Rehabilitation intervention in team approach reduces pain and improves functional performance in patients after single-level lumbar decompression surgery
LIU Jing-yu
ZHOU Mou-wang
HOU Shu-xun
WU Xin-bao
LI Wei-shi
LA Gao-yan
LI Ling
TANG Jin-shu
ZHU Jia-liang
GUO Xian-feng
L Yan-wei
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 outcomes of different rehabilitation intervention patterns for patients with single-level lumbar decompression surgery ( LDS ) and to put forward a suitable rehabilitation pattern for early postoperative lumbar rehabilitation. Methods A total of 385 cases of lumbar degenerative diseases, including lumbar intervertebral disc herniation ( LDH ), lumbar canal stenosis ( LCS ) and etc., received single-level ( L4-5, L5 - S1 ) LDS in the ifrst time in 9 hospitals in Beijing. All patients were assigned to 2 groups: ( 1 ) the control group: received regular postoperative treatment; ( 2 ) the observation group: received postoperative rehabilitation intervention with team approach. A total of 220 patients were assigned to the control group, while 165 patients were in the observation group. There were 191 male patients and 194 female patients. The age of the patients ranged from 18 years old to 84 years old. The mean age was 50.1 years old. Visual analogue scale ( VAS ) was assessed before the surgery, 3 -5 days postoperatively, 12 weeks ± 7 days postoperatively and 24 weeks ± 7 days postoperatively. Modiifed Oswestry Disability Index ( ODI ), and Japanese Orthopedic Association Scores ( JOA ) were assessed before the surgery, 12 weeks ± 7 days postoperatively and 24 weeks ± 7 days postoperatively.Results There was no significant differences in general demographic information, operation situation, VAS and ODI in the two groups preoperatively (P > 0.05 ). The VAS of the observation group 3 - 5 days, 12 weeks ± 7 days and 24 weeks ± 7 days after surgery were ( 3.0 ± 1.9 ) points, ( 1.5 ± 1.3 ) points and ( 0.9 ± 1.2 ) points, showing signiifcant pain relief compared to the VAS in the control group ( 3.5 ± 2.1 ) points, ( 2.0 ± 1.8 ) points and ( 1.3 ± 1.5 ) points with statistical signiifcance (P < 0.05 ). The modiifed ODI scores of the observation group 12 weeks ± 7 days and 24 weeks ± 7 days after the surgery were ( 17.7 ± 14.7 ) and ( 8.1 ± 10.5 ) points, which were signiifcantly lower than the control group ( 22.1 ± 17.5 ) and ( 13.6 ± 13.8 ) points with statistical signiifcance (P< 0.05 ). 12 weeks ± 7 days and 24 weeks ± 7 days after the surgery, JOA improvement rates in the observation group were ( 65.2 ± 26.6 ) % and ( 81.8 ± 20.9 ) %, which were signiifcantly higher than the control group ( 59.50 ± 27.52 ) % and ( 74.46 ± 23.23 ) % with statistical signiifcance (P< 0.05 ). Conclusions Rehabilitation intervention in team approach relieves the pain and improves functions after the lumbar decompression surgery, which is suitable for the early postoperative lumbar disease rehabilitation.
Keywords：Lumbar vertebraeDecompressionsurgicalSpinal fusionRehabilitationMulticenter studyProspective studies
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：5( 183-187 )