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Early rehabilitatio...
Early rehabilitation targeting cognition, behaviour and motor function after lumbar fusion: A randomised controlled trial
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- Abbott, Allan (författare)
- Karolinska Institute, Stockholm, Sweden
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- Tynni-Lenné, Raija (författare)
- Karolinska Institute, Stockholm, Sweden
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- Hedlund, Rune (författare)
- Gothenburg University, Gothenburg, Sweden
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(creator_code:org_t)
- 2010
- 2010
- Engelska.
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Ingår i: Abstracts. ; , s. 186-186
- Relaterad länk:
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http://www.ortopedi....
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Study Design: Open label randomised controlled trial with 3, 6, 12 month and 2-3 year follow-up.Objective. To investigate the effectiveness of a psychomotor therapy focusing on cognition, behaviour and motor relearning compared to exercise therapy applied during the first 3 months after lumbar fusion.Methods: The study recruited 107 patients, aged 18 to 65 years, selected for lumbar fusion due to 12 months of symptomatic spinal stenosis, degenerative/isthmic spondylolisthesis or degenerative disc disease. The exercise therapy group received a home program focusing on pain contingent training of back, abdominal and leg muscle functional strength and endurance, stretching and cardiovascular fitness. The psychomotor therapy group received a home program and 3 outpatient sessions focusing on modifying maladaptive pain cognitions, behaviours and motor control. Patient-rated questionnaires investigating functional disability, pain, health related quality of life, functional self-efficacy, outcome expectancy, fear of movement/(re)injury and copingwere assessed at baseline, 3, 6, 12 months and 2-3 years after surgery.Results: Follow-up rates were 93% at 12 months and 81% at 2-3 years after surgery. Psychomotor therapy improved functional disability, self-efficacy, outcome expectancy and fear of movement/(re)injury significantly more than exercise therapy at respective follow-up occasions. Similar results occurred for pain coping but group differences were non-significant at 2-3 year follow-up.Conclusions: The study shows that post-operative rehabilitation can be effectively implemented during the first 3 months after lumbar fusion and should include measures to modify psychological aswell as motor functions.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Publikations- och innehållstyp
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