Effectiveness of postoperative home-exercise compared with usual care on kinesiophobia and physical activity in spondylolisthesis : A randomized controlled trial
Ilves, O., Häkkinen, A., Dekker, J., Wahlman, M., Tarnanen, S., Pekkanen, L., . . . 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
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Journal of Rehabilitation MedicineAuthors
Date
2017Discipline
FysioterapiaCopyright
© 2017 Foundation of Rehabilitation Information. This is an open access article under the CC BY-NC license.
Objective: To study the effectiveness of a 12-month
exercise therapy on kinesiophobia and physical activity
in patients with spondylolisthesis after lumbar
spine fusion.
Design: Randomized controlled trial.
Subjects: Patients (n=98) with spondylolisthesis
who had undergone lumbar spine fusion.
Methods: All patients (mean age 59 years) had received
lumbar spine fusion surgery and identical postoperative
instructions. Three months postoperatively,
they were randomized into an exercise group
(n=48) or usual care group (n=50). The exercise
group received 12-month progressive home-based
training with regular booster sessions, and the usual
care group a single session of physiotherapy instruction.
Kinesiophobia was assessed with the Tampa
Scale for Kinesiophobia (TSK) and physical activity
by the International Physical Activity Questionnaire
(IPAQ) preoperatively, 3 months after lumbar spine
fusion, and at the end of the 12-month intervention.
Results: Before the intervention, the median (first
quartile; third quartile) of TSK was 32.5 (29.0; 37.0)
in the exercise group and 30.0 (25.8; 36.0) in the
usual care group, changing to 30.0 (25; 36) in the
exercise group and to 30.5 (24; 36.3) in the usual
care group (between-group p=0.17). IPAQ metabolic
equivalent minutes per week increased from
1,863 (1,040; 3,042) to 3,190 (1,634; 6,485) in the
exercise group and from 2,569 (1,501; 4,075) to
3,590 (1,634; 6,484) in the usual care group (between-group
p=0.92).
Conclusion: Progressive 12-month home-exercise
starting 3 months postoperatively was not superior
to usual care in decreasing kinesiophobia or increasing
physical activity in spondylolisthesis.
...


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Stiftelsen Rehabiliteringsinformation, Foundation for Rehabilitation InformationISSN Search the Publication Forum
1650-1977Keywords
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