Randomized controlled trial of postoperative exercise rehabilitation program after lumbar spine fusion: study protocol

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dc.contributor.author Tarnanen, Sami
dc.contributor.author Neva, Marko H
dc.contributor.author Dekker, Joost
dc.contributor.author Häkkinen, Keijo
dc.contributor.author Vihtonen, Kimmo
dc.contributor.author Pekkanen, Liisa
dc.contributor.author Häkkinen, Arja
dc.date.accessioned 2012-11-16T09:05:14Z
dc.date.available 2012-11-16T09:05:14Z
dc.date.issued 2012
dc.identifier.citation Tarnanen, S., Neva, M., Dekker, J., Vihtonen, K., Pekkanen, L., Häkkinen, K., & Häkkinen, A. (2012). Randomized controlled trial of postoperative exercise rehabilitation program after lumbar spine fusion: study protocol. BMC Musculoskeletal Disorders, 13 (123). doi:doi:10.1186/1471-2474-13-123 Retrieved from http://www.biomedcentral.com/content/pdf/1471-2474-13-123.pdf
dc.identifier.issn 1471-2474
dc.identifier.uri http://dx.doi.org/10.1186/1471-2474-13-123
dc.identifier.uri http://hdl.handle.net/123456789/40344
dc.description.abstract Abstract Background Lumbar spine fusion (LSF) effectively decreases pain and disability in specific spinal disorders; however, the disability rate following surgery remains high. This, combined with the fact that in Western countries the number of LSF surgeries is increasing rapidly it is important to develop rehabilitation interventions that improve outcomes. Methods/design In the present RCT-study we aim to assess the effectiveness of a combined back-specific and aerobic exercise intervention for patients after LSF surgery. One hundred patients will be randomly allocated to a 12-month exercise intervention arm or a usual care arm. The exercise intervention will start three months after surgery and consist of six individual guidance sessions with a physiotherapist and a home-based exercise program. The primary outcome measures are low back pain, lower extremity pain, disability and quality of life. Secondary outcomes are back function and kinesiophobia. Exercise adherence will also be evaluated. The outcome measurements will be assessed at baseline (3 months postoperatively), at the end of the exercise intervention period (15 months postoperatively), and after a 1-year follow-up. Discussion The present RCT will evaluate the effectiveness of a long-term rehabilitation program after LSF. To our knowledge this will be the first study to evaluate a combination of strength training, control of the neutral lumbar spine position and aerobic training principles in rehabilitation after LSF. Trial registration ClinicalTrials.gov Identifier NCT00834015
dc.language.iso eng
dc.publisher BioMed Central (BMC)
dc.relation.ispartofseries BMC Musculoskeletal Disorders
dc.rights © 2012 Tarnanen et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.uri http://creativecommons.org/licenses/by/2.0
dc.subject.other selän jäykistysleikkaus fi
dc.subject.other terapeuttinen harjoittelu fi
dc.subject.other satunnaistettu kontrolloitu tutkimus fi
dc.subject.other toimintakyky fi
dc.subject.other elämänlaatu fi
dc.title Randomized controlled trial of postoperative exercise rehabilitation program after lumbar spine fusion: study protocol
dc.type Article en
dc.subject.kota 314
dc.contributor.laitos Liikuntabiologian laitos fi
dc.contributor.laitos Terveystieteiden laitos fi
dc.contributor.laitos Department of Biology of Physical Activity en
dc.contributor.laitos Department of Health Sciences en
dc.type.uri http://purl.org/eprint/type/JournalArticle
dc.identifier.doi 10.1186/1471-2474-13-123
dc.identifier.doi
dc.date.updated 2012-11-13T08:29:27Z
dc.description.version Published version
eprint.status http://purl.org/eprint/type/status/PeerReviewed
dc.rights.holder Sami Tarnanen et al.; licensee BioMed Central Ltd.

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