Clinical and Biomechanics Research in Core Muscles After Lumbar Fusion Surgery
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 100
- 试验地点
- 1
研究概览
简要总结
Lumbar fusion has been widely used for spinal disorders when conservative treatment has failed. However, a number of studies have reported that the rate of re-operation is high for lumbar fusion surgery. Swelling, atrophy or fat infiltration of the paraspinal muscles at the surgery site can cause weakness and pain. After fusion, the range of motion is constrained at the fused spine and might facilitate compensative movement of the adjacent levels and increase degeneration rate of the spine.
Evidence has shown that core muscles play an important role to stabilize and support the spine. Whether core stability exercise can enhance spinal stability after lumbar fusion surgery remains unclear. Therefore, the overall goal of this proposed research is to investigate how core muscles affect outcomes after lumbar spinal fusion. The investigators will explore this issue hierarchically and systematically in 3-year duration.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 20 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •ages between 20 and 85 years,
- •back pain and/or sciatica exceeding 12 weeks for which conservative treatment had failed to improve,
- •a primary diagnosis of spinal stenosis, spondylosis, degenerative or isthmic spondylolisthesis or degenerative disc disease, and
- •the patient selected for lumbar surgery
排除标准
- •mechanical back pain due to posture changes and cannot maintain an upright posture over 30 minutes;
- •segmental instability that includes isthmic spondylolisthesis, degenerative spondylolisthesis over 0.4 cm;
- •intervertebral angle reversal on dynamic radiographs; and
- •previous lumbar fusion, rheumatoid arthritis, and ankylosing spondylitis.