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Rehabilitation after lumbar disc surgery

  1. Teddy Oosterhuis1,
  2. Leonardo OP Costa2,
  3. Christopher G Maher3,
  4. Henrica CW de Vet4,
  5. Maurits W van Tulder1,
  6. Raymond WJG Ostelo5,*

Editorial Group: Cochrane Back and Neck Group

Published Online: 14 MAR 2014

Assessed as up-to-date: 1 MAY 2013

DOI: 10.1002/14651858.CD003007.pub3


How to Cite

Oosterhuis T, Costa LOP, Maher CG, de Vet HCW, van Tulder MW, Ostelo RWJG. Rehabilitation after lumbar disc surgery. Cochrane Database of Systematic Reviews 2014, Issue 3. Art. No.: CD003007. DOI: 10.1002/14651858.CD003007.pub3.

Author Information

  1. 1

    VU University, Department of Health Sciences, Faculty of Earth and Life Sciences, Amsterdam, Netherlands

  2. 2

    Universidade Cidade de São Paulo, Masters in Physical Therapy, São Paulo, Brazil

  3. 3

    University of Sydney, The George Institute for Global Health, Sydney, NSW, Australia

  4. 4

    VU University Medical Center, Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, Amsterdam, Netherlands

  5. 5

    VU University, Department of Health Sciences, EMGO Institute for Health and Care Research, Amsterdam, Netherlands

*Raymond WJG Ostelo, Department of Health Sciences, EMGO Institute for Health and Care Research, VU University, PO Box 7057, Amsterdam, 1007 MB, Netherlands. r.ostelo@vu.nl.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 14 MAR 2014

SEARCH

[Figure 1]
Figure 1.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Treatments that start immediately post-surgery. Exercise versus no treatment, Outcome 1 Pain on VAS (post-treatment).
[Analysis 1.2]
Analysis 1.2. Comparison 1 Treatments that start immediately post-surgery. Exercise versus no treatment, Outcome 2 Functional status on VAS (post-treatment).
[Analysis 2.1]
Analysis 2.1. Comparison 2 Treatments that start immediately post-surgery. High intensity versus low intensity, Outcome 1 Pain on VAS (post-treatment).
[Analysis 2.2]
Analysis 2.2. Comparison 2 Treatments that start immediately post-surgery. High intensity versus low intensity, Outcome 2 Pain on VAS (long term).
[Analysis 2.3]
Analysis 2.3. Comparison 2 Treatments that start immediately post-surgery. High intensity versus low intensity, Outcome 3 Return to work (short term).
[Analysis 3.1]
Analysis 3.1. Comparison 3 Treatments that start immediately post-surgery. Exercise versus usual care, Outcome 1 Functional status on Modified Oswestry (post-treatment).
[Analysis 3.2]
Analysis 3.2. Comparison 3 Treatments that start immediately post-surgery. Exercise versus usual care, Outcome 2 Functional status on Modified Oswestry (long term).
[Analysis 3.3]
Analysis 3.3. Comparison 3 Treatments that start immediately post-surgery. Exercise versus usual care, Outcome 3 Pain on VAS (post-treatment).
[Analysis 3.4]
Analysis 3.4. Comparison 3 Treatments that start immediately post-surgery. Exercise versus usual care, Outcome 4 Pain on VAS (long term).
[Analysis 4.1]
Analysis 4.1. Comparison 4 Treatments that start immediately post-surgery. Standard care versus standard care and neural mobilisation, Outcome 1 Functional status (short term).
[Analysis 4.2]
Analysis 4.2. Comparison 4 Treatments that start immediately post-surgery. Standard care versus standard care and neural mobilisation, Outcome 2 Functional status (long term).
[Analysis 4.3]
Analysis 4.3. Comparison 4 Treatments that start immediately post-surgery. Standard care versus standard care and neural mobilisation, Outcome 3 Pain on VAS (short term).
[Analysis 4.4]
Analysis 4.4. Comparison 4 Treatments that start immediately post-surgery. Standard care versus standard care and neural mobilisation, Outcome 4 Pain on VAS (long term).
[Analysis 4.5]
Analysis 4.5. Comparison 4 Treatments that start immediately post-surgery. Standard care versus standard care and neural mobilisation, Outcome 5 Global perceived effect (long term).
[Analysis 5.1]
Analysis 5.1. Comparison 5 Treatments that start four to six weeks post-surgery. Exercise versus no treatment, Outcome 1 Pain (post-treatment).
[Analysis 5.2]
Analysis 5.2. Comparison 5 Treatments that start four to six weeks post-surgery. Exercise versus no treatment, Outcome 2 Functional status (post-treatment).
[Analysis 5.3]
Analysis 5.3. Comparison 5 Treatments that start four to six weeks post-surgery. Exercise versus no treatment, Outcome 3 Functional status (long term).
[Analysis 5.4]
Analysis 5.4. Comparison 5 Treatments that start four to six weeks post-surgery. Exercise versus no treatment, Outcome 4 Pain on Low Back Pain Rating Scale (long term).
[Analysis 5.5]
Analysis 5.5. Comparison 5 Treatments that start four to six weeks post-surgery. Exercise versus no treatment, Outcome 5 Functional status on Low Back Pain Rating Scale (post-treatment).
[Analysis 5.6]
Analysis 5.6. Comparison 5 Treatments that start four to six weeks post-surgery. Exercise versus no treatment, Outcome 6 Functional status on Low Back Pain Rating Scale (long term).
[Analysis 5.7]
Analysis 5.7. Comparison 5 Treatments that start four to six weeks post-surgery. Exercise versus no treatment, Outcome 7 Pain on Low Back Pain Rating Scale (post-treatment).
[Analysis 5.8]
Analysis 5.8. Comparison 5 Treatments that start four to six weeks post-surgery. Exercise versus no treatment, Outcome 8 Pain on Low Back Pain Rating Scale (long term).
[Analysis 6.1]
Analysis 6.1. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 1 Pain (short term).
[Analysis 6.2]
Analysis 6.2. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 2 Function (short term).
[Analysis 6.3]
Analysis 6.3. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 3 Functional status on Low Back Pain Rating Scale (post-treatment).
[Analysis 6.4]
Analysis 6.4. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 4 Functional status on Low Back Pain Rating Scale (long term).
[Analysis 6.5]
Analysis 6.5. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 5 Pain on Low Back Pain Rating Scale (post-treatment).
[Analysis 6.6]
Analysis 6.6. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 6 Pain on Low Back Pain Rating Scale (long term).
[Analysis 6.7]
Analysis 6.7. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 7 Functional status on Roland-Morris Disability Questionnare (long term).
[Analysis 6.8]
Analysis 6.8. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 8 Pain on VAS (long term).
[Analysis 6.9]
Analysis 6.9. Comparison 6 Treatments that start four to six weeks post-surgery. High-intensity exercise versus low-intensity exercise programmes, Outcome 9 Return to work (long term).
[Analysis 7.1]
Analysis 7.1. Comparison 7 Treatments that start four to six weeks post-surgery. Supervised programmes versus home exercises, Outcome 1 Pain (short term).
[Analysis 7.2]
Analysis 7.2. Comparison 7 Treatments that start four to six weeks post-surgery. Supervised programmes versus home exercises, Outcome 2 Functional status (short term).
[Analysis 7.3]
Analysis 7.3. Comparison 7 Treatments that start four to six weeks post-surgery. Supervised programmes versus home exercises, Outcome 3 Global perceived effect (short term) (four-point scale).
[Analysis 7.4]
Analysis 7.4. Comparison 7 Treatments that start four to six weeks post-surgery. Supervised programmes versus home exercises, Outcome 4 Global perceived effect (long term) (four-point scale).
[Analysis 7.5]
Analysis 7.5. Comparison 7 Treatments that start four to six weeks post-surgery. Supervised programmes versus home exercises, Outcome 5 Pain (long term) (five-point scale).
[Analysis 7.6]
Analysis 7.6. Comparison 7 Treatments that start four to six weeks post-surgery. Supervised programmes versus home exercises, Outcome 6 Pain (long term) (VAS).
[Analysis 7.7]
Analysis 7.7. Comparison 7 Treatments that start four to six weeks post-surgery. Supervised programmes versus home exercises, Outcome 7 Functional status (long term) (12-point scale).
[Analysis 8.1]
Analysis 8.1. Comparison 8 Treatments that start four to six weeks post-surgery. Exercise and education versus education, Outcome 1 Functional status on Modified Oswestry (post-treatment).
[Analysis 9.1]
Analysis 9.1. Comparison 9 Treatments that start four to six weeks post-surgery. Exercise and booklet versus exercise, Outcome 1 Functional status on Modified Oswestry (post-treatment).
[Analysis 9.2]
Analysis 9.2. Comparison 9 Treatments that start four to six weeks post-surgery. Exercise and booklet versus exercise, Outcome 2 Functional status on Modified Oswestry (long term).
[Analysis 9.3]
Analysis 9.3. Comparison 9 Treatments that start four to six weeks post-surgery. Exercise and booklet versus exercise, Outcome 3 Pain on VAS (post-treatment).
[Analysis 9.4]
Analysis 9.4. Comparison 9 Treatments that start four to six weeks post-surgery. Exercise and booklet versus exercise, Outcome 4 Pain on VAS (long term).
[Analysis 10.1]
Analysis 10.1. Comparison 10 Treatments that start four to six weeks post-surgery. Multidisciplinary programme versus usual care PT, Outcome 1 Global perceived effect (long term).
[Analysis 10.2]
Analysis 10.2. Comparison 10 Treatments that start four to six weeks post-surgery. Multidisciplinary programme versus usual care PT, Outcome 2 Return to work (long term).
[Analysis 11.1]
Analysis 11.1. Comparison 11 Treatments that start four to six weeks post-surgery. Behavioural graded activity versus usual care PT, Outcome 1 Global perceived effect (post-treatment).
[Analysis 11.2]
Analysis 11.2. Comparison 11 Treatments that start four to six weeks post-surgery. Behavioural graded activity versus usual care PT, Outcome 2 Global perceived effect (long term).
[Analysis 11.3]
Analysis 11.3. Comparison 11 Treatments that start four to six weeks post-surgery. Behavioural graded activity versus usual care PT, Outcome 3 Functional status on Roland-Morris Disability Questionnare (post treatment).
[Analysis 11.4]
Analysis 11.4. Comparison 11 Treatments that start four to six weeks post-surgery. Behavioural graded activity versus usual care PT, Outcome 4 Functional status on Roland-Morris Disability Questionnare (long term).
[Analysis 11.5]
Analysis 11.5. Comparison 11 Treatments that start four to six weeks post-surgery. Behavioural graded activity versus usual care PT, Outcome 5 Pain on VAS (post-treatment).
[Analysis 11.6]
Analysis 11.6. Comparison 11 Treatments that start four to six weeks post-surgery. Behavioural graded activity versus usual care PT, Outcome 6 Pain on VAS (long term).
[Analysis 12.1]
Analysis 12.1. Comparison 12 Treatments that start four to six weeks post-surgery. Strength and stretching versus stretching, Outcome 1 Functional status on Modified Oswestry (long term).
[Analysis 12.2]
Analysis 12.2. Comparison 12 Treatments that start four to six weeks post-surgery. Strength and stretching versus stretching, Outcome 2 Pain on VAS (long term).
[Analysis 13.1]
Analysis 13.1. Comparison 13 Treatments that start longer than 12 months post-surgery. Low-tech exercise versus no treatment, Outcome 1 Functional status on Modified Oswestry (post-treatment).
[Analysis 14.1]
Analysis 14.1. Comparison 14 Treatments that start longer than 12 months post-surgery. High-tech exercise versus no treatment, Outcome 1 Functional status on Modified Oswestry (post-treatment).
[Analysis 15.1]
Analysis 15.1. Comparison 15 Treatments that start longer than 12 months post-surgery. High-tech versus low-tech exercise, Outcome 1 Functional status on Roland-Morris Disability Questionnare (post-treatment).
[Analysis 16.1]
Analysis 16.1. Comparison 16 Treatments that start longer than 12 months post-surgery. Dynamic exercise versus dynamic exercise and hyperextension, Outcome 1 Functional status (short term).
[Analysis 16.2]
Analysis 16.2. Comparison 16 Treatments that start longer than 12 months post-surgery. Dynamic exercise versus dynamic exercise and hyperextension, Outcome 2 Pain (short term).