Surgery
Spine
2012;37:E417–E422
Title
An Evaluation of a
Postoperative Rehabilitation Program After Spinal Surgery and Its Impact on
Outcome
Authors
Alison H. McGregor
Ania Henley
Tim P. Morris
Caroline J. Doré
Study Design.
Multicenter, factorial, randomized controlled trial
of the postoperative management (rehabilitation program) of spinal surgery
patients
Objective
1. Determine the acceptability and content of the
rehabilitation program
2. Evaluate the patients’ views of the
rehabilitation intervention in terms of acceptability and content
Summary of Background Data
1. Use of rehabilitation after spinal surgery is
sporadic
2. Evidence for its benefit is mixed.
3.
Few study on a randomized controlled trial conducted to determine whether
functional outcome of spinal surgery could be improved by a postoperative
rehabilitation program
Methods
1.
Patients randomized to postoperative rehabilitation (6 weeks)
2.
Completed an evaluation of content, style, and length using forced choice and
open questions
Results
1. Poor compliance with rehabilitation
*41%
of subjects failing to attend any classes
*16%
attending less than half
2. Compliance with the evaluation: 100% (105
patients attending 1 or more classes)
3.
Length, content, and approach to the classes were rated positively, and
patients gave the class a median rating of 9 of 10, range 5 to 10, with 91%
rating the classes as 7 or above.
Conclusion
1. Compliance with a postoperative rehabilitation
program was disappointing.
2. But the program was assessed positively and of
benefit by those who attended.
3. Issues were raised in relation to timing and
location of classes.
4. There is an increasing desire to locate such
interventions out of the hospital environment.
Key
Points
1. Compliance with postoperative
rehabilitation was poor.
2. Those that did attend the
classes rated them highly.
3. Patients perceived the
classes were of value.
"This comes
from Spine (c) 2012 Lippincott Williams & Wilkins, Inc."
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