1. Rehabilitation after lumbar disc surgery
Oosterhuis et al (2014)
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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