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The effectiveness of exercise programmes after lumbar disc surgery: a randomized controlled study [with consumer summary] |
Filiz M, Cakmak A, Ozcan E |
Clinical Rehabilitation 2005 Jan;19(1):4-11 |
clinical trial |
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: To compare two different exercise programmes versus a control group, after lumbar disc surgery. DESIGN: A prospective, single-blind, randomized controlled study. SETTING: Outpatient clinic of Istanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation. SUBJECTS: Sixty patients diagnosed as having single level lumbar disc herniation with clinical examination and MRI evaluation and who had undergone lumbar discectomy (post-operative first month) at a single level. Patients with serious pathologies involving the cardiac and respiratory systems that could prevent them from doing exercises were excluded. INTERVENTION: The patients were randomly split into three groups. The first group received an intensive exercise programme and back school education while the second group received a home exercise programme and back school education. The third group was defined as the control group and did not receive education or exercise. MAIN MEASURES: The patients were evaluated at the beginning and end of the treatment with clinical parameters, pain levels, endurance tests and weight-lifting tests, modified Oswestry Disability Index, Beck Depression Inventory, Low Back Pain Rating Scale and return to work. RESULTS: The groups doing exercises experienced a decrease in the severity of pain and disability, also functional parameters showed better improvement than the control group. The intensive exercise programme was better than the home exercise programme. CONCLUSIONS: It seems that intensive exercise is more effective in reduction of pain and disability, but whether it is cost-effective is not clear.
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