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dc.contributor.authorTarnanen, Sami
dc.contributor.authorNeva, Marko H
dc.contributor.authorDekker, Joost
dc.contributor.authorHäkkinen, Keijo
dc.contributor.authorVihtonen, Kimmo
dc.contributor.authorPekkanen, Liisa
dc.contributor.authorHäkkinen, Arja
dc.identifier.citationTarnanen, 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
dc.description.abstractAbstract 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 Identifier NCT00834015
dc.publisherBioMed Central (BMC)
dc.relation.ispartofseriesBMC Musculoskeletal Disorders
dc.subject.otherselän jäykistysleikkausfi
dc.subject.otherterapeuttinen harjoittelufi
dc.subject.othersatunnaistettu kontrolloitu tutkimusfi
dc.titleRandomized controlled trial of postoperative exercise rehabilitation program after lumbar spine fusion: study protocol
dc.contributor.laitosLiikuntabiologian laitosfi
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Biology of Physical Activityen
dc.contributor.laitosDepartment of Health Sciencesen
dc.rights.holderSami Tarnanen et al.; licensee BioMed Central Ltd.
dc.type.coarjournal article
dc.rights.copyright© 2012 Tarnanen et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Except where otherwise noted, this item's license is described as Sami Tarnanen et al.; licensee BioMed Central Ltd.