Rehabilitation following surgery for lumbar spinal stenosis McGregor et al (2013) This document is licensed under a Creative Commons Attribution NonCommercialNoDerivatives 4.0 International License: http://creativecommons.org/licenses/by-nc-nd/4.0/ That means this document can be used and shared as long as IWH is credited as the source, the contents are not modified, and the contents are used for non-commercial purposes. If you wish to modify and/or use the contents for commercial purposes, please contact ip@iwh.on.ca.
Rehabilitation following surgery for lumbar spinal stenosis Rehabilitation following surgery for lumbar spinal stenosis McGregor et al (2013) Overview of the study Objectives To determine whether active rehabilitation programs following primary surgery for lumbar spinal stenosis have an impact on functional outcomes and whether such programs are superior to 'usual postoperative care‘ Methods Evidence current up to 1 March 2013 Participants: Adults (over 18 years old) who had spinal decompression surgery for central or lateral stenosis at single or multiple levels Interventions: Active rehabilitation after surgery Outcomes Primary: Function and quality of life Secondary: Pain severity, global improvement/overall health
Active rehabilitation Rehabilitation following surgery for lumbar spinal stenosis McGregor et al (2013) 3 trials (123 participants) Results & Conclusions Intervention Evidence Quality of evidence Active rehabilitation More effective than usual care for pain and function at short- term Moderate No more effective than usual care for leg pain at short term Low No additional benefit in general health status compared to usual care at short term No more effective than usual care for function or general health at long-term follow-up Low-Moderate More effective than usual care for leg pain at long-term Adverse events: not an outcome in this review Evidence suggests that active rehabilitation is more effective than usual care in improving both short- and long-term (back-related) functional status