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• W2187021668 endingPage "345" @default.
• W2187021668 startingPage "345" @default.
• W2187021668 abstract "Introduction: Lumbar discectomy is now the operation of choice for lumbosacral radicular syndrome. Few studies of high quality have been performed on the post surgical management of these cases. The studies that have been reported compare one exercise regime to another. The aim of this study was to compare long term outcomes of usual surgical advice, involving no formal post-surgical rehabilitation, with a non-aggravating six month gym rehabilitation programme post lumbar discectomy. This study is a prospective randomized controlled trial using a cohort followed for three years. Methods: The patients were computer randomised into two groups. Group A, the control group followed usual surgical advice which was to resume normal activity as soon as pain allowed. Group B, undertook the gym rehabilitation programme. Inclusion criteria were: Age 17 to 65 years, good health and no major medical problems. The surgical level had to be L3, L4, or L5. Patients were excluded if they had central neurological disorders, communication difficulties, any condition making gym-based exercises unsafe, or if the surgery was indicated for spinal infection, tumour or inflammatory disease. Patients were followed for a three year period using validated outcome measures (Roland-Morris Questionnaire and Oswestry Low Back Pain Index) and an annual Quality of Life (QoL) questionnaire. A sample of 40 per group provided the study with 80% power (P Results: Ninety three participants were randomised; Control n=46 and trial n=47. Eighty nine participants completed the study. Randomisation achieved a balance of confounding factors, with the exception of work heaviness, where there were a greater number of participants in the very heavy and heavy categories in the trial group (P Discussion: The results reveal an advantage in terms of episodes off work, GP visits and medication use for participants in the trial group who completed the programme. Time off work is a significant consideration for funding providers. These results suggest that surgeons should consider referral of discectomy patients to appropriate post-surgical rehabilitation programmes." @default.
• W2187021668 created "2016-06-24" @default.
• W2187021668 creator A5015101232 @default.
• W2187021668 creator A5056131415 @default.
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• W2187021668 creator A5064599272 @default.
• W2187021668 creator A5086114437 @default.
• W2187021668 date "2009-05-01" @default.
• W2187021668 modified "2023-09-26" @default.
• W2187021668 title "COMPARISON OF A SIX MONTH NON-AGGRAVATING GYM REHABILITATION PROGRAM VERSUS USUAL SURGICAL ADVICE POST LUMBAR DISCECTOMY. A PROSPECTIVE RANDOMISED CONTROLLED TRIAL WITH 3 YEAR FOLLOW UP" @default.
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