Trunk Muscle Strength After Lumbar Spine Fusion : A 12-Month Follow-up
Ilves, O., Neva, M. H., Häkkinen, K., Dekker, J., Kraemer, W. J., Tarnanen, S., Kyrölä, K. K., Ylinen, J., Piitulainen, K., Järvenpää, S., Kaistila, T., & Häkkinen, A. (2019). Trunk Muscle Strength After Lumbar Spine Fusion : A 12-Month Follow-up. Neurospine, 16(2), 8-14. https://doi.org/10.14245/ns.1836136.068
DisciplineFysioterapiaValmennus- ja testausoppiPhysiotherapyScience of Sport Coaching and Fitness Testing
© 2019 by the Korean Spinal Neurosurgery Society.
Objective: The aim of this study was to investigate changes in trunk muscle strength 12 months after lumbar spine fusion (LSF) compared to preoperative strength. Methods: A total of 194 patients (mean ± standard deviation [SD] age, 61 ± 21 years) who underwent LSF participated in this prospective longitudinal study. Physical measurements of the participants were made before surgery and 12 months postoperatively. Isometric trunk extension and flexion strength was measured using a strain-gauge dynamometer in the standing position. Strength changes were calculated. Regression analysis was performed to explore which factors predicted strength levels at 12 months postoperatively. Results: The preoperative mean ± SD extension strength was 205 ± 144 N, which increased to 258 ± 142 N (p < 0.001) at the 12-month follow-up. Flexion strength increased from 295 ± 172 N to 364 ± 164 N (p < 0.001). The preoperative extension/flexion strength ratio was 0.75 ± 0.38 and remained similar (0.73 ± 0.26) at 12 months postoperatively (p = 0.39). Conclusion: Although trunk muscle strength increased by 26% for extension and 23% for flexion at the 12-month postoperative follow-up, both values remained objectively low. In addition, flexion strength remained higher than extension strength, which indicates an imbalance between those muscle groups. Age, severe back pain, and low trunk muscle strength before surgery predicted low trunk muscle strength at 1 year after spinal fusion. ...
PublisherKorean Spinal Neurosurgery Society
ISSN Search the Publication Forum2586-6583
Publication in research information system
MetadataShow full item record
- Liikuntatieteiden tiedekunta 
Showing items with similar title or keywords.
Postoperative Sagittal Balance has Only a Limited Role in the Development of Adjacent Segment Disease after Lumbar Spine Fusion for Degenerative Lumbar Spine Disorders : A Subanalysis of the 10-year Follow-up Study Toivonen, Leevi A.; Mäntymäki, Heikki; Häkkinen, Arja; Kautiainen, Hannu; Neva, Marko H. (Lippincott Williams & Wilkins, 2022)Study Design. Retrospective Additional Analysis of a Prospective Follow-up Study. Objectives. We aimed to find out whether poor postoperative sagittal alignment increases revisions for adjacent segment disease (ASD) ...
Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients : A 5-Year Follow-Up and Comparison With a Population Sample Toivonen, Leevi; Pekkanen, Liisa; Neva, Marko H.; Kautiainen, Hannu; Kyrölä, Kati; Marttinen, Ilkka; Häkkinen, Arja (SAGE Publications, 2022)Study Design: Prospective follow-up study. Objectives: We aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality of life and mortality in a 5-year follow-up, and to compare these ...
Isthmic Spondylolisthesis is Associated With Less Revisions for Adjacent Segment Disease After Lumbar Spine Fusion Than Degenerative Spinal Conditions : A 10-Year Follow-Up Study Toivonen, Leevi A.; Mäntymäki, Heikki; Häkkinen, Arja; Kautiainen, Hannu; Neva, Marko H. (Lippincott Williams & Wilkins, 2022)Objective: We aim to compare the rate of revisions for adjacent segment disease (ASD) after lumbar spine fusion (LSF) surgery between patients with isthmic spondylolisthesis (IS) and degenerative lumbar spine disorders ...
Effectiveness of a 12-month home-based exercise program on trunk muscle strength and spine function after lumbar spine fusion surgery : a randomized controlled trial Ilves, Outi; Neva, Marko H.; Häkkinen, Keijo; Dekker, Joost; Järvenpää, Salme; Kyrölä, Kati; Häkkinen, Arja (Taylor & Francis, 2022)Purpose: The effectiveness of a 12-month home-exercise program on trunk muscle strength after lumbar spine fusion surgery was evaluated. Materials and methods: Three months postoperatively, 98 patients were randomized ...
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 Ilves, Outi; Häkkinen, Arja; Dekker, Joost; Pekkarinen, Liisa; Piitulainen, Kirsi; Järvenpää, Salme; Marttinen, Ilkka; Vihtonen, Kimmo; Neva, Marko H. (Springer; European Spine Society, 2017)Purpose 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 ...