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Mobilization following lumbar discectomy: a comparison of two methods of bed transfer
Palmer M
Physiotherapy Canada 1989 May-Jun;41(3):146-153
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

This study compared 2 methods of transfer into and out of bed, commonly used in the mobilization of post neurosurgical lumbar discectomy patients. Sixty-six patients were randomly assigned to either the prone or side-lying to sitting transfer method prior to surgery. Measurements were taken preoperatively and up to 6 days postoperatively, and included: the amount of assistance required to transfer; degree of pain during transfer; and daily analgesic intake. The level of functional ability was also recorded preoperatively and at 3 months follow-up, using the Oswestry Low Back Pam Disability questionnaire. No clinically significant differences were found between the groups in any of the outcome measures. However, all subjects demonstrated a statistically significant functional improvement at follow-up, regardless of the transfer method used during hospitalization. Limitations of the study are described and further transfer studies in both normal subjects -and post lumbar discectomy patients are recommended.

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