1
|
Yu H, Cancelliere C, Mior S, Pereira P, Nordin M, Brunton G, Wong JJ, Shearer HM, Connell G, Ead L, Verville L, Rezai M, Myrtos D, Wang D, Marchand AA, Romanelli A, Germann D, To D, Young JJ, Southerst D, Candelaria H, Hogg-Johnson S, Côté P. Effectiveness of postsurgical rehabilitation following lumbar disc herniation surgery: A systematic review. BRAIN & SPINE 2024; 4:102806. [PMID: 38690091 PMCID: PMC11059472 DOI: 10.1016/j.bas.2024.102806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 03/08/2024] [Accepted: 04/04/2024] [Indexed: 05/02/2024]
Abstract
Introduction The effectiveness of post-surgical rehabilitation following lumbar disc herniation (LDH) surgery is unclear. Research question To investigate the effectiveness and safety of rehabilitation interventions initiated within three months post-surgery for adults treated surgically for LDH. Material and methods This systematic review searched seven databases from inception to November 2023. Independent reviewers screened studies, assessed and extracted data, and rated the certainty of the evidence using the GRADE approach. Results This systematic review retrieved 20,531 citations and included 25 randomized controlled trials. The high certainty evidence suggests that adding Pilates exercise to routine care and cognitive behavioral therapy may improve function immediately post-intervention (1 RCT), and that adding whole-body magnetic therapy to exercise, pharmacological and aquatic therapy may reduce low back pain intensity (1 RCT) immediately post-intervention. Compared to placebo, pregabalin did not reduce low back pain or leg pain intensity (1 RCT) (moderate to high certainty evidence). We found no differences between: 1) behavioral graded activity vs. physiotherapy (1 RCT); 2) exercise and education vs. neck massage or watchful waiting (1 RCT); 3) exercise, education, and in-hospital usual care vs. in-hospital usual care (1 RCT); 4) functional or staged exercise vs. usual post-surgical care including exercise (2 RCTs); and 5) supervised exercise with education vs. education (1 RCT). No studies assessed adverse events. Discussion and conclusion Evidence on effective and safe post-surgical rehabilitation interventions is sparse. This review identified two interventions with potential short-term benefits (Pilates exercises, whole-body magnetic therapy) but safety is unclear, and one with an iatrogenic effect (pregabalin).
Collapse
Affiliation(s)
- Hainan Yu
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
- Undergraduate Education, Canadian Memorial Chiropractic College, Canada
| | - Carol Cancelliere
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
| | - Silvano Mior
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
- Research and Innovation, Canadian Memorial Chiropractic College, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Paulo Pereira
- Faculty of Medicine, University of Porto, Portugal
- Department of Neurosurgery - Centro Hospitalar Universitário S. João, Porto, Portugal
| | - Margareta Nordin
- Departments of Orthopedic Surgery and Environmental Medicine, Occupational and Industrial Orthopedic Center, NYU School of Medicine, New York University, New York, NY, USA
| | - Ginny Brunton
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
| | - Jessica J. Wong
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
- Division of Graduate Studies, Canadian Memorial Chiropractic College, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Heather M. Shearer
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Canada
| | - Gaelan Connell
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
| | - Lauren Ead
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
- Division of Graduate Studies, Canadian Memorial Chiropractic College, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Leslie Verville
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
| | - Mana Rezai
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
| | - Danny Myrtos
- Department of Clinical Education and Diagnosis, Canadian Memorial Chiropractic College, Canada
| | - Dan Wang
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
| | | | - Andrew Romanelli
- Department of Clinical Education and Diagnosis, Canadian Memorial Chiropractic College, Canada
| | - Darrin Germann
- Department of Clinical Education and Diagnosis, Canadian Memorial Chiropractic College, Canada
| | - Daphne To
- Department of Clinical Education and Diagnosis, Canadian Memorial Chiropractic College, Canada
| | - James J. Young
- Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Canada
- Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Denmark
| | - Danielle Southerst
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
| | - Henry Candelaria
- Rapid Access Clinic for Low Back Pain, Trillium Health Partners, Mississauga, Ontario, Canada
| | - Sheilah Hogg-Johnson
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
- Research and Innovation, Canadian Memorial Chiropractic College, Canada
- Epidemiology Division, Dalla Lana School of Public Health, University of Toronto, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Pierre Côté
- Faculty of Health Sciences, Ontario Tech University, Canada
- Institute for Disability and Rehabilitation Research, Faculty of Health Sciences, Ontario Tech University and Canadian Memorial Chiropractic College, Canada
- Epidemiology Division, Dalla Lana School of Public Health, University of Toronto, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| |
Collapse
|
2
|
Manni T, Ferri N, Vanti C, Ferrari S, Cuoghi I, Gaeta C, Sgaravatti I, Pillastrini P. Rehabilitation after lumbar spine surgery in adults: a systematic review with meta-analysis. Arch Physiother 2023; 13:21. [PMID: 37845718 PMCID: PMC10578022 DOI: 10.1186/s40945-023-00175-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 09/19/2023] [Indexed: 10/18/2023] Open
Abstract
BACKGROUND The role of rehabilitation after surgery in patients with low back pain is well recognized. The aim of this systematic review is to summarize and update the existing evidence according to the type of clinical condition and rehabilitation approach. METHODS This systematic review included RCTs on the effectiveness of rehabilitation after surgery for lumbar disc herniation, spinal stenosis, and spondylolisthesis. We searched the literature for randomized controlled trials indexed in MEDLINE, Embase, CINHAL, CENTRAL, Scopus, PEDro, and Web of Science databases, up to April 15, 2023. We used Cochrane Risk of Bias 2.0 tool to assess each study. We conducted a quantitative synthesis when population, intervention, control, and outcome were sufficiently homogeneous; otherwise, we conducted a qualitative analysis. RESULTS Forty-five studies (3.036 subjects) were included and analyzed according to the population considered: lumbar stenosis (1 trial), spondylolisthesis (3 trials), and disc herniation (41 trials). Regarding lumbar stenosis, a supervised active exercise program appears to improve outcomes related to pain, disability, and quality of life both in the short- and mid-term (1 study, n = 60). Concerning spondylolisthesis, kinesiophobia is reduced in the home exercises group compared to usual care, at 3-months follow-up (3 studies, n = 98). For disk herniation, supervised exercises are better than non-supervised exercises to reduce pain (MD -1.14; 95% CIs -1.65, -0.62; 5 trials, n = 250) and disability (SMD -0.70; 95% CIs -1.14, -0.26; 4 trials, n = 175). Supervised exercises are better than advice in reducing pain (SMD -0.91; 95% CIs -1.61, -0.21; 5 trials, n = 341) and disability (SMD -0.80; 95% CIs -1.59, -0.01; 4 trials, n = 261), in the short-term. Supervised exercises are equal to no treatment in reducing pain and disability, at 3 and 6 months after intervention (2 trials, n = 166). These results are supported by a very low to low quality of evidence. CONCLUSIONS Our research suggests that supervised exercise may be effective in improving patient's pain and disability after lumbar surgery, but RCTs regarding lumbar spinal stenosis and lumbar spondylolisthesis are still scarce, with significant heterogeneity of proposed interventions.
Collapse
Affiliation(s)
- Tiziana Manni
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy.
| | - Nicola Ferri
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy
| | - Carla Vanti
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy
| | - Silvano Ferrari
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy
| | - Ilaria Cuoghi
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy
| | - Claudia Gaeta
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy
| | - Isabella Sgaravatti
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy
| | - Paolo Pillastrini
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, 40138, Bologna, Italy
| |
Collapse
|
3
|
The Effect of Exercise Interventions After Lumbar Decompression Surgery: A Systematic Review and Meta-Analysis. World Neurosurg 2022; 167:e904-e921. [PMID: 36041721 DOI: 10.1016/j.wneu.2022.08.103] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 08/20/2022] [Accepted: 08/22/2022] [Indexed: 11/21/2022]
Abstract
OBJECTIVE 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. METHODS 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" and "Revised Cochrane risk-of-bias tool randomized trials", 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. RESULTS 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 (effect size [ES]: -0.87, 95% confidence interval [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). Short Form-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), and social function (ES: 0.53, 95% CI: 0.13; 0.93). CONCLUSIONS 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.
Collapse
|
4
|
Dupeyron A, Ribinik P, Rannou F, Kabani S, Demoulin C, Dufour X, Foltz V, Godard J, Huppert J, Nizard J, Petit A, Silvestre C, Kouyoumdjian P, Coudeyre E. Rehabilitation and lumbar surgery: the French recommendations for clinical practice. Ann Phys Rehabil Med 2021; 64:101548. [PMID: 34192564 DOI: 10.1016/j.rehab.2021.101548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Revised: 05/24/2021] [Accepted: 06/01/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND Indications and techniques of rehabilitation differ widely across types of lumbar surgery, including timing (before or after surgery) and prescriptions (surgeons but also medical or paramedical professionals). OBJECTIVES This project aimed to build consensual recommendations for practice in this context. METHODS The SOFMER methodology was used to establish recommendations for physical medicine and rehabilitation: a steering committee defined the types of lumbar surgery involved and developed the main questions to be addressed; a scientific committee performed a literature review for grading evidence and proposed the first version of recommendations, which were discussed during a dedicated session at the national Physical and Rehabilitation Medicine congress; then an e-Delphi method with cross-professional experts was used to finalise recommendations and reach a multidisciplinary consensus. RESULTS The main questions developed were the value of rehabilitation before and after surgery, timing and type of rehabilitation, benefit of supervision and instrumental rehabilitation, value of patient education, and complementary interventions concerning rehabilitation for discectomy, fusion, and disc prosthesis (excluding decompression for spinal stenosis). The literature review identified 60 articles, but for several of the questions, no article in the literature addressed the issue. The multidisciplinary scientific committee analysed the literature and addressed the questions to propose the first version of a set of 23 recommendations. The congress session failed to answer all questions or to reach consensus for all items. After a three-step e-Delphi, 20 recommendations were retained, for which consensus among experts was reached. The recommendations are applicable only to patients without a neurological lesion. CONCLUSIONS These recommendations provide important and consensual knowledge to assist clinicians in decision-making for rehabilitation in lumbar surgery. Despite many of the recommendations relying exclusively on expert opinion rather than published evidence, this approach is an important advance to improve concordance among healthcare professionals.
Collapse
Affiliation(s)
- Arnaud Dupeyron
- Service de Médecine Physique et de Réadaptation, CHU Nîmes, Univ Montpellier, Nîmes, France.
| | - Patricia Ribinik
- Service de Médecine Physique et de Réadaptation, CH de Gonesse, Gonesse, France
| | - François Rannou
- Service de Rééducation et de Réadaptation de l'appareil locomoteur et des pathologies du Rachis, hôpitaux universitaires Paris centre-groupe hospitalier Cochin, AP-HP, Paris, France
| | - Sarah Kabani
- Service de Biostatistique, Epidémiologie, Santé Publique, Innovation Méthodologique (BESPIM), CHU Nîmes, Univ Montpellier, Nîmes, France
| | - Christophe Demoulin
- Department of Sport and Rehabilitation Sciences, University of Liege, Liege, Belgium
| | | | - Violaine Foltz
- Service de Rhumatologie, Hôpitaux universitaires Paris centre-groupe hospitalier Pitié-Salpétrière, AP-HP, Paris, France
| | - Joel Godard
- Service de Neurochirurgie et de chirurgie de la douleur et du rachis, CHRU Besançon, Université de Franche Comté, Besançon, France
| | - Jean Huppert
- Service de Neurochirurgie, Clinique du Parc, Saint-Priest-en-Jarez, France
| | - Julien Nizard
- Centre fédératif douleur soins de support, UIC 22, équipe mobile de soins palliatifs et de support, CHU Nantes, Nantes, France
| | - Audrey Petit
- Centre de consultation de pathologie professionnelle, CHU d'Angers, Angers, France
| | - Clement Silvestre
- Département de Chirurgie Orthopédique, Clinique Médico-Chirurgicale des Massues, Lyon, France
| | - Pascal Kouyoumdjian
- Service de Chirurgie Orthopédique, CHU Nîmes, Univ Montpellier, Nîmes, France
| | - Emmanuel Coudeyre
- Service de Médecine Physique et de Réadaptation, CHU Clermont-Ferrand, Université Clermont Auvergne, INRAE, UNH, F-63000 Clermont-Ferrand, France
| |
Collapse
|
5
|
Aldemir K, Gürkan A. The effect of pedometer-supported walking and telemonitoring after disc hernia surgery on pain and disability levels and quality of life. Int J Nurs Pract 2021; 27:e12917. [PMID: 33594720 DOI: 10.1111/ijn.12917] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Revised: 11/25/2020] [Accepted: 01/01/2021] [Indexed: 11/27/2022]
Abstract
AIM The aim of this study was to determine the effect of pedometer-supported walking and telemonitoring after lumbar disc hernia surgery on pain and disability levels and quality of life. METHODS This was a randomized controlled trial with two randomly selected groups conducted between March 2018 and January 2019. Sixty-seven participants (33 in the intervention group and 34 in the control group) who had undergone lumbar microdiscectomy were allocated to receive and not to receive walking exercise. Pain and disability levels and quality of life of groups were tested with the McGill Pain Questionnaire, the Oswestry Disability Index and the 36-Item Short Form Survey. Measurements were taken 3 weeks after surgery and following completion of the first, second and third months. RESULTS Compared with the control group, pain level at the first and second months and disability level at the second and third months in the intervention group were significantly lower (p < 0.05), and in the third month, subdimension scores of quality of life (the physical role difficulty, energy and vitality, mental health, social functionality and pain) were higher (p < 0.05). CONCLUSIONS Walking after herniated disc surgery decreased pain and disability levels and increased the quality of life; nurses can encourage adherence to walking as an effective intervention.
Collapse
Affiliation(s)
- Kadriye Aldemir
- School of Susehri Health High, Sivas Cumhuriyet University, Sivas, Turkey
| | - Aysel Gürkan
- Department of Nursing, Faculty of Health Sciences, Marmara University, Istanbul, Turkey
| |
Collapse
|
6
|
The effectiveness of exercise program after lumbar discectomy surgery. J Clin Orthop Trauma 2021; 16:99-105. [PMID: 33680831 PMCID: PMC7919938 DOI: 10.1016/j.jcot.2020.12.030] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 12/04/2020] [Accepted: 12/28/2020] [Indexed: 11/21/2022] Open
Abstract
A lumbar herniation disc appears as a major cause of lumbar pain and sciatica. The purpose of the present systematic review is to examine the effectiveness of such exercise programs on pain, disability, quality of life, strength and the assessed time required to return to work/normal activities after undergoing lumbar discectomy surgery. PubMed, MEDLINE, and Google Scholar were used for the selection of randomized controlled trials (RCTs). The PEDro scale was chosen to assess the methodological quality of the included studies. Seven RCTS met the inclusion criteria. According to the evaluation of the PEDro scale, one was considered as « high quality», five as « moderate quality» and one as « low quality». The mean score of the studies was 5.14. The results showed that after such exercise there was an improvement in pain, disability, quality of life, muscle strength and in time required to return to work. The exercise programs have a positive impact on the reduction of pain, disability, time required to return to work/normal activities as well as an increase in quality of life and muscle strength in patients with lumbar discectomy surgery.
Collapse
|
7
|
Reyes A, Aguilera MP, Torres P, Reyes-Ferrada W, Peñailillo L. Effects of neural mobilization in patients after lumbar microdiscectomy due to intervertebral disc lesion. J Bodyw Mov Ther 2020; 25:100-107. [PMID: 33714479 DOI: 10.1016/j.jbmt.2020.10.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 09/28/2020] [Accepted: 10/19/2020] [Indexed: 12/20/2022]
Abstract
BACKGROUND Neural mobilization (NM) techniques have been shown to improve the neural tissue's viscoelastic properties that may lead to recover of the function of the nerve after lumbar spine surgery. This study aimed to determine the effects of NM in addition to standard rehabilitation on lumbar and sciatic pain intensity, disability level, and quality of life in patients after receiving a microdiscectomy of the intervertebral lumbar disc (IVD). METHODS Twenty-four participants (age 41.3 ± 8.3 years old) within 3-4 weeks of a microdiscectomy of an IVD were randomly allocated to control (CTRL; n = 12) or NM group (n = 12). The CTRL group received ten standard rehabilitation sessions. The NM group received the same rehabilitation sessions with the addition of NM techniques. The intensity of lumbar and sciatic pain (visual analogue scale), disability level (Oswestry disability index), and health-related quality of life (SF-36 questionnaire) were measured before and after the intervention. RESULTS Within-group analysis revealed a significant reduction in lumbar (p < 0.05) and sciatic pain intensity (p < 0.001), disability level (p < 0.001), and improvement in the physical function and problems, vitality, emotional well-being, and pain SF-36 items (p < 0.05) in both groups. There were no statistical differences between groups in all outcomes. CONCLUSION A standard rehabilitation protocol alone or in combination with NM techniques are equally effective in reducing pain and disability level, as well as improving quality of life in patients after a microdiscectomy due to intervertebral lumbar disc lesion.
Collapse
Affiliation(s)
- Alvaro Reyes
- Faculty of Rehabilitation Sciences, Universidad Andres Bello, Viña del Mar, Chile
| | - Maria Paz Aguilera
- Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile
| | | | | | - Luis Peñailillo
- Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile.
| |
Collapse
|
8
|
Boggenpoel BY, Nel S, Hanekom S. The use of periodized exercise prescription in rehabilitation: a systematic scoping review of literature. Clin Rehabil 2018; 32:1235-1248. [PMID: 29663831 DOI: 10.1177/0269215518769445] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To describe the use of periodized exercise prescription with patients in the context of rehabilitation. DATA SOURCE The following databases were searched: The Cochrane Central Register of Controlled Trials, MEDLINE, PubMed, CINAHL, ScienceDirect, PEDro, Web of Science, SPORTDiscus, SAGE and Google Scholar. Databases were searched from inception to March 2018. RESULTS The literature search yielded 1772 articles with 1755 being excluded leaving 17 articles in total for the full review. Methodological quality and internal validity of the included papers were lacking. The included studies failed to indicate in which phase rehabilitation had occurred. Programme structure relating to the use of a familiarization phase, sequencing of exercises and structuring of specific phases (i.e. macrocycle, mesocycle and microcycle) was not present and lacked consistency across the board. CONCLUSION Periodization models of exercise prescription are being used within a variety of population groups in the rehabilitation setting. Integration of periodization principles into a rehabilitation programme still however remains a challenge. Although there is a lack of consistency with regard to the structure and implementation of a periodized model of exercise prescription in the rehabilitation context, it seems to be an alternative way in which to prescribe exercise within the rehabilitation setting.
Collapse
Affiliation(s)
- Blake Yale Boggenpoel
- 1 Department of Physiotherapy, University of the Western Cape, Bellville, South Africa
| | - Stephan Nel
- 2 Division of Physiotherapy, Stellenbosch University, Cape Town, South Africa
| | - Susan Hanekom
- 2 Division of Physiotherapy, Stellenbosch University, Cape Town, South Africa
| |
Collapse
|
9
|
Marchand AA, O’Shaughnessy J, Châtillon CÉ, Sorra K, Descarreaux M. Current Practices in Lumbar Surgery Perioperative Rehabilitation: A Scoping Review. J Manipulative Physiol Ther 2016; 39:668-692. [DOI: 10.1016/j.jmpt.2016.08.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Revised: 07/14/2016] [Accepted: 08/11/2016] [Indexed: 10/20/2022]
|