Benefits of rehabilitation in postoperative lumbar spine surgery and its main intervention strategies: systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35341

Keywords:

Postoperative; Physical therapy; Lumbar spine.

Abstract

Low back pain (LBP) is common and has come to be considered a global health problem, due to the disability it generates. Surgery should be proposed when conservative treatment fails or neurological symptoms progress. Objective: The objective of this research is to describe the main strategies in the rehabilitation of patients submitted to lumbar spine surgery, with or without arthrodesis, for herniated discs, spondylolisthesis or stenosis. In addition, to evaluate the results of these interventions in the parameters pain, function and disability. The review was based on articles indexed in the PubMed and Cochrane Library databases, using the keywords: Postoperative; Physical Therapy; Lumbar Spine. Result: As well as their respective keywords in English: Postoperative; Physiotherapy; lumbar spine. A total of 407 articles were found. After applying the inclusion and exclusion criteria, filters and then making the eligibility by reading the abstracts, the total number of articles included in the study was 8. Conclusion: It is concluded, therefore, that postoperative rehabilitation of lumbar spine surgery is still uncertain. Active rehabilitation through exercises is better than doing nothing, but there is doubt as to whether the type of activity should be specific or general activities. The start of rehabilitation varies from immediately, the day after surgery, to 3 months after surgery. Likewise the length of intervention can last up to 12 months.

References

Christensen, F. B., Stender, H. E., Laursen, M., Thomsen, K. & Bunger, C. E. (2002). Longterm functional outcome of pedicle screw instrumentation as a support for posterolateral spinal fusion: randomized clinical study with a 5-year followup. Spine. 27 (12), 1269–1277. doi: 10.1097/00007632-200206150-00006

Elsayyad, M. M., Abdel-Aal, N. M., Helal, M. E. (2020). Effect of Adding Neural Mobilization Versus Myofascial Release to Stabilization Exercises after Lumbar Spine Fusion: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation,102 (2), 251:260. doi: https://doi.org/10.1016/j.apmr.2020.07.009

Galvão, T. F., Pansani, T. S. A. & Harrad, D. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Revista Epidemiologia e Serviços de Saúde, 24 (2), 335-342. doi: 10.5123/S1679-49742015000200017

Ilves, O., Haäkkinen, A., Dekker, J., Pekkanen, L., Piitulainen, K., Järvenpää, S., Marttinen, I., Vihtonen, K. & Neva, M. H. (2017). Quality of life and disability: can they be improved by active postoperative rehabilitation after spinal fusion surgery in patients with spondylolisthesis? A randomised controlled trial with 12-month follow-up. European Spine Journal. 26 (3), 777-784. doi: 10.1007/s00586-016-4789-5

Ilves, O., Haäkkinen, A., Dekker, J., Wahlman, M., Tarnanen, S., Pekkanen, L., Ylinen, J., Kautiainen, H. & Neva, M. (2017). Effectiveness of postoperative home-exercise compared with usual care on kinesiophobia and physical activity in spondylolisthesis: a randomized controlled trial. Journal of Rehabilitation Medicine, 49 (9), 751-757. doi: 10.2340/16501977-2268

Jentoft, E. S., Kvåle, A., Assmus, J. & Moen, V. P. (2020). Effect of information and exercise programmes after lumbar disc surgery: A randomized controlled trial. Physiotherapy Research International, 25 (4), e1864. doi: https://doi.org/10.1002/ pri.1864

Kernc, D., Strojnik, V. & Vengust, R. (2018). Early initiation of a strength training based rehabilitation after lumbar spine fusion improves core muscle strength: a randomized controlled Trial. Journal of Orthopaedic Surgery and Research, 13 (1), 151-158. doi: https://doi.org/10.1186/s13018-018-0853-7

Lyu, Z., Bai, J., Chen, S., Liu, J. & Yu, W. (2021). Efficacy of lumbar kinetic chain training for staged rehabilitation after percutaneous endoscopic lumbar discectomy. BMC Musculoskeletal Disorders, 22 (1), 793-800. doi: https://doi.org/10.1186/s12891-021-04674-y

Mcgregor, A. H., Burton, A. K., Sell, P. & Waddell, G. (2007). The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and un-instrumented decompression. European Spine Journal, 16 (3), 339-346. doi: 10.1007/s00586-006-0141-9

Ooesterhuis, T., et. al. (2014). Rehabilitation after lumbar disc surgery (Review). Cochrane Data base of Systematic Reviews, 14 (3), 1-105. doi: 10.1002/14651858.CD003007.pub3

Ozkara, G. O., Ozgen, M., Ozkara, E., Armagan, O., Arslantas, A. & Atasoy, M. A. (2015). Effectiveness of physical therapy and rehabilitation programs starting immediately after lumbar disc surgery. Turkish Neurosurgery, 25 (3), 372–379. doi: https://doi.org/10.5137/1019-5149.jtn.8440-13.0

Sharaf, M. A., Rezkallah, S. S., Fouda, K. Z. & Gharib, N. M. M. (2021). Effects of adding neural mobilization to traditional physical therapy on pain, functional disability, and H-reflex in patients after lumbar laminectomy: A randomized controlled Trial. Clinical Rehabilitation, 36 (1), 51-58. doi: 10.1177/02692155211034154

Vialle, L. R., et. al. (2010). Hérnia discal lombar. Revista Brasileira de Ortopedia, 45 (1), 17-22. doi: https://doi.org/10.1590/S0102-36162010000100004

Zhang, R., Zhang, S. J. & Wang, X. J. (2018). Postoperative functional exercise for patients who underwent percutaneous transforaminal endoscopic discectomy for lumbar disc herniation. European Review for Medical and Pharmacological Sciences, 22 (1), 15-22. doi: 10.26355/eurrev_201807_15354

Published

04/10/2022

How to Cite

BARROS, M. V. L.; FEITOSA, M. P. T.; LEITE, M. M. C. do V.; SOUSA, M. C.; FERREIRA, J. A. Q.; BARROS, F. L. Benefits of rehabilitation in postoperative lumbar spine surgery and its main intervention strategies: systematic review. Research, Society and Development, [S. l.], v. 11, n. 13, p. e199111335341, 2022. DOI: 10.33448/rsd-v11i13.35341. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35341. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences