Spondylolisthesis, Degenerative, Spondylolisthesis, Isthmic
Conditions
Keywords
spinal fusion, pain, disability, muscle strength, mobility, quality of life, lumbar, isthmic or degenerative spondylolisthesis
Brief summary
The aim of the present study is to analyse the significance of postoperative combined strength and aerobic training for outcome of the lumbar fusion patients compared to usual care (patients with isthmic or degenerative spondylolisthesis).
Detailed description
Most of the studies published so far about lumbar fusion surgery have been interested in surgical procedure itself or in comparison of conservative or operative treatment. Less information is available about long-term outcome and exercise programs for operated patients. Therefore the investigators have developed Spine fusion register, which include data on surgery procedure and outcome (pain, disability, back muscle function, quality of life, working capacity, reoperations and complications etc.) before and after surgery up to 5 years (started in January 1st, 2008). The main purpose of the present study is to analyze the significance of 12-month strength and aerobic training for outcome of the lumbar fusion patients compared to usual care. Patients (N=100) with lumbar fusion because of isthmic or degenerative olisthesis will be will be stratified by catchments area and randomized into combined strength and aerobic training group or into the control group.
Interventions
OTHEROutcome of lumbar spinal fusion patients and significance of postoperative exercise therapy: A randomized controlled trial
combined strength and aerobic training group
Sponsors
Tampere University Hospital
Tampere University
Jyväskylä Central Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* over 20 years old * isthmic or degenerative spondylolisthesis
Exclusion criteria
* cardiovascular or musculoskeletal diseases, which may exclude their ability to perform strength and endurance training and testing * metabolic bone disease * psychosocial instability * malignant disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain | baseline, 1 year (+ 1 year follow-up) | visual analogue scale (VAS) |
| disability | baseline, 1 year (+ 1 year follow-up) | — |
| quality of life | baseline, 1 year (+ 1 year follow-up) | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| physical activity | baseline, 1 year | International Physical Activity Questionnaire (short form) |
| trunk muscle strength | baseline, 1 year | isometric strength of flexor and extensor |
| depressive symptoms | baseline, 1 year | DEPS-scale |
| spine mobility | baseline, 1 year | flexion tests and lateral bending test |
| fear of movement | baseline, 1 year postoperatively | Tampa Scale for Kinesiophobia |
Countries
Finland
Outcome results
None listed