The London Spine Unit : most experienced spinal facility on Harley Street UK
Published article
The purpose of the present systematic review was to evaluate the effectiveness of exercise after lumbar decompression surgery on pain, function, motor-sensory symptoms, and psychosocial parameters. A literature search was conducted with PubMed, Web of Science, Scopus, ScienceDirect and Cochrane databases. Quality analysis and bias risk assessment were performed with “Physiotherapy Evidence Database (PEDro)” and “Revised Cochrane risk-of-bias tool randomized trials (RoB 2)”, respectively. A total…
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2022 Aug 27:S1878-8750(22)01213-X. doi: 10.1016/j.wneu.2022.08.103. Online ahead of print.
ABSTRACT
The purpose of the present systematic review was to evaluate the effectiveness of exercise after lumbar decompression surgery on pain, function, motor-sensory symptoms, and psychosocial parameters. A literature search was conducted with PubMed, Web of Science, Scopus, ScienceDirect and Cochrane databases. Quality analysis and bias risk assessment were performed with “Physiotherapy Evidence Database (PEDro)” and “Revised Cochrane risk-of-bias tool randomized trials (RoB 2)”, respectively. A total of 1219 articles were accessed from the relevant databases (PubMed=97, Cochrane=61, Web of Science=97, Scopus=104, ScienceDirect=860). Fourteen studies were included in the systematic review. Systematic review results were presented with narrative synthesis due to heterogeneous data. Homogeneous data were given with meta-analysis. The results demonstrated that strengthening, stabilization, and aerobic exercises provide additional advantages after lumbar decompression than education or clinical advice alone. Studies also emphasized the importance of relaxation, stretching and mobilization training. The exercise training provided an additional advantage in terms of disability score at 6-12 weeks (short to moderate-term) follow-up (ES: -0.87, 95% CI: -1.30; -0.45) with high-degree evidence. However, results in the identical pooling for pain scores showed low efficacy (ES: -0.35, 95% CI: -0.76; 0.05). SF-36 pooling in the 12-week follow-up demonstrated that exercise training had-moderate degree evidence effectiveness on physical function (ES: 0.51, 95% CI: 0.12; 0.91), bodily pain (ES: 0.52, 95% CI: 0.13; 0.91), social function (ES: 0.53, 95% CI: 0.13; 0.93). The results highlighted the importance of exercise training, particularly strengthening. Meta-analysis results also proved the effectiveness of exercise on disability in the short to medium-term.
PMID:36041721 | DOI:10.1016/j.wneu.2022.08.103
The London Spine Unit : most experienced spinal facility on Harley Street UK
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