Rehabilitation After Lumbar Disc Surgery: Exercise Therapy and Brief Educational Intervention

Not Applicable

Completed

• Conditions: Prolapse
• Interventions: Other: Brief intervention, an educational model; Other: Exercise therapy

• Registration Number: NCT01779544
• Lead Sponsor: Haukeland University Hospital

Brief Summary

Rehabilitation after lumbar disc surgery (prolapse) focuses on various elements such as endurance, strength, stretching and information. Evidence concludes that it is not harmful to return to activity after lumbar disc surgery, and restrictions to activities after these operations are today more or less nonexistent. Some studies have shown that high intensity programs might be more effective, but they are probably more expensive. In recent years cognitive interventions have received more attention in rehabilitation programs after lumbar disc surgery. The cognitive approach is focused on providing patient knowledge to reduce uncertainty so that he or she can understand what is important after lumbar disc surgery so that belief in self-efficacy increases. A goal of the rehabilitation is to get the patient to resume normal activities. Reviews ask for how much treatment are needed in a rehabilitation program after lumbar disc surgery.

The study will be a randomized clinical trial. The study will compare two different post-operative rehabilitation programs (general information or general information + exercise therapy). Both groups will begin treatment 1 day after surgery. Subjects in exercise therapy group are supposed to continue with exercises 3 months.

In this study the following hypothesis will be studied:

1. Brief intervention, an educational model, alone after lumbar disc surgery do have the same effect on pain in legs and low back as brief intervention, an educational model, combined with exercise therapy.

2. Exercises which are instructed after lumbar disc surgery in a rehabilitation program, are being done by the patients.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-01
• Study First Submitted: 2013-01-24
• Study First Submitted QC: 2013-01-28
• Study First Posted: 2013-01-30
• Primary Completion: 2016-11
• Study Completion: 2016-11
• Status Verified: 2017-02
• Last Update Submitted: 2019-08-07
• Last Update Posted: 2019-08-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

• Diagnosed with lumbar disc prolapse with radicular pain
• Age between 18 and 60

Exclusion Criteria

• Previous lumbar disc surgery (prolapse)
• Spondyloarthritis
• Arthritis
• Systematic disease
• Heart disease
• Does not understand Norwegian language, spoken or in writing

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Brief intervention only	Brief intervention, an educational model	Brief intervention, an educational model, consists of information
Exercise group	Brief intervention, an educational model	Brief educational intervention combined with exercise therapy
Exercise group	Exercise therapy	Brief educational intervention combined with exercise therapy

Primary Outcome Measures

Name	Time	Method
Change from baseline in pain in the low back and the legs at 6-8 weeks and 1 year postsurgery	Baseline, 6-8 weeks postsurgery and 1 year postsurgery

Secondary Outcome Measures

Name	Time	Method
Change from baseline in health condition at 6-8 weeks and 1 year postsurgery	Baseline, 6-8 weeks postsurgery and 1 year postsurgery
Change from baseline in health condition rating at 6-8 weeks and 1 year postsurgery	Baseline, 6-8 weeks postsurgery and 1 year postsurgery
Change from baseline in Fear-Avoidance Beliefs Questionnaire (physical activity) at 6-8 weeks and 1 year postsurgery	Baseline, 6-8 weeks postsurgery and 1 year postsurgery
Recidive prolapse	1 year postsurgery
Change from baseline in Tampa scale of Kinesiophobia (TSK-13) at 6-8 weeks and 1 year postsurgery	Baseline, 6-8 weeks postsurgery and 1 year postsurgery
Disability and beliefs about the condition	Baseline, 6-8 weeks postsurgery and 1 year postsurgery
Change from baseline in Oswestry Disability Index at 6-8 weeks and 1 year postsurgery	Baseline, 6-8 weeks postsurgery and 1 year postsurgery
Change from baseline in anticipation to return to work at 6-8 weeks postsurgery	Baseline and 6-8 weeks postsurgery postsurgery

Trial Locations

Locations (1)

Haukeland University Hospital, Ortopedisk klinikk, Kysthospitalet i Hagevik; 🇳🇴 Bergen, Hordaland, Norway