An intensive, progressive exercise program reduces disability and improves functional performance in patients after single-level lumbar microdiskectomy

Physical Therapy

Volumn 89, Issue 11, 2009, Pages 1145-1157

  Kulig, Kornelia ^a   Beneck, George J ^a,b   Selkowitz, David M ^c   Popovich Jr , John M ^a   Ge, Ting Ting ^d   Flanagan, Sean P ^e   Poppert, Elizabeth M ^a   Yamada, Kimiko A ^a   Powers, Christopher M ^a   Azen, Stan ^f   Winstein, Carolee J ^a   Gordon, James ^a   Samudrala, Srinath ^g   Chen, Thomas C ^f   Shamie, Arya Nick ^h   Khoo, Larry T ^h   Spoonamore, Mark J ^f   Wang, Jeffrey C ^h   Brown, David A ⁱ   Mulroy, Sara ^j   Kemp, Bryan ^j   Knutson, Loretta M ^k   Fowler, Eileen G ^l   DeMuth, Sharon K ^a   Sullivan, Katherine J ^a   more..

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b CALIFORNIA STATE UNIVERSITY   (United States)

^c WESTERN UNIVERSITY OF HEALTH SCIENCES   (United States)

^d JOHNSON AND JOHNSON PHARMACEUTICAL RESEARCH AND DEVELOPMENT   (United States)

^e CALIFORNIA STATE UNIVERSITY   (United States)

^f UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^g CEDARS SINAI MEDICAL CENTER   (United States)

^h Santa Monica UCLA Medical Center   (United States)

ⁱ NORTHWESTERN UNIVERSITY   (United States)

^j RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER   (United States)

^k UNIVERSITY OF INDIANAPOLIS   (United States)

^l UNIVERSITY OF CALIFORNIA   (United States)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BACK; CONTROLLED STUDY; DISABILITY; EDUCATION; ENDURANCE; EXERCISE; FEMALE; HEALTH PROGRAM; HUMAN; INTERVERTEBRAL DISKECTOMY; KINESIOTHERAPY; MAJOR CLINICAL STUDY; MALE; MOTOR PERFORMANCE; OSWESTRY DISABILITY INDEX; OUTPATIENT DEPARTMENT; PHYSICAL ACTIVITY; PHYSIOTHERAPY; POSTOPERATIVE CARE; SCORING SYSTEM; STRENGTH; WALKING;

ADOLESCENT; ADULT; ANALYSIS OF VARIANCE; DISABILITY EVALUATION; DISKECTOMY; EXERCISE THERAPY; FEMALE; HUMANS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; PATIENT EDUCATION AS TOPIC; PROSPECTIVE STUDIES; RECOVERY OF FUNCTION; TREATMENT OUTCOME;

EID: 70449674528     PISSN: 00319023     EISSN: None     Source Type: Journal    
DOI: 10.2522/ptj.20080052     Document Type: Article

References (41)

1. Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354: 581-585.
2. Asch HL, Lewis PJ, Moreland DB, et al. Prospective multiple outcomes study of outpatient lumbar microdiscectomy: should 75% to 80% success rates be the norm? J Neurosurg. 2002;96:54-144
3. Davis GW, Onik G. Clinical experience with automated percutaneous lumbar discectomy. Clin Orthop Relat Res. 1989; (238):98-103. (Pubitemid 19044786)
4. Findlay GF, Hall BI, Musa BS, et al. A 10-year follow-up of the outcome of lumbar microdiscectomy. Spine. 1998;23: 1168-1171. (Pubitemid 28272140)
5. Goldstein TB, Mink JH, Dawson EG. Early experience with automated percutaneous lumbar discectomy in the treatment of lumbar disc herniation. Clin Orthop Relat Res. 1989;(238):77-82.
6. Maroon JC, Onik G, Sternau L. Percutaneous automated discectomy: a new approach to lumbar surgery. Clin Orthop Relat Res. 1989;(238):64-70. (Pubitemid 19044781)
7. Loupasis GA, Stamos K, Katonis PG, et al. Seven- to 20-year outcome of lumbar discectomy. Spine. 1999;24:2313-2317.
8. Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical vs nonoperative treatment for lumbar disk herniation-the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA. 2006;296: 2441-2450. (Pubitemid 44791200)
9. Osterman H, Seitsalo S, Karppinen J, Malmivaara A. Effectiveness of microdiscectomy for lumbar disc herniation: a randomized controlled trial with 2 years of follow-up. Spine. 2006;31:2409-2414. (Pubitemid 44527020)
10. Barker KL, Shamley DR, Jackson D. Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain: the relationship to pain and disability. Spine. 2004;29:E515-E519.
11. Mayer TG, Mooney V, Gatchel RJ, et al. Quantifying postoperative deficits of physical function following spinal surgery. Clin Orthop Relat Res. 1989;(244):147-157. (Pubitemid 19194145)
12. Dedering A, Harms-Ringdahl K, Nemeth G. Back extensor muscle fatigue in patients with lumbar disc herniation: pre-operative and post-operative analysis of electromyography, endurance time and subjective factors. Eur Spine J. 2006;15:559-569. (Pubitemid 43747528)
13. Rantanen J, Hurme M, Falck B, et al. The lumbar multifidus muscle five years after surgery for a lumbar intervertebral disc herniation. Spine. 1993;18:568-574. (Pubitemid 23125025)
14. Yoshihara K, Nakayama Y, Fujii N, et al. Atrophy of the multifidus muscle in patients with lumbar disk herniation: histochemical and electromyographic study. Orthopedics. 2003;26:493-495.
15. Dolan P, Adams MA. Repetitive lifting tasks fatigue the back muscles and increase the bending moment acting on the lumbar spine. J Biomech. 1998;31: 713-721. (Pubitemid 28472854)
16. Sihvonen T, Herno A, Paljarvi L, et al. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine. 1993;18:575-581. (Pubitemid 23125026)
17. Donaldson BL, Shipton EA, Inglis G, et al. Comparison of usual surgical advice versus a nonaggravating six-month gym-based exercise rehabilitation program post-lumbar discectomy: results at one-year follow-up. Spine J. 2006;6:357-363. (Pubitemid 43977197)
18. Choi G, Raiturker PP, Kim MJ, et al. The effect of early isolated lumbar extension exercise program for patients with herniated disc undergoing lumbar discectomy. Neurosurgery. 2005;57:764-772; discussion 764-772.
19. Dolan P, Greenfield K, Nelson RJ, Nelson IW. Can exercise therapy improve the outcome of microdiscectomy? Spine. 2000; 25:1523-1532.
20. Danielsen JM, Johnsen R, Kibsgaard SK, Hellevik E. Early aggressive exercise for postoperative rehabilitation after discectomy. Spine. 2000;25:1015-1020. (Pubitemid 30235862)
21. Yilmaz F, Yilmaz A, Merdol F, et al. Efficacy of dynamic lumbar stabilization exercise in lumbar microdiscectomy. J Rehabil Med. 2003;35:163-167. (Pubitemid 36849567)
22. Manniche C, Skall HF, Braendholt L, et al. Clinical trial of postoperative dynamic back exercises after first lumbar discectomy. Spine. 1993;18:92-97. (Pubitemid 23060501)
23. Johannsen F, Remvig L, Kryger P, et al. Supervised endurance exercise training compared to home training after first lumbar diskectomy: a clinical trial. Clin Exp Rheumatol. 1994;12:609-614.
24. Kjellby-Wendt G, Styf J, Carlsson SG. Early active rehabilitation after surgery for lumbar disc herniation: a prospective, randomized study of psychometric assessment in 50 patients. Acta Orthop Scand. 2001;72:518-524. (Pubitemid 33043593)
25. Brennan GP, Shultz BB, Hood RS, et al. The effects of aerobic exercise after lumbar microdiscectomy. Spine. 1994;19:735-739. (Pubitemid 24111351)
26. Selkowitz DM, Kulig K, Poppert EM, et al. The immediate and long-term effects of exercise and patient education on physical, functional, and quality-of-life outcome measures after single-level lumbar microdiscectomy: a randomized controlled trial protocol. BMC Musculoskelet Disord. 2006;7:70. (Pubitemid 44553827)
27. Physical Therapy Clinical Research network (PTClinResNet). Available at: http://pt.use.edu/clinresnet/.
28. Rhea MR, Alvar BA, Burkett LN, Ball SD. A meta-analysis to determine the dose response for strength development. Med Sci Sports Exerc. 2003;35:456-464.
29. Biering-Sorensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine. 1984;9:106-119. (Pubitemid 14106010)
30. Flanagan SP, Kulig K. Assessing musculoskeletal performance of the back extensors following a single-level microdiscectomy. J Orthop Sports Phys Ther. 2007;37: 356-363.
31. Kraemer WJ, Adams K, Cafarelli E, et al. American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Med Sci Sports Exerc. 2002;34:364-380.
32. Willardson JM. A brief review: factors affecting the length of the rest interval between resistance exercise sets. J Strength Cond Res. 2006;20:978-984.
33. Fritz JM, Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale. Phys Ther. 2001;81:776-788.
34. Harding VR, Williams AC, Richardson PH, et al. The development of a battery of measures for assessing physical functioning of chronic pain patients. Pain. 1994;58:367-375.
35. Simmonds MJ, Olson SL, Jones S, et al. Psychometric characteristics and clinical usefulness of physical performance tests in patients with low back pain. Spine. 1998; 23:2412-2421. (Pubitemid 28536062)
36. Portney LG, Watkins MP. Foundations of Clinical Research: Applications to Practice. Englewood Cliffs, NJ: Prentice-Hall; 2000.
37. Ostelo RW, de Vet HC. Clinically important outcomes in low back pain. Best Pract Res Clin Rheumatol. 2005;19:593-607.
38. Ostelo RW, de Vet HC, Waddell G, et al. Rehabilitation after lumbar disc surgery. Cochrane Database Syst Rev. 2002;4: CD003007.
39. Niemisto L, Rissanen P, Sarna S, et al. Cost-effectiveness of combined manipulation, stabilizing exercises, and physician consultation compared to physician consultation alone for chronic low back pain: a prospective randomized trial with 2-year follow-up. Spine. 2005;30:1109-1115. (Pubitemid 40695918)
40. Frost H, Lamb SE, Doll HA, et al. Randomised controlled trial of physiotherapy compared with advice for low back pain. BMJ. 2004;329:708. (Pubitemid 39312692)
41. Pengel LH, Refshauge KM, Maher CG, et al. Physiotherapist-directed exercise, advice, or both for subacute low back pain: a randomized trial. Ann Intern Med. 2007;146:787-796. (Pubitemid 351650499)