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dc.contributor.authorIlves, Outi
dc.contributor.authorHäkkinen, Arja
dc.contributor.authorDekker, Joost
dc.contributor.authorWahlman, Marko
dc.contributor.authorTarnanen, Sami
dc.contributor.authorPekkanen, Liisa
dc.contributor.authorYlinen, Jari
dc.contributor.authorKautiainen, Hannu
dc.contributor.authorNeva, Marko
dc.date.accessioned2017-11-22T10:11:13Z
dc.date.available2017-11-22T10:11:13Z
dc.date.issued2017
dc.identifier.citationIlves, 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. <em>Journal of Rehabilitation Medicine</em>, 49 (9), 751-757. <a href="https://doi.org/10.2340/16501977-2268">doi:10.2340/16501977-2268</a>
dc.identifier.otherTUTKAID_74882
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/55977
dc.description.abstractObjective: 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.
dc.language.isoeng
dc.publisherStiftelsen Rehabiliteringsinformation, Foundation for Rehabilitation Information
dc.relation.ispartofseriesJournal of Rehabilitation Medicine
dc.subject.otherselkäsairaudet
dc.subject.otherspondylolyysi
dc.subject.otherkuntoutus
dc.subject.otherliikuntahoito
dc.subject.otherfysioterapia
dc.subject.otherspondylolisthesis
dc.subject.otherspinal fusion
dc.subject.otherphysical therapy modalities
dc.subject.otherexercise therapy
dc.subject.otherlow back pain
dc.titleEffectiveness of postoperative home-exercise compared with usual care on kinesiophobia and physical activity in spondylolisthesis : A randomized controlled trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201711214322
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapia
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2017-11-21T13:15:17Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.format.pagerange751-757
dc.relation.issn1650-1977
dc.relation.volume49
dc.type.versionpublishedVersion
dc.rights.copyright© 2017 Foundation of Rehabilitation Information. This is an open access article under the CC BY-NC license.
dc.rights.accesslevelopenAccessfi
dc.rights.urlhttps://creativecommons.org/licenses/by-nc/4.0/
dc.relation.doi10.2340/16501977-2268


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© 2017 Foundation of Rehabilitation Information. This is an open access article under the CC BY-NC license.
Except where otherwise noted, this item's license is described as © 2017 Foundation of Rehabilitation Information. This is an open access article under the CC BY-NC license.