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Effectiveness of postsurgical rehabilitation following lumbar disc herniation surgery: A systematic review.
Yu, Hainan; Cancelliere, Carol; Mior, Silvano; Pereira, Paulo; Nordin, Margareta; Brunton, Ginny; Wong, Jessica J; Shearer, Heather M; Connell, Gaelan; Ead, Lauren; Verville, Leslie; Rezai, Mana; Myrtos, Danny; Wang, Dan; Marchand, Andrée-Anne; Romanelli, Andrew; Germann, Darrin; To, Daphne; Young, James J; Southerst, Danielle; Candelaria, Henry; Hogg-Johnson, Sheilah; Côté, Pierre.
Afiliación
  • Yu H; Faculty of Health Sciences, Ontario Tech University, Canada.
  • Cancelliere C; Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada.
  • Mior S; Undergraduate Education, Canadian Memorial Chiropractic College, Canada.
  • Pereira P; Faculty of Health Sciences, Ontario Tech University, Canada.
  • Nordin M; Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada.
  • Brunton G; Faculty of Health Sciences, Ontario Tech University, Canada.
  • Wong JJ; Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada.
  • Shearer HM; Research and Innovation, Canadian Memorial Chiropractic College, Canada.
  • Connell G; Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • Ead L; Faculty of Medicine, University of Porto, Portugal.
  • Verville L; Department of Neurosurgery - Centro Hospitalar Universitário S. João, Porto, Portugal.
  • Rezai M; Departments of Orthopedic Surgery and Environmental Medicine, Occupational and Industrial Orthopedic Center, NYU School of Medicine, New York University, New York, NY, USA.
  • Myrtos D; Faculty of Health Sciences, Ontario Tech University, Canada.
  • Wang D; Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada.
  • Marchand AA; Faculty of Health Sciences, Ontario Tech University, Canada.
  • Romanelli A; Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada.
  • Germann D; Division of Graduate Studies, Canadian Memorial Chiropractic College, Canada.
  • To D; Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • Young JJ; Faculty of Health Sciences, Ontario Tech University, Canada.
  • Southerst D; Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada.
  • Candelaria H; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Canada.
  • Hogg-Johnson S; Faculty of Health Sciences, Ontario Tech University, Canada.
  • Côté P; Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada.
Brain Spine ; 4: 102806, 2024.
Article en En | MEDLINE | ID: mdl-38690091
ABSTRACT

Introduction:

The effectiveness of post-surgical rehabilitation following lumbar disc herniation (LDH) surgery is unclear. Research question To investigate the effectiveness and safety of rehabilitation interventions initiated within three months post-surgery for adults treated surgically for LDH. Material and

methods:

This systematic review searched seven databases from inception to November 2023. Independent reviewers screened studies, assessed and extracted data, and rated the certainty of the evidence using the GRADE approach.

Results:

This systematic review retrieved 20,531 citations and included 25 randomized controlled trials. The high certainty evidence suggests that adding Pilates exercise to routine care and cognitive behavioral therapy may improve function immediately post-intervention (1 RCT), and that adding whole-body magnetic therapy to exercise, pharmacological and aquatic therapy may reduce low back pain intensity (1 RCT) immediately post-intervention. Compared to placebo, pregabalin did not reduce low back pain or leg pain intensity (1 RCT) (moderate to high certainty evidence). We found no differences between 1) behavioral graded activity vs. physiotherapy (1 RCT); 2) exercise and education vs. neck massage or watchful waiting (1 RCT); 3) exercise, education, and in-hospital usual care vs. in-hospital usual care (1 RCT); 4) functional or staged exercise vs. usual post-surgical care including exercise (2 RCTs); and 5) supervised exercise with education vs. education (1 RCT). No studies assessed adverse events. Discussion and

conclusion:

Evidence on effective and safe post-surgical rehabilitation interventions is sparse. This review identified two interventions with potential short-term benefits (Pilates exercises, whole-body magnetic therapy) but safety is unclear, and one with an iatrogenic effect (pregabalin).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Brain Spine Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Brain Spine Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Países Bajos