Intervertebral Disc Displacement
Conditions
Keywords
disc herniation surgery, physiotherapy, exercise therapy, randomized, long term, follow up
Brief summary
Hitherto no comprehensive long-term follow-up data of 10 years and more have been obtained from survivors of disc surgery that would have considered the type of postoperative care. Objectives: 1) To evaluate the long-term effects of postoperative comprehensive physiotherapy starting 1 week after lumbar disc surgery. 2) To assess the relative risk of segmental instability in the operated segment 12 years following lumbar disc surgery.
Detailed description
Design: Twelve years' follow-up of a three-armed, randomized, controlled, single blinded clinical trial. Setting: Outpatient department of Physical Medicine & Rehabilitation. Participants: Of 120 patients following first-time, uncomplicated lumbar disc surgery who participated in the original study are invited to a 12 years follow-up examination. Interventions: In the original study, patients had been randomly assigned to comprehensive physiotherapy, sham intervention (neck massage), or no therapy. Measurements: Low Back Pain Rating Score (LBPRS; Manniche 1993), functional X-rays of the lumbar spine. All data are collected by blinded students and physicians at the Department of PM&R, Vienna Medical University.
Interventions
BEHAVIORALPhysiotherapy Intervention
20x 30 min sessions of physiotherapy
BEHAVIORALSham neck massage
20x 30 minutes sessions of neck massage
Sponsors
Medical University of Vienna
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* all patients who had undergone a first time uncomplicated disc surgery for lumbar vertebral disc herniation who had taken part in the original RCT and had completed the treatment originally allocated * all patients who had undergone a first time uncomplicated disc surgery for lumbar vertebral disc herniation who had taken part in the original RCT and had not completed the treatment originally allocated
Exclusion criteria
* n.a.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Low back pain rating scale (LBP-RS) | 12 years after Randomization | The LBP-RS measures the health concepts of pain, disability, and physical impairment. Both the original and the translated version of the LBP rating scale are highly reliable within and between raters, uni-dimensional and are shown to have satisfactory construct validity. The sum score ranges from 130 (worst) to 0 (best) and is the composite of 3 subscores (pain, disability, and physical function). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction with treatment | 12 years | Ratings on a 5-point Likert scale (1= completely recovered to 5= dramatically worse as compared to baseline |
| Use of health care resources | 12 years | questions related to the use of health care resources because of back pain, and the necessity of reoperation of a disc herniation |
| Psychological questionnaires | 12 years | Fear Avoidance beliefs questionnaire, MOS 36-Item Short Form Health Survey, Heidelberger Pain Inventory Symptom Checklist-90R (SCL-90R) Beck Depression Inventory (BDI) |
Other
| Measure | Time frame | Description |
|---|---|---|
| X Rays | 12 years | Functional X rays of the lumbar spine |
Countries
Austria
Outcome results
None listed