A1 Journal article (refereed)
Effectiveness of a 12-month home-based exercise program on trunk muscle strength and spine function after lumbar spine fusion surgery : a randomized controlled trial (2022)
Ilves, O., Neva, M. H., Häkkinen, K., Dekker, J., Järvenpää, S., Kyrölä, K., & Häkkinen, A. (2022). Effectiveness of a 12-month home-based exercise program on trunk muscle strength and spine function after lumbar spine fusion surgery : a randomized controlled trial. Disability and Rehabilitation, 44(4), 549-557. https://doi.org/10.1080/09638288.2020.1772383
JYU authors or editors
Publication details
All authors or editors: Ilves, Outi; Neva, Marko H.; Häkkinen, Keijo; Dekker, Joost; Järvenpää, Salme; Kyrölä, Kati; Häkkinen, Arja
Journal or series: Disability and Rehabilitation
ISSN: 0963-8288
eISSN: 1464-5165
Publication year: 2022
Volume: 44
Issue number: 4
Pages range: 549-557
Publisher: Taylor & Francis
Publication country: United Kingdom
Publication language: English
DOI: https://doi.org/10.1080/09638288.2020.1772383
Publication open access: Not open
Publication channel open access:
Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/72789
Abstract
Materials and methods: Three months postoperatively, 98 patients were randomized either to the exercise group (EG), with a progressive 12-month home-based exercise program, or to usual care group (UCG), with one guidance session for light home-exercises. Maximal trunk muscle strength was measured by a strain-gauge dynamometer and trunk extensor endurance was measured by Biering-Sørensen’s test at baseline and after the intervention.
Results: The mean change in extension strength during the intervention was 75 N in EG and 58 N in UCG. Flexion strength improved 50 N in UCG and 45 N in EG. Trunk extension/flexion strength ratio changed from 0.90 to 1.02 in EG and from 0.98 to 1.00 in UCG. In EG, Biering-Sørensen’s test improved by 17 s, and in UCG, it improved by 24 s. No statistically significant between-group differences were found in any variables. Median exercise frequency in EG decreased from 2.5x/week during the first two intervention months to 1.7x/week during the last two intervention months.
Conclusions: Twelve-month progressive exercise program was equally effective as usual care in improving trunk muscle strength. Home exercise adherence decreased, which may have influenced the strength changes.
Keywords: physiotherapy; medical rehabilitation; spine; spondylolisthesis; exercise therapy; muscle fitness
Free keywords: lumbar spine fusion; spine surgery; rehabilitation; exercise; muscle strength; physiotherapy; spondylolisthesis
Contributing organizations
Ministry reporting: Yes
Reporting Year: 2022
Preliminary JUFO rating: 1
