Effects of early regular rehabilitation on lumbar function and sagittal plane parameters in patients after lumbar fusion:a prospective randomized controlled study
10.3969/j.issn.1004-406X.2025.03.05
- VernacularTitle:早期规律康复训练对腰椎融合术后患者腰椎功能和矢状面参数的影响:一项前瞻性随机对照研究
- Author:
Jianquan CHEN
1
;
Shangde TANG
1
;
Xinyi LI
1
Author Information
1. 广东省中医院珠海医院脊柱骨科 519000 珠海市
- Publication Type:Journal Article
- Keywords:
Lumbar fusion;
Functional exercise;
Sagittal plane parameter of lumbar spine;
Clinical efficacy
- From:
Chinese Journal of Spine and Spinal Cord
2025;35(3):259-265
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To explore the effects of early regular rehabilitation exercise on lumbar function and saggital plane parameters of patients after single-segment posterior lumbar interbody fusion surgery(PLIF).Methods:Using a prospective,contemporaneous,parallel,controlled study design,124 patients who underwent single-segment PLIF for degenerative lumbar spine disease were randomly divided into a rehabilitation group and a control group,with 62 patients in each group.The rehabilitation group consisted of 30 males and 32 females,with a mean age of 54.0±4.8 years old;The control group included 29 males and 33 females,with a mean age of 55.0±5.2 years old.Patients in the rehabilitation group were instructed in regular functional training under the guidance of rehabilitation instructor,while patients in the control group performed function-al exercise on their own.The preoperative,postoperative 1,3,and 6 months'Oswestry disability index(ODI),Japanese Orthopaedic Association(JOA)score,and Barthel scale score were recorded.Drainage and hospitaliza-tion days were recorded,and lumbar lordosis(LL)angle and lumbar arch area(LAA)before operation and at postoperative 3 and 6 months were measured and compared between groups,perioperative complications were recorded,and finally a statistical analysis was performed to compare the differences in treatment effects between the two groups.Results:The ODI,JOA score and Barthel scale score of the rehabilitation group were better than those of the control group at 1 and 3 months after surgery,with statistical significance(P＜0.05).There were no significant differences in ODI,JOA score and Barthel score between the two groups at 6 months after operation(P＞0.05).There was no statistical difference in the amount of drainage between the two groups(P＞0.05).The number of hospitalization days in the rehabilitation group was less than that in the control group(7.6±0.7d vs 9.7±0.6d,P＜0.05).At 6 months postoperatively,the LL and LLA of patients in the rehabilitation group(51.3°±2.3° and 26.6±1.6mm2)were greater than those of patients in the control group(46.8°±4.2° and 21.5±3.1mm2),and the differences were statistically significant(P＜0.05).As for early postoperative complications,one case of abdominal distension and constipation and one case of hematoma in the operation area were observed in the rehabilitation group;Six cases of abdominal distension,two cases of deep vein thrombosis,one case of lung infection and one case of urinary tract infection were observed in the control group.There was no statistical difference in complications between the two groups(P＞0.05).Conclusions:After single-segment PLIF,early and regular rehabilitation training can shorten the length of hospital stays,reduce perioperative complications,and have a positive effect on the functional recovery and improvement of living ability of patients.
