The effect of graded activity and pain education after lumbar spinal fusion on sedentary behavior 3 and 12 months postsurgery: A randomized controlled trial

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Tegner, Heidi (författare)

The effect of graded activity and pain education after lumbar spinal fusion on sedentary behavior 3 and 12 months postsurgery : A randomized controlled trial

Artikel/kapitelEngelska2024

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2024
2024
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LIBRIS-ID:oai:DiVA.org:shh-5359
https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-5359URI
https://doi.org/10.1016/j.apmr.2024.04.005DOI

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Språk:engelska
Sammanfattning på:engelska

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OBJECTIVES: To examine the effect of an early postsurgical intervention consisting of graded activity and pain education (GAPE) in patients with chronic low back pain (CLBP) undergoing lumbar spinal fusion (LSF) on sedentary behavior, disability, pain, fear of movement, self-efficacy for exercise and health-related quality of life (HRQoL) at 3-, 6-, and 12 months follow-up.DESIGN: A parallel-group, observer-blinded randomized controlled trial.SETTING: Department of Occupational- and Physiotherapy and the Centre for Rheumatology and Spine Diseases, Rigshospitalet, Denmark.PARTICIPANTS: In total, 144 participants undergoing an LSF for CLBP were randomly assigned to an intervention or a control group.INTERVENTIONS: The intervention group received 9 sessions of GAPE, based on principles of operant conditioning.MAIN OUTCOME MEASURES: The primary outcome was reduction in time spent in sedentary behavior, measured by an accelerometer at 3 months. The secondary outcomes were reduction in time spent in sedentary behavior at 12 months and changes from baseline to 3-, 6-, and 12 months on disability, pain, fear of movement, self-efficacy for exercise, and HRQoL.RESULTS: No difference in changes in sedentary behavior between groups was found 3 months after surgery. At 12 months after surgery, there was a significant difference between groups (mean difference: -25.4 min/d (95% confidence interval -49.1 to -1.7)) in favor of the intervention group.CONCLUSIONS: Compared with usual care, GAPE had no effect on short-term changes in sedentary behavior but GAPE had a statistical, but possibly not clinical significant effect on sedentary behavior 12 months after LSF. Further, the behavioral intervention was safe to perform.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
General surgery
Low back pain
Physical activity
Rehabilitation

Biuppslag (personer, institutioner, konferenser, titlar ...)

Rolving, Nanna (författare)
Henriksen, Marius (författare)
Bech-Azeddine, Rachid (författare)
Lundberg, MariSophiahemmet Högskola (författare)
Esbensen, Bente Appel (författare)
Sophiahemmet Högskola (creator_code:org_t)

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Ingår i:Archives of Physical Medicine and Rehabilitation0003-99931532-821X

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Av författaren/redakt...: Tegner, Heidi; Rolving, Nanna; Henriksen, Mariu ...; Bech-Azeddine, R ...; Lundberg, Mari; Esbensen, Bente ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

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Av lärosätet: Sophiahemmet Högskola

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