caa a22 4500 445834056 CHVBK 20180317145325.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00586-011-1781-y doi (NATIONALLICENCE)springer-10.1007/s00586-011-1781-y Postoperative rehabilitation does not improve functional outcome in lumbar spinal stenosis: a prospective study with 2-year postoperative follow-up [Elektronische Daten] [Timo Aalto, Ville Leinonen, Arto Herno, Markku Alen, Heikki Kröger, Veli Turunen, Sakari Savolainen, Tapani Saari, Olavi Airaksinen] The aim was to study if postoperative rehabilitation improves functional outcome in lumbar spinal stenosis (LSS). Surgically treated LSS patients (n=102) were randomized to rehabilitation-group (A) and "standard postoperative treatment”—group (B). Intervention for A-group started 3months postoperatively, consisting of once a week outpatient visits for 12weeks (1.5h per visit; 1-6 patients per one physiotherapist). Physiotherapist guided stretching and strengthening exercises. A-group performed individually estimated exercises at those visits with guiding and at home up to 24-month postoperative follow-up. Physiotherapeutic guidance (12 times) was repeated after 12months, in order to update exercises and motivate patients to keep training. For B-group, the "standard treatment” thus included normal postoperative treatment, or no treatment/self-management. Outcome measures were measured at the start and the end of the first physiotherapeutic intervention (3 and 6months postoperatively), and at 12- and 24-month postoperative follow-ups. Oswestry Disability Index (ODI, 0-100%) was the main outcome measure. The other outcome measures were back- and leg pain separately (NRS-11); satisfaction (7-point scale) and treadmill test (0-1,000m; not at 6month). The intervention consisting of 12+12 physiotherapeutic sessions with further home exercises did not influence the course ODI in the 24-month postoperative follow-up (p=0.95 for ODI; "as-rehabilitated” analysis). No influence on any other outcome measures was observed. After LSS surgery, routinely performed outpatient rehabilitation did not improve functional outcome compared to standard treatment. In addition, it had no impact on the back and leg pain, satisfaction and walking ability. Springer-Verlag, 2011 Lumbar stenosis nationallicence Surgery nationallicence Outcome nationallicence Rehabilitation nationallicence Aalto Timo Kyyhkylä Rehabilitation Center and Hospital/Hallinto, Kyyhkyläntie 9, 50700, Mikkeli, Finland aut Leinonen Ville Department of Neurosurgery, Kuopio University Hospital, Kuopio, Finland aut Herno Arto Department of Physical and Rehabilitation Medicine, Kuopio University Hospital, Kuopio, Finland aut Alen Markku Department of Medical Rehabilitation, Oulu University Hospital, Oulu, Finland aut Kröger Heikki Department of Orthopaedics and Traumatology, Kuopio University Hospital, Kuopio, Finland aut Turunen Veli Department of Orthopaedics and Traumatology, Kuopio University Hospital, Kuopio, Finland aut Savolainen Sakari Department of Neurosurgery, Kuopio University Hospital, Kuopio, Finland aut Saari Tapani Rissalantie 36, 70910, Vuorela, Siilinjärvi, Finland aut Airaksinen Olavi Department of Physical and Rehabilitation Medicine, Kuopio University Hospital, Kuopio, Finland aut European Spine Journal Springer-Verlag 20/8(2011-08-01), 1331-1340 0940-6719 20:8<1331 2011 20 586 https://doi.org/10.1007/s00586-011-1781-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1781-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Aalto Timo Kyyhkylä Rehabilitation Center and Hospital/Hallinto, Kyyhkyläntie 9, 50700, Mikkeli, Finland aut NATIONALLICENCE 700 1- Leinonen Ville Department of Neurosurgery, Kuopio University Hospital, Kuopio, Finland aut NATIONALLICENCE 700 1- Herno Arto Department of Physical and Rehabilitation Medicine, Kuopio University Hospital, Kuopio, Finland aut NATIONALLICENCE 700 1- Alen Markku Department of Medical Rehabilitation, Oulu University Hospital, Oulu, Finland aut NATIONALLICENCE 700 1- Kröger Heikki Department of Orthopaedics and Traumatology, Kuopio University Hospital, Kuopio, Finland aut NATIONALLICENCE 700 1- Turunen Veli Department of Orthopaedics and Traumatology, Kuopio University Hospital, Kuopio, Finland aut NATIONALLICENCE 700 1- Savolainen Sakari Department of Neurosurgery, Kuopio University Hospital, Kuopio, Finland aut NATIONALLICENCE 700 1- Saari Tapani Rissalantie 36, 70910, Vuorela, Siilinjärvi, Finland aut NATIONALLICENCE 700 1- Airaksinen Olavi Department of Physical and Rehabilitation Medicine, Kuopio University Hospital, Kuopio, Finland aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/8(2011-08-01), 1331-1340 0940-6719 20:8<1331 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer