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Rehabilitation after lumbar disc surgery

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Presentation on theme: "Rehabilitation after lumbar disc surgery"— Presentation transcript:

1 Rehabilitation after lumbar disc surgery
Oosterhuis et al (2014) This document is licensed under a Creative Commons Attribution NonCommercialNoDerivatives 4.0 International License: 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

2 Rehabilitation after lumbar disc surgery Oosterhuis et al (2014)
Overview of the study Objectives To determine whether active rehabilitation after lumbar disc surgery is more effective than no treatment and to describe which type of active rehabilitation is most effective Methods Evidence current up to 1 May 2013 Participants: Adults (18 and 65 years) who had lumbar disc surgery due to lumbar disc prolapse Interventions: Active rehabilitation after lumbar surgery including exercise therapy, strength and mobility training, physiotherapy, and multidisciplinary programs Outcomes: Primary: Pain, global measure of improvement, back pain-specific functional status, return-to-work Secondary: Physical examination, behavioural outcomes, generic functional status

3 High intensity exercise programs
Rehabilitation after lumbar disc surgery Oosterhuis et al (2014) 22 trials (2503 participants) Results & Conclusions Interventions Evidence Quality of evidence Rehabilitation No better than control for function at short term Very low No differences between intensive and less active program for global perceived effect at short term, but resulted in earlier return to work Exercises More effective than no treatment for pain at short-term More effective for function at short-term but no difference at long-term Low High intensity exercise programs More effective than low intensity exercise programs for pain at short term More effective for function at short term Adverse events: Some events were reported but they did not increase the reoperation rate The effectiveness of rehabilitation after lumbar disc surgery is unclear. Exercise programs seem to be more effective when started 4 to 6 weeks after surgery


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