Intervention Review

You have free access to this content

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

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Alaranta 1986 {published data only}
  • Alaranta H, Hurme M, Einola S, Kallio V, Knuts LR, Torma T. Rehabilitation after surgery for lumbar disc herniation: results of a randomized clinical trial. International Journal of Rehabilitation Research 1986;9(3):247-57.
Choi 2005 {published data only}
  • Choi G, Raiturker PP, Kim MJ, Chung DJ, Chae YS, Lee SH. The effect of early isolated lumbar extension exercise program for patients with herniated disc undergoing lumbar discectomy. Neurosurgery 2005;57(4):764-72; discussion 764-72.
Danielsen 2000 {published data only}
Dolan 2000 {published data only}
Donaldson 2006 {published data only}
  • Donaldson BL, Shipton EA, Inglis G, Rivett D, Frampton C. Comparison of usual surgical advice versus a nonaggravating six-month gym-based exercise rehabilitation program post-lumbar discectomy: results at one-year follow-up. The Spine Journal 2006;6(4):357-63.
Donceel 1999 {published data only}
Erdogmus 2007 {published data only}
  • Erdogmus CB, Resch KL, Sabitzer R, Muller H, Nuhr M, Schoggl A, et al. Physiotherapy-based rehabilitation following disc herniation operation: results of a randomized clinical trial. Spine 2007;32(19):2041-9.
Filiz 2005 {published data only}
Filiz 2005 (1) {published data only}
Hakkinen 2005 {published data only}
  • Hakkinen A, Ylinen J, Kautiainen H, et al. Effects of home strength training and stretching program versus stretching alone after lumbar disk surgery. Archives of Physical Medicine and Rehabilitation 2005;86:865-70.
Johannsen 1994 {published data only}
  • Johannsen F, Remvig L, Kryger P, Beck P, Larsen LH, Warming S, et al. Supervised endurance exercise training compared to home training after first lumbar diskectomy: a clinical trial. Clinical and Experimental Rheumatology 1994;12(6):609-14.
Johansson 2009 {published data only}
  • Johansson AC, Linton SJ, Bergkvist L, Nilsson O, Cornefjord M. Clinic-based training in comparison to home-based training after first-time lumbar disc surgery: a randomised controlled trial. European Spine Journal 2009;18(3):398-409.
Ju 2012 {published data only}
  • Ju S, Park G, Kim E. Effects of an exercise treatment program on lumbar extensor muscle strength and pain of rehabilitation patients recovering from lumbar disc herniation surgery. Journal of Physical Therapy Science 2012;24(6):515-8.
Kjellby-Wendt 1998 {published data only}
Kulig 2009 {published data only}
  • Kulig K, Beneck GJ, Selkowitz DM, Popovich JM Jr, Ge TT, Flanagan SP, et al. An intensive, progressive exercise program reduces disability and improves functional performance in patients after single-level lumbar microdiskectomy. Physical Therapy 2009;89(11):1145-57.
Manniche 1993a {published data only}
  • Manniche C, Skall HF, Braendholt L, Christinsen BH, Christophersen L, Ellegaard B, et al. Clinical trial of postoperative dynamic back exercises after first lumbar discectomy. Spine 1993;18(1):92-7.
Manniche 1993b {published data only}
  • Manniche C, Asmussen K, Lauritsen B, Vinterberg H, Karbo H, Abildstrup S, et al. Intensive dynamic back exercises with or without hyperextension in chronic back pain after surgery for lumbar disc protrusion. A clinical trial. Spine 1993;18(5):560-7.
McGregor 2011 {published data only}
  • McGregor AH, Dore CJ, Morris TP, Morris S, Jamrozik K. ISSLS prize winner: function after spinal treatment, exercise, and rehabilitation (FASTER): a factorial randomized trial to determine whether the functional outcome of spinal surgery can be improved. Spine 2011;36(21):1711-20.
  • Morris S, Morris TP, McGregor AH, Doré CJ, Jamrozik K. Function after spinal treatment, exercise, and rehabilitation: cost-effectiveness analysis based on a randomized controlled trial. Spine 2011;36(21):1807-14.
Newsome 2009 {published data only}
Ostelo 2003 {published data only}
  • Ostelo RW, Goossens ME, de Vet HC, van den Brandt PA. Economic evaluation of a behavioral-graded activity program compared to physical therapy for patients following lumbar disc surgery. Spine 2004;29(6):615-22.
  • Ostelo RW, de Vet HC, Berfelo MW, Kerckhoffs MR, Vlaeyen JW, Wolters PM, et al. Effectiveness of behavioral graded activity after first-time lumbar disc surgery: short term results of a randomized controlled trial. European Spine Journal 2003;12(6):637-44.
  • Ostelo RW, de Vet HC, Vlaeyen JW, Kerckhoffs MR, Berfelo WM, Wolters PM, et al. Behavioral graded activity following first-time lumbar disc surgery: 1-year results of a randomized clinical trial. Spine 2003;28(16):1757-65.
Scrimshaw 2001 {published and unpublished data}
  • Scrimshaw S, Maher C. Randomized controlled trial of neural mobilization after spinal surgery. Spine 2001;26:2647-52.
  • Scrimshaw S, Maher C. Randomized controlled trial of neural mobilization after spinal surgery. Unpublished data.
Timm 1994 {published data only}
  • Timm KE. A randomized-control study of active and passive treatments for chronic low back pain following L5 laminectomy. The Journal of Orthopaedic and Sports Physical Therapy 1994;20(6):276-86.
Yilmaz 2003 {published data only}
  • Yilmaz F, Yilmaz A, Merdol F, Parlar D, Sahin, F, Kuran B. Efficacy of dynamic lumbar stabilization exercise in lumbar microdiscectomy. Journal of Rehabilitation Medicine 2003;35:163-7.
Yilmaz 2003 (1) {published data only}
  • Yilmaz F, Yilmaz A, Merdol F, Parlar D, Sahin, F, Kuran B. Efficacy of dynamic lumbar stabilization exercise in lumbar microdiscectomy. Journal of Rehabilitation Medicine 2003;35:163-7.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Brennan 1994 {published data only}
Burke 1994 {published data only}
  • Burke SA, Harms Constas CK, Aden PS. Return to work/work retention outcomes of a functional restoration program. A multi-center, prospective study with a comparison group. Spine 1994;19(17):1880-5.
Imamovic 2010 {published data only}
  • Imamovic MZ, Hodzic M, Durakovic SK, Basic NK, Cickusic A, Imamovic G. [Functional status of patients after lumbar disc herniation surgery] [Funkcionalni status bolesnika nakon operacije lumbalne diskus hernije.]. Reumatizam 2010;57(1):21-5.
Ishida 2010 {published data only}
  • Ishida K, Umeno Y, Yoshimoto H,  Satoh S. Early active rehabilitation after surgery for lumbar disc herniation: a prospective, randomized control trial. Spine Affiliated Society Meeting Abstracts 2010:Suppl 259.
Kim 2010 {published data only}
  • Kim YS, Park J, Shim JK. Effects of aquatic backward locomotion exercise and progressive resistance exercise on lumbar extension strength in patients who have undergone lumbar diskectomy. Archives of Physical Medicine and Rehabilitation 2010;91(2):208-14.
Kim 2010b {published data only}
  • Kim YS, Park J, Hsu J, Cho KK, Kim YH, Shim JK. Effects of training frequency on lumbar extension strength in patients recovering from lumbar dyscectomy. Journal of Rehabilitation Medicine 2010;42(9):839-45.
Kitteringham 1996 {published data only}
  • Kitteringham C. The effect of straight leg raise exercises after lumbar decompression surgery - A pilot study. Physiotherapy 1996;82(2):115-23.
Lavyne 1992 {published data only}
Le Roux 1999 {published data only}
Mannion 2007 {published data only}
  • Mannion AF, Denzler R, Dvorak J, Grob D. Five-year outcome of surgical decompression of the lumbar spine without fusion. European Spine Journal 2010 Nov;19(11):1883-91.
  • Mannion AF, Denzler R, Dvorak J, Muntener M, Grob D. A randomised controlled trial of post-operative rehabilitation after surgical decompression of the lumbar spine. European Spine Journal 2007;16(8):1101-17.
Millisdotter 2007 {published data only}
  • Millisdotter M, Strömqvist B. Early neuromuscular customized training after surgery for lumbar disc herniation: a prospective controlled study. European Spine Journal 2007;16(1):19-26.
Nielsen 2010 {published data only}
  • Nielsen PR, Andreasen J, Asmussen M, Tønnesen H. Costs and quality of life for prehabilitation and early rehabilitation after surgery of the lumbar spine. BMC Health Services Research 2008 Oct 9;8:209.
  • Nielsen PR, Jorgensen LD, Dahl B, Pedersen T, Tonnesen H. Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial. Clinical Rehabilitation 2010;24(2):137-48.
Rotthaupt 1997 {published data only}
  • Rothaupt D, Laser T, Ziegler H, Liebig K. Orthopedic hippotherapy in postoperative rehabilitation of lumbar intervertebral disk patients. A prospective, randomized therapy study [Die Orthopädische Hippotherapie in der postoperativen Rehabilitation von lumbalen Bandscheibenpatienten. Eine prospektive, randomisierte Therapiestudie]. Sportverletzung Sportschaden 1997;11:63-9.
Woischnek 2000 {published data only}
  • Woisschnek D, Hussein S, Ruckert N, Heissler H. Criteria for the initiation of rehabilitation after lumbar disc surgery: pilot study. Rehabilitation 2000;39:88-92.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Arts 2009
  • Arts MP, Brand R, van den Akker ME, Koes BW, Bartels RH, Peul WC, Leiden-The Hague Spine Intervention Prognostic Study Group (SIPS). Tubular diskectomy vs conventional microdiskectomy for sciatica: a randomized controlled trial. Journal of the American Medical Association 2009;302(2):149-58.
Boutron 2005
  • Boutron I, Moher D, Tugwell P, Giraudeau B, Poiraudeau S, Nizard R, et al. A checklist to evaluate a report of a non pharmacological trial (CLEAR NPT) was developed using consensus. Journal of Clinical Epidemiology 2005;58:1233-40.
Carragee 1996
CBO 2008
  • The Dutch Institute for Healthcare Improvement (CBO). The lumbosacral radicular syndrome [Richtlijn Lumbosacraal Radiculair Syndroom]. Report. Utrecht, 2008.
den Boer 2010
  • den Boer JJ, Oostendorp RA, Evers AW, Beems T, Borm GF, Munneke M. The development of a screening instrument to select patients at risk of residual complaints after lumbar disc surgery. European Journal of Physical and Rehabilitation Medicine 2010;46(4):497-503.
el Barzouhi 2013
  • el Barzouhi A, Vleggeert-Lankamp CL, Lycklama à Nijeholt GJ, Van der Kallen BF, van den Hout WB, Jacobs WC, et al. Leiden-The Hague Spine Intervention Prognostic Study Group. Magnetic resonance imaging in follow-up assessment of sciatica. New England Journal of Medicine 2013;368(11):999-1007.
Furlan 2009
  • Furlan AD, Pennick V, Bombardier C, van Tulder M, Editorial Board, Cochrane Back Review Group. 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine 2009;34(18):1929-41.
Guyatt 2011
  • Guyatt G, Oxman AD, Akl EA, Kunz R, Vist G, Brozek J, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology 2011;64(4):383-94.
HCN 1999
  • Health Council of the Netherlands. Management of the lumbosacral radicular syndrome (sciatica). The Hague: Health Council of the Netherlands. Publication no. 1999/18.
HESonline 2012
  • The Health and Social Care Information Centre, Hospital Episode Statistics for England. Inpatient statistics, 2011-12. www.hscic.gov.uk/hes 01.
Higgins 2011
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011.
Hoogland 2006
  • Hoogland T, Schubert M, Miklitz B, Ramirez A. Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: a prospective randomized study in 280 consecutive cases. Spine 2006;31(24):E890-7.
Jacobs 2012
  • Jacobs WC, Arts MP, van Tulder MW, Rubinstein SM, van Middelkoop M, Ostelo RW, et al. Surgical techniques for sciatica due to herniated disc, a systematic review. European Spine Journal 2012;21(11):2232-51.
Morris 2011
  • Morris S, Morris TP, McGregor AH, Doré CJ, Jamrozik K. Function after spinal treatment, exercise, and rehabilitation: cost-effectiveness analysis based on a randomized controlled trial. Spine 2011;36(21):1807-14.
ONS 2011
  • Office for National Statistics. Table P07 2011 census: number of usual residents living in households and communal establishments, local authorities in England and Wales. www.ons.gov.uk/ons/publications/re-reference-tables.html?edition=tcm%3A77-257414.
Peul 2007
  • Peul WC, van Houwelingen HC, van den Hout WB, Brand R, Eekhof JA, Tans JT, et al. Leiden-The Hague Spine Intervention Prognostic Study Group. Surgery versus prolonged conservative treatment for sciatica. New England Journal of Medicine 2007;356(22):2245-56.
Rasmussen 2008
  • Rasmussen S, Krum-Møller DS, Lauridsen LR, Jensen SE, Mandøe H, Gerlif C, et al. Epidural steroid following discectomy for herniated lumbar disc reduces neurological impairment and enhances recovery: a randomized study with two-year follow-up. Spine 2008;33(19):2028-33.
Ruetten 2008
  • Ruetten S, Komp M, Merk H, Godolias G. Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study. Spine 2008;33(9):931-9.
Sherman 2010
Steiger 2012
  • Steiger F, Wirth B, de Bruin ED, Mannion AF. Is a positive clinical outcome after exercise therapy for chronic non-specific low back pain contingent upon a corresponding improvement in the targeted aspect(s) of performance?. European Spine Journal 2012;21(4):575-98.
USCB 2002
  • U.S. Agency for International Development Bureau for Global Health Office of Population and Reproductive Health / U.S. Department of Commerce, Economics, Statistics Administration. U.S. CENSUS BUREAU. Global Population Profile: 2002 Issued March 2004 WP/02. www.census.gov/prod/2004pubs/wp-02.pdf 2004.
van Beek 2010
  • van Beek E, Lemmens K, van Schooten G,  Vlieger EJ. Reduceren van praktijkvariatie: budgettaire effecten van scherpere indicatiestelling. Reduceren van praktijkvariatie: budgettaire effecten van scherpere indicatiestelling. Breukelen: Plexus, 2010.
van Tulder 2003
Weinstein 2006
  • Weinstein JN, Lurie JD, Olson PR, Bronner KK, Fisher ES. United States' trends and regional variations in lumbar spine surgery: 1992-2003. Spine 2006;31:2707-14.
Weinstein 2006b
  • Weinstein JN, Tosteson TD, Lurie JD, Tosteson AN, Hanscom B, Skinner JS, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. Journal of the American Medical Association 2006;296(20):2441-50.
Zelen 1979

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Ostelo 2003a
Ostelo 2004
  • Ostelo RW, de Vet HC, Waddell G, Kerckhoffs MR, Leffers P, van Tulder MW. Rehabilitation after lumbar disc surgery. Cochrane Database of Systematic Reviews 2002, Issue 2. [DOI: 10.1002/14651858.CD003007]
Ostelo 2008
Ostelo 2009