Efifcacy of early lfexion exercises in lumbar range of motion after lumbar fusion
HU Yuan
HOU Shu-xun
WU Xin-bao
ZHOU Mou-wang
QIN Jiang
SHI Xiu-xiu
TANG Jin-shu
LI Li
ZHU Jia-liang
L Yan-wei
LI Tao
LI Chun-de
WANG Ning-hua
XIE Yu-xiao
LIN Peng
LI Zhong-shi
HAI Yong
ZHAO Hui
XUE Qing-yun
GU Xin
MA Hua-song
LU Ming
MA Yuan-zheng
LI Da-wei
Abstract：Objective To evaluate the efifcacy of early lfexion exercises in lumbar range of motion in patients with lumbar internal ifxation and fusion. Methods From September 2013 to June 2014, 66 patients after posterior single segmental lumbar interbody fusion were enrolled in this study. The patients were randomly allocated into the experimental group (n= 33, 19 males, 14 females ) with the average age of ( 41.21 ± 9.95 ) years ( range: 22 - 58 years ) and a control group (n= 33, 17 males, 16 females ) with the average age of ( 42.91 ± 8.17 ) years ( range: 29 - 57 years ). Both groups received regular rehabilitation after the surgery. Besides this, patients in the experimental group received lumbar flexion exercises 4 weeks after the surgery. The outcomes were evaluated at 12, 24 and 52 weeks after the surgery by lumbar anterioposterior and lateral X-ray, and hyperextension and hyperlfexion X-ray. CT scan was performed at 18-month follow-up to evaluate the fusion rate.Results At 12-week follow-up, patients in the experimental group ( 20.91 ± 2.58 ) ° had signiifcant improvement in lumbar range of motion (P < 0.01 ) than those in the control group ( 17.33 ± 3.06 ) °. At 24-week follow-up, patients in the experimental group ( 24.73 ± 3.23 ) ° had signiifcant improvement in lumbar range of motion (P < 0.01 ) than those in the control group ( 19.09 ± 3.38 ) °. At 52-week follow-up, patients in the experimental group ( 29.85 ± 3.03 ) ° had signiifcant improvement in lumbar range of motion (P < 0.01 ) than those in the control group ( 20.67 ± 3.34 ) °. At 18-month follow-up, the fusion rate was 100% and no internal ifxator failure ( loosing, dislocation, breakage ) occurred in both groups.Conclusions Early lfexion exercises after single segmental lumbar fusion can signiifcantly promote the restoration of the lumbar range of motion with satisfactory safety.
Keywords：RehabilitationLumbar vertebraeSpinal fusionRange of motionarticular
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 175-178 )