialty surgeon practice Prehabilitation Spinal Fusion/rehabilitation Netherlands/epidemiology rehabilitation 03 medical and health sciences Preoperative Care medicine Cross-Sectional Studies/methods Humans In patient Postoperative Care Sweden Surgeons business.industry surgeon opinions Surgery PREHABILITATION Cross-Sectional Studies Spinal Fusion Sweden/epidemiology Preoperative Care/rehabilitation Physical therapy chronic low back pain RANDOMIZED-CONTROLLED-TRIAL EXPERIENCE Neurology (clinical) business lumbar spinal fusion 030217 neurology & neurosurgery Lumbar spinal fusion |
| Zdroj: | Spine, 43(10), 713-719. LIPPINCOTT WILLIAMS & WILKINS |
| ISSN: | 0362-2436 |
| Popis: | Study Design. A cross-sectional survey in the Netherlands and Sweden.Objective. To investigate Dutch and Swedish spinal surgeons' opinions on spinal fusion pre- and postoperative rehabilitation.Summary of Background Data. Lumbar spinal fusion surgery is increasingly provided in patients with chronic low back pain. No guidelines however exist for pre-and postoperative rehabilitation and it is unknown what opinions spinal surgeons currently have about pre-and postoperative rehabilitation.Methods. A survey was circulated to Dutch and Swedish spinal surgeons. Reminders were sent after 4 and 8/9 weeks. Data of completed questionnaires of orthopedic-and neurosurgeons currently performing lumbar spinal fusion were included for analysis. Analysis comprised a range of descriptive summaries (numerical, graphical, and tabular).Results. Surveys of 34 Dutch and 48 Swedish surgeons were analyzed. Surgeons provided preoperative information on postoperative mobilization. Spinal fusion techniques varied, but technique did not influence postoperative treatment. Swedish surgeons recommended slightly faster mobilization than Dutch (direct vs. 1-day postoperative), and more activities the first day (sitting, standing, walking). Stair climbing was the most reported discharge criterion; however, time point to start varied. More Swedish surgeons referred to postoperative physiotherapy than Dutch (88% vs. 44%). Time-point to start home activities varied from 1 week to more than 6 months. Pain increase was allowed for less than 24 hours (The Netherlands 81%, Sweden 92%).Conclusion. Findings reflect variability in lumbar spinal fusion rehabilitation in two European countries, especially in postoperative phase. The study proposes many new research topics and acts as starting point for future research valuable for the spinal community. |
| Databáze: | OpenAIRE |
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