J Korean Soc Spine Surg.  2014 Jun;21(2):57-62. 10.4184/jkss.2014.21.2.57.

A Survey on the Exercise Program after Surgery for the Herniated Lumbar Disc in the Hospital Websites

• Shim DM
• Kim TK
• Lim CM
• Lee YC
• Kim DH

• KMID: 1800399
• DOI: http://doi.org/10.4184/jkss.2014.21.2.57

Abstract

STUDY DESIGN: Exercise therapy after lumbar disc herniation surgery which is presented through hospital website was studied.
OBJECTIVES
To assess the efficacy of exercise therapy after lumbar disc herniation surgery; the methods of evaluation are identified through the participating hospital's web site and exercise therapy that is presented on reference is compared. SUMMARY OF LITERATURE REVIEW: Exercise therapy after lumbar disc herniation surgery is effective; however, patient training is needed to ensure compliance.
MATERIALS AND METHODS
After searching on five different portals using the term 'spine surgery,' 230 websites were retrieved. The performance of lumbar disc herniation surgery and presentation of postoperative exercise therapy was discovered and the presentation of exercise therapy for surgery type and departments difference were investigated. Exercise therapy were classified according to purposes and method for reference and the number of each exercise therapy was investigated. Exercises which were divided by postoperative period were also investigated.
RESULTS
In 230 websites were retrieved; there were a total of 103 hospitals performing lumbar disc herniation surgery: 23 websites (22%)proposed exercise therapy after surgery is 23(22%), and 2(9%) of websites proposed exercise therapy for the type of surgery. The number of exercise therapy proposed by the website was 15; of the exercises mentioned, deep abdominal muscle contractions was the most commonly mentioned, using the treadmill was least. There were 5 websites that proposed exercise therapy divided by postoperative period.
CONCLUSIONS
Only 22% of hospitals with websites that performed lumbar disc herniation surgery proposed postoperative exercise therapy. Although th common trends seem biased, postoperative exercise therapy needs more attention and the construction of websites for patient access is necessary to provide better rehabilitation for patients.

Keyword

Lumbar Disc Herniation; Postoperative exercise; Web site

MeSH Terms

Abdominal Muscles
Bias (Epidemiology)
Compliance
Exercise
Exercise Therapy
Humans
Postoperative Period
Rehabilitation

Reference

1. Kang IO, Seo SR. The current status of spine surgery in Korea. National Health Insurance Forum. 2006; 5:116–39.

2. You JW. Lumbar Disc Disease. J Korean Soc Spine Surg. 1999; 6:208–19.

3. Choi G, Pradyumna PR, Kim MJ, Jin CD, Chae YS, Lee SH. The Effect of early isolated lumbar extension exercise program for patients with herniated disc undergoing lumbar discectomy. Neurosurgery. 2005; 57:764–72.

4. Dolan P, Greenfield K, Nelson RJ, Nelson IW. Can exercise therapy improve the outcome of microdiscectomy? Spine (Phila Pa 1976). 2000; 25:1523–32.

5. Mattila M, Hurme M, Alaranta H, et al. The multifidus muscle in patients with lumbar disc herniation: A histo-chemical and morphometric analysis of intraoperative bi-opsies. Spine. 1986; 11:732–8.

6. Nam KW, Jeon BC, Kwon GY, Kim GC, Kang KM. The comparison of exercise programs for trunk stability in the patients with microscopic lumbar discectomy. J Korean Acad Rehabil Med. 2006; 30:365–77.

7. Lee DH, Shim DM, Kim SS, et al. Effects of the Strengthening Exercise on Back Muscles after Lumbar Discectomy. J Korean Soc Spine Surg. 2002; 9:41–7.

8. Jeong BG, Kim JY, Hong YS, et al. An analysis of the length of admission for some musculoskeletal disorders among the national health insurance corporation data. J Korean Orthop Assoc. 2006; 41:736–45.

9. Kjellby-Wendt G, Styf J, Carlsson SG. Early active rehabilitation after surgery for lumbar disc herniation A prospective, randomized study of psychometric assessment in 50 patients. Acta Orthop Scand. 2001; 72:518–24.

10. Kjellby-Wendt G, Styf J. Early active training after lumbar discectomy. A prospective, randomized, and controlled study. Spine (Phila Pa 1976). 1998; 23:2345–51.

11. Hä kkinen A, Ylinen J, Kautiainen H, Tarvainen U, Kivi-ranta I. Effects home strength training and stretching versus stretching alone after lumbar disk surgery: A Randomized study with a 1-year followup. Arch Phys Med Rehabil. 2005; 86:865–70.

12. Johansson AC, Linton SJ, Bergkvist L, Nilsson O, Corne-fjord M. Clinic-based training in comparison to homebased training after first-time lumbar disc surgery: a randomized controlled trial. Eur Spine J. 2009; 18:398–409.

13. Rissanem A, Kalimo H, Alaranta H. Effect of intensive training on the isokinetic strength and structure of lumbar muscles in patients with chronic low back pain. Spine (Phila Pa 1976). 1995; 20:333–40.

14. Brennan GP, Shultz BB, Hood RS, Zahniser JC, Johnson SC, Gerber AH. The effects of aerobic exercise after lumbar microdiscectomy. Spine (Phila Pa 1976). 1994; 19:735–9.

15. Hansen JW. Postoperative management in lumbar disc pro-trusions. I. Indications, method and results. II. Followup on a trained and untrained group of patients. Acta orthop scand suppl. 1964; 71:1–47.

16. Rasmussen-Barr E, Ang B, Arvidsson I, Nilsson-Wikmar L. Graded exercise recurrent low-back pain: a randomized, controlled trial with 6-, 12-, and 36-month followups. Spine (Phila Pa 1976). 2009; 34:221–8.

17. Erdogmus CB, Resch KL, Sabitzer R, et al. Physiotherapy-based rehabilitation following disc herniation operation. Spine (Phila Pa 1976). 2007; 32:2041–9.

18. Ju SB, Lee WJ. The effects of kinesio taping and exercise therapy program on lumbar extension muscle strength, visual analogue scale in operation patients of lumbar disk herniation. The Korean journal of physical education. 2006; 45:537–47.

19. Manniche C, Skall HF, Braendholt L, et al. Clinical trial of postoperative dynamic back exercises after first lumbar discectomy. Spine (Phila Pa 1976). 1993; 18:92–7.

20. Brennan GP, Shultz BB, Hood RS, Zahniser JC, Johnson SC, Gerber AH. The effects of aerobic exercise after lumbar microdiscectomy. Spine (Phila Pa 1976). 1994; 19:735–9.

21. Weinstein JN, Lurie JD, Olson PR, Bronner KK, Fisher ES. United states'trends and regional variations in lumbar spine surgery: 1992-2003. Spine. 2006; 31:2707–14.

22. Ostelo RW, de Vet HC, Waddell G, Kerckhoffs MR, Lef-fers P, van Telder M. Rehabilitation following first-time lumbar disc surgery: a systematic review within the frame-work of The Cochrane Collaboration. Spine (Phila Pa 1976). 2003; 28:209–18.

23. Shim DM, Jeung UO, Kim TG, et al. Evaluation of quality of website information about lumbar herniated intervertebral disc. J Korean Orthop Assoc. 2007; 42:249–54.