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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Fältnamn	Indikatorer	Metadata
000		03404naa a2200409 4500
001		oai:DiVA.org:shh-5359
003		SwePub
008		240617s2024 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-53592 URI
024	7	a https://doi.org/10.1016/j.apmr.2024.04.0052 DOI
040		a (SwePub)shh
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Tegner, Heidi4 aut
245	1 0	a The effect of graded activity and pain education after lumbar spinal fusion on sedentary behavior 3 and 12 months postsurgery :b A randomized controlled trial
264		c 2024
264	1	c 2024
338		a electronic2 rdacarrier
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Sjukgymnastik0 (SwePub)303072 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Physiotherapy0 (SwePub)303072 hsv//eng
653		a General surgery
653		a Low back pain
653		a Physical activity
653		a Rehabilitation
700	1	a Rolving, Nanna4 aut
700	1	a Henriksen, Marius4 aut
700	1	a Bech-Azeddine, Rachid4 aut
700	1	a Lundberg, Mariu Sophiahemmet Högskola4 aut
700	1	a Esbensen, Bente Appel4 aut
710	2	a Sophiahemmet Högskola4 org
773	0	t Archives of Physical Medicine and Rehabilitationx 0003-9993x 1532-821X
856	4	u https://shh.diva-portal.org/smash/get/diva2:1871406/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-5359
856	4 8	u https://doi.org/10.1016/j.apmr.2024.04.005

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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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