PROSPECTIVE CONTROLLED STUDY OF SPINAL SURGERY VERSUS PHYSICAL CAPACITY

Autor: Vam Charly Pereira Araújo Almeida, Hector Figueiredo Felix, Fernanda Andrea Minutti Navarro, Ana Fatima Salles, Carolinne Nascimento de Oliveira, Luiz Claudio Lacerda Rodrigues
Jazyk: English<br />Portuguese
Rok vydání: 2023
Předmět:
Zdroj: Acta Ortopédica Brasileira, Vol 31, Iss spe1 (2023)
Druh dokumentu: article
ISSN: 1413-7852
DOI: 10.1590/1413-785220233101e259011
Popis: ABSTRACT Objectives: Assess whether the spine surgical approach for degenerative diseases can influence the physical capacity of patients and its correlation with cardiorespiratory function. Methods: A prospective study was conducted on 9 patients of both genders, aged between eighteen and sixty, scheduled for spinal surgery for degenerative disease in the lumbar segment. Patients underwent treadmill stress test two times, fifteen days before and sixty days after the surgery. A cardiologist performed the test according to the Bruce protocol with a progressive increase in incline and speed. Results: There were no statistically significant differences between pre- and postoperative assessments for the parameters evaluated in the treadmill stress test. Forty-four percent of patients needed to interrupt the test postoperatively due to dyspnea (p=0.023). Conclusion: The improvement obtained with spinal surgery does not have statistically significant relevance in tiredness, pain, and fatigue in the lower limbs and low back pain. Some patients could not complete the examination after surgery due to poor physical conditioning, and it was necessary to interrupt the examination due to dyspnea. Level of Evidence II; Lesser quality RCT (eg, < 80% followup, no blinding, or improper randomization).
Databáze: Directory of Open Access Journals