A critical analysis of the exercise prescription and return to activity advice that is provided in patient information leaflets following lumbar spine surgery

This data was imported from PubMed:

Authors: Low, M., Burgess, L.C. and Wainwright, T.W.

http://eprints.bournemouth.ac.uk/32532/

Journal: Medicina (Kaunas)

Volume: 55

Issue: 7

eISSN: 1648-9144

DOI: 10.3390/medicina55070347

Background and objectives: Lumbar spine surgery may be considered if pharmacologic, rehabilitation and interventional approaches cannot provide sufficient recovery from low back-related pain. Postoperative physiotherapy treatment in England is often accompanied by patient information leaflets, which contain important rehabilitation advice. However, in order to be an effective instrument for patients, the information provided in these leaflets must be up to date and based on the best available evidence and clinical practice. This study aims to critically analyse the current postoperative aspects of rehabilitation (exercise prescription and return to normal activity) that are provided in patient information leaflets in England as part of an evaluation of current practice following lumbar spine surgery. Materials and Methods: Patient information leaflets from English National Health Service (NHS) hospitals performing lumbar spine surgery were sourced online. A content analysis was conducted to collect data on postoperative exercise prescription and return to normal activities. Results: Thirty-two patient information leaflets on lumbar surgery were sourced (fusion, n = 11; decompression, n = 15; all lumbar procedures, n = 6). Many of the exercises prescribed within the leaflets were not based on evidence of clinical best practice and lacked a relationship to functional activity. Return to normal activity advice was also wide ranging, with considerable variation in the recommendations and definitions provided. Conclusions: This study highlights a clear variation in the recommendations of exercise prescription, dosage and returning to normal activities following lumbar spine surgery. Future work should focus on providing a consistent and patient-centred approach to recovery.

This data was imported from Scopus:

Authors: Low, M., Burgess, L.C. and Wainwright, T.W.

http://eprints.bournemouth.ac.uk/32532/

Journal: Medicina (Lithuania)

Volume: 55

Issue: 7

ISSN: 1010-660X

DOI: 10.3390/medicina55070347

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. Background and objectives: Lumbar spine surgery may be considered if pharmacologic, rehabilitation and interventional approaches cannot provide sufficient recovery from low back-related pain. Postoperative physiotherapy treatment in England is often accompanied by patient information leaflets, which contain important rehabilitation advice. However, in order to be an effective instrument for patients, the information provided in these leaflets must be up to date and based on the best available evidence and clinical practice. This study aims to critically analyse the current postoperative aspects of rehabilitation (exercise prescription and return to normal activity) that are provided in patient information leaflets in England as part of an evaluation of current practice following lumbar spine surgery. Materials and Methods: Patient information leaflets from English National Health Service (NHS) hospitals performing lumbar spine surgery were sourced online. A content analysis was conducted to collect data on postoperative exercise prescription and return to normal activities. Results: Thirty-two patient information leaflets on lumbar surgery were sourced (fusion, n = 11; decompression, n = 15; all lumbar procedures, n = 6). Many of the exercises prescribed within the leaflets were not based on evidence of clinical best practice and lacked a relationship to functional activity. Return to normal activity advice was also wide ranging, with considerable variation in the recommendations and definitions provided. Conclusions: This study highlights a clear variation in the recommendations of exercise prescription, dosage and returning to normal activities following lumbar spine surgery. Future work should focus on providing a consistent and patient-centred approach to recovery.

This data was imported from Web of Science (Lite):

Authors: Low, M., Burgess, L.C. and Wainwright, T.W.

http://eprints.bournemouth.ac.uk/32532/

Journal: MEDICINA-LITHUANIA

Volume: 55

Issue: 7

eISSN: 1648-9144

ISSN: 1010-660X

DOI: 10.3390/medicina55070347

The data on this page was last updated at 05:31 on November 27, 2020.