Nelson BW, Carpenter DM, Dreisinger TE, Mitchell M, Kelly CE, Wegner JA.
Can spinal surgery be prevented by aggressive strengthening exercises ?
A prospective study of cervical and lumbar patients.
Arch Phys Med Rehabil 1999 ; 80 : 20-5.
To determine if patients recommended for spinal surgery can avoid the surgery through an aggressive strengthening program.
A privately owned clinic, staffed by physicians and physical therapists, that provides treatment for patients with neck and/or back pain.
Over a period of 21/2 years, consecutive patients referred to the clinic for evaluation and treatment were enrolled in the study if they (I) had a physician's recommendation for lumbar or cervical surgery, (2) had no medical condition preventing exercise, and (3) were willing to participate in the approximately 10-week outpatient program.
Treatment consisted mainly of intensive, progressive resistance exercise of the isolated lumbar or cervical spine.
Exercise was continued to failure, and patients were encouraged to work through their pain.
Third-party payors in Minneapolis were surveyed for average costs.
Average follow-up occurred 16 months after discharge.
Forty-six of the 60 participants completed the program ; 38 were available for follow-up and three required surgery after completing the program.
Despite methodologic limitations, the results are intriguing. (...)
Mots-clés Pascal : Lombalgie, Douleur, Rachis cervical, Elongation, Agressivité, Effet biologique, Indication, Chirurgie, Analyse avantage coût, Homme, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Réadaptation physique, Economie santé
Mots-clés Pascal anglais : Low back pain, Pain, Cervical spine, Elongation, Aggressiveness, Biological effect, Indication, Surgery, Cost benefit analysis, Human, Diseases of the osteoarticular system, Spine disease, Rachialgia, Physical rehabilitation, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0084919
Code Inist : 002B26H. Création : 31/05/1999.