Rehabilitation following lumbar spinal surgery Surgery
Conditions
Interventions
1. Up to 8 sessions of individualised 1-1 physiotherapy over an 8-week period
treatment in-line with pre-defined framework for decision-making
starting approximately 4 weeks post surgery AND specifically designed patient leaflet
2. Specifically designed patient leaflet
Sponsors
University of Birmingham (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged >18 years 2. Post primary, single level, lumbar discectomy (including microdiscectomy) 3. Ability to communicate in English
Exclusion criteria
Exclusion criteria: 1. Previous surgery at the same spinal level 2. Co-morbidities that might impact on ability to participate in study interventions e.g. neurological disorders, cognitive dysfunction, uncontrolled cardiovascular disease, osteoporotic fracture, spondylolythesis, MS, tumour 3. Complications from surgery e.g. excessive bleeding, severe intra-operative root damage, level error, or severe wound infection that would prevent participation in either intervention 4. Participation in a concurrent trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Roland Morris Disability Questionnaire (0 to 24) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Global Perceived Effect scale (0 to 7) 2. VAS back pain (0 to 10cm) & VAS leg pain (0 to 10cm) 3. Straight Leg Raise (cm) 4. Time to return to work / normal function / full duty (as relevant) from date of operation 5. EQ-5D 5L 6. Tampa Scale for Kinesiophobia (fear of movement) 7. Fear avoidance and beliefs questionnaire 8. Range of lumbar movement 9. Use of medication 10. Re-operation 11. Level of compliance with exercises | — |
Countries
United Kingdom
Outcome results
None listed