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dc.contributor.authorIlves, Outi
dc.contributor.authorNeva, Marko H.
dc.contributor.authorHäkkinen, Keijo
dc.contributor.authorDekker, Joost
dc.contributor.authorJärvenpää, Salme
dc.contributor.authorKyrölä, Kati
dc.contributor.authorHäkkinen, Arja
dc.date.accessioned2020-11-24T12:07:26Z
dc.date.available2020-11-24T12:07:26Z
dc.date.issued2022
dc.identifier.citationIlves, O., Neva, M. H., Häkkinen, K., Dekker, J., Järvenpää, S., Kyrölä, K., & Häkkinen, A. (2022). 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. <i>Disability and Rehabilitation</i>, <i>44</i>(4), 549-557. <a href="https://doi.org/10.1080/09638288.2020.1772383" target="_blank">https://doi.org/10.1080/09638288.2020.1772383</a>
dc.identifier.otherCONVID_35951591
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/72789
dc.description.abstractPurpose: 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 either to the exercise group (EG), with a progressive 12-month home-based exercise program, or to usual care group (UCG), with one guidance session for light home-exercises. Maximal trunk muscle strength was measured by a strain-gauge dynamometer and trunk extensor endurance was measured by Biering-Sørensen’s test at baseline and after the intervention. Results: The mean change in extension strength during the intervention was 75 N in EG and 58 N in UCG. Flexion strength improved 50 N in UCG and 45 N in EG. Trunk extension/flexion strength ratio changed from 0.90 to 1.02 in EG and from 0.98 to 1.00 in UCG. In EG, Biering-Sørensen’s test improved by 17 s, and in UCG, it improved by 24 s. No statistically significant between-group differences were found in any variables. Median exercise frequency in EG decreased from 2.5x/week during the first two intervention months to 1.7x/week during the last two intervention months. Conclusions: Twelve-month progressive exercise program was equally effective as usual care in improving trunk muscle strength. Home exercise adherence decreased, which may have influenced the strength changes.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherTaylor & Francis
dc.relation.ispartofseriesDisability and Rehabilitation
dc.rightsIn Copyright
dc.subject.otherlumbar spine fusion
dc.subject.otherspine surgery
dc.subject.otherrehabilitation
dc.subject.otherexercise
dc.subject.othermuscle strength
dc.subject.otherphysiotherapy
dc.subject.otherspondylolisthesis
dc.titleEffectiveness of a 12-month home-based exercise program on trunk muscle strength and spine function after lumbar spine fusion surgery : a randomized controlled trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202011246752
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineValmennus- ja testausoppifi
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiaineScience of Sport Coaching and Fitness Testingen
dc.contributor.oppiainePhysiotherapyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange549-557
dc.relation.issn0963-8288
dc.relation.numberinseries4
dc.relation.volume44
dc.type.versionacceptedVersion
dc.rights.copyright© 2020 Taylor & Francis
dc.rights.accesslevelopenAccessfi
dc.subject.ysolääkinnällinen kuntoutus
dc.subject.ysoselkäranka
dc.subject.ysolihaskunto
dc.subject.ysofysioterapia
dc.subject.ysoliikuntahoito
dc.subject.ysospondylolisteesi
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p20475
jyx.subject.urihttp://www.yso.fi/onto/yso/p110
jyx.subject.urihttp://www.yso.fi/onto/yso/p7382
jyx.subject.urihttp://www.yso.fi/onto/yso/p10515
jyx.subject.urihttp://www.yso.fi/onto/yso/p7811
jyx.subject.urihttp://www.yso.fi/onto/yso/p13944
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.relation.doi10.1080/09638288.2020.1772383
jyx.fundinginformationThe study is funded by the Academy of Finland and The Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital and Central Finland Central Hospital.
dc.type.okmA1


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