Effectiveness of postoperative home-exercise compared with usual care on kinesiophobia and physical activity in spondylolisthesis: A randomized controlled trial.

Abstract

OBJECTIVE:

To study the effectiveness of a 12-month exercise therapy on kinesiophobia and physical activity in patients with spondylolisthesis after lumbar spine fusion.

DESIGN:

Randomized controlled trial.

SUBJECTS:

Patients (n = 98) with spondylolisthesis who had undergone lumbar spine fusion.

METHODS:

All patients (mean age 59 years) had received lumbar spine fusion surgery and identical postoperative instructions. Three months postoperatively, they were randomized into an exercise group (n = 48) or usual care group (n = 50). The exercise group received 12-month progressive home-based training with regular booster sessions, and the usual care group a single session of physiotherapy instruction. Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK) and physical activity by the International Physical Activity Questionnaire (IPAQ) preoperatively, 3 months after lumbar spine fusion, and at the end of the 12-month intervention.

RESULTS:

Before the intervention, the median (first quartile; third quartile) of TSK was 32.5 (29.0; 37.0) in the exercise group and 30.0 (25.8; 36.0) in the usual care group, changing to 30.0 (25; 36) in the exercise group and to 30.5 (24; 36.3) in the usual care group (between-group p = 0.17). IPAQ metabolic equivalent minutes per week increased from 1,863 (1,040; 3,042) to 3,190 (1,634; 6,485) in the exercise group and from 2,569 (1,501; 4,075) to 3,590 (1,634; 6,484) in the usual care group (between-group p = 0.92).

CONCLUSION:

Progressive 12-month home-exercise starting 3 months postoperatively was not superior to usual care in decreasing kinesiophobia or increasing physical activity in spondylolisthesis.

• Authors: Outi Ilves, Arja Häkkinen, Joost Dekker, Marko Wahlman, Sami Tarnanen, Liisa Pekkanen, Jari Ylinen, Hannu Kautiainen, Marko Neva
• Journal: Journal of rehabilitation medicine (J Rehabil Med) Vol. 49 Issue 9 Pg. 751-757 (Nov 21 2017) ISSN: 1651-2081 [Electronic] Sweden
• PMID: 28862315 (Publication Type: Journal Article, Randomized Controlled Trial)

Topics

• Exercise Therapy (methods)
• Female
• Humans
• Male
• Middle Aged
• Physical Therapy Modalities (statistics & numerical data)
• Postoperative Period
• Spondylolisthesis (rehabilitation)