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dc.contributor.authorIlves, Outi
dc.contributor.authorHäkkinen, Arja
dc.contributor.authorDekker, Joost
dc.contributor.authorPekkarinen, Liisa
dc.contributor.authorPiitulainen, Kirsi
dc.contributor.authorJärvenpää, Salme
dc.contributor.authorMarttinen, Ilkka
dc.contributor.authorVihtonen, Kimmo
dc.contributor.authorNeva, Marko H.
dc.date.accessioned2017-03-07T10:46:55Z
dc.date.available2017-09-29T21:45:08Z
dc.date.issued2017
dc.identifier.citationIlves, O., Häkkinen, A., Dekker, J., Pekkarinen, L., Piitulainen, K., Järvenpää, S., . . . 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. <em>European Spine Journal</em>, 26 (3), 777-784. <a href="https://doi.org/10.1007/s00586-016-4789-5">doi:10.1007/s00586-016-4789-5</a>
dc.identifier.otherTUTKAID_71315
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/53199
dc.description.abstractPurpose The aim of the study was to investigate the effectiveness of the postoperative 12-month exercise program compared to usual care on disability and health-related quality of life (HRQoL) in patients after lumbar spine fusion surgery (LSF). Methods Altogether, 98 patients with isthmic (31) or degenerative (67) spondylolisthesis were randomised to exercise therapy group (EG) (n = 48) or usual care group (UCG) (n = 50) 3 months after LSF. EG patients had home-based progressive strength and aerobic training program for 12 months. UCG patients received only oral and written instructions of exercises. Oswestry Disability Index (ODI) and HRQoL (RAND-36) were evaluated at the time of randomization, at the end of the intervention and 1 year after intervention. Results The mean ODI score decreased from 24 (12) to 18 (14) in the EG and from 18 (12) to 13 (11) in the UCG during intervention (between-groups p = 0.69). At 1-year follow-up, 25 % of the EG and 28 % of the UCG had an ODI score ≥20. No between-group differences in HRQoL change were found at any time point. The mean (95 % CI) physical functioning dimension of the HRQoL improved by 10.0 (4.6–15.3) in the EG and by 7.8 (2.5–13.0) in the UCG. In addition, the role physical score improved by 20.0 (7.7–32.3) in the EG and by 16.4 (4.4–28.4) in the UCG during the intervention. Conclusions The exercise intervention did not have an impact on disability or HRQoL beyond the improvement achieved by usual care. However, disability remained at least moderate in considerable proportion of patients.
dc.language.isoeng
dc.publisherSpringer; European Spine Society
dc.relation.ispartofseriesEuropean Spine Journal
dc.subject.otherlumbar spine
dc.subject.otherfusion
dc.subject.otherspine surgery
dc.subject.otherphysiotherapy
dc.subject.otherdisability
dc.subject.otherhealth-related quality of life
dc.titleQuality 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
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201703031564
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiaineFysioterapia
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2017-03-03T07:15:05Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.format.pagerange777-784
dc.relation.issn0940-6719
dc.relation.volume26
dc.type.versionacceptedVersion
dc.rights.copyright© 2016 Springer. This is a final draft version of an article whose final and definitive form has been published by Springer. Published in this repository with the kind permission of the publisher.
dc.rights.accesslevelopenAccessfi
dc.relation.doi10.1007/s00586-016-4789-5


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