The Effect of Graded Activity and Pain Education After Lumbar Spinal Fusion on Sedentary Behavior 3 and 12 Months Postsurgery: A Randomized Controlled Trial: A Randomized Controlled Trial
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| Název: | The Effect of Graded Activity and Pain Education After Lumbar Spinal Fusion on Sedentary Behavior 3 and 12 Months Postsurgery: A Randomized Controlled Trial: A Randomized Controlled Trial |
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| Autoři: | Heidi Tegner, Nanna Rolving, Marius Henriksen, Rachid Bech-Azeddine, Mari Lundberg, Bente Appel Esbensen |
| Přispěvatelé: | Pain in Motion, Physiotherapy, Human Physiology and Anatomy |
| Zdroj: | Tegner, H, Rolving, N, Henriksen, M, Bech-Azeddine, R, Lundberg, M & Esbensen, B A 2024, ' The Effect of Graded Activity and Pain Education After Lumbar Spinal Fusion on Sedentary Behavior 3 and 12 Months Postsurgery : A Randomized Controlled Trial ', Archives of Physical Medicine and Rehabilitation, vol. 105, no. 8, pp. 1480-1489 . https://doi.org/10.1016/j.apmr.2024.04.005 |
| Informace o vydavateli: | Elsevier BV, 2024. |
| Rok vydání: | 2024 |
| Témata: | Male, Adult, Chronic Pain/rehabilitation, Lumbar Vertebrae/surgery, Low Back Pain/rehabilitation, Disability Evaluation, Patient Education as Topic, sedentary behavior, Humans, Low back pain, Single-Blind Method, General surgery, Physiotherapy, Quality Of Life, Lumbar Vertebrae, Physical activity, Patient Education as Topic/methods, Rehabilitation, Fear, Middle Aged, 16. Peace & justice, Exercise Therapy/methods, Self Efficacy, Fysioterapi, Exercise Therapy, 3. Good health, Spinal Fusion, Quality of Life, fear, Female, Sedentary Behavior, Chronic Pain, Low Back Pain |
| Popis: | To examine the effect of an early postsurgical intervention consisting of graded activity and pain education (GAPE) in patients with chronic low back pain (CLBP) undergoing lumbar spinal fusion (LSF) on sedentary behavior, disability, pain, fear of movement, self-efficacy for exercise and health-related quality of life (HRQoL) at 3-, 6-, and 12 months follow-up.A parallel-group, observer-blinded randomized controlled trial.Department of Occupational- and Physiotherapy and the Centre for Rheumatology and Spine Diseases, Rigshospitalet, Denmark.In total, 144 participants undergoing an LSF for CLBP were randomly assigned to an intervention or a control group.The intervention group received 9 sessions of GAPE, based on principles of operant conditioning.The primary outcome was reduction in time spent in sedentary behavior, measured by an accelerometer at 3 months. The secondary outcomes were reduction in time spent in sedentary behavior at 12 months and changes from baseline to 3-, 6-, and 12 months on disability, pain, fear of movement, self-efficacy for exercise, and HRQoL.No difference in changes in sedentary behavior between groups was found 3 months after surgery. At 12 months after surgery, there was a significant difference between groups (mean difference: -25.4 min/d (95% confidence interval -49.1 to -1.7)) in favor of the intervention group.Compared with usual care, GAPE had no effect on short-term changes in sedentary behavior but GAPE had a statistical, but possibly not clinical significant effect on sedentary behavior 12 months after LSF. Further, the behavioral intervention was safe to perform. |
| Druh dokumentu: | Article |
| Popis souboru: | application/pdf |
| Jazyk: | English |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2024.04.005 |
| Přístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/38685291 https://curis.ku.dk/ws/files/401133387/1_s2.0_S0003999324009420.pdf https://biblio.vub.ac.be/vubir/(acced5ce-1132-4011-89f2-a256a46e95f5).html http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-5359 |
| Rights: | CC BY |
| Přístupové číslo: | edsair.doi.dedup.....d94283dbe94edf515908b549cc4b4c80 |
| Databáze: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstrakt: | To examine the effect of an early postsurgical intervention consisting of graded activity and pain education (GAPE) in patients with chronic low back pain (CLBP) undergoing lumbar spinal fusion (LSF) on sedentary behavior, disability, pain, fear of movement, self-efficacy for exercise and health-related quality of life (HRQoL) at 3-, 6-, and 12 months follow-up.A parallel-group, observer-blinded randomized controlled trial.Department of Occupational- and Physiotherapy and the Centre for Rheumatology and Spine Diseases, Rigshospitalet, Denmark.In total, 144 participants undergoing an LSF for CLBP were randomly assigned to an intervention or a control group.The intervention group received 9 sessions of GAPE, based on principles of operant conditioning.The primary outcome was reduction in time spent in sedentary behavior, measured by an accelerometer at 3 months. The secondary outcomes were reduction in time spent in sedentary behavior at 12 months and changes from baseline to 3-, 6-, and 12 months on disability, pain, fear of movement, self-efficacy for exercise, and HRQoL.No difference in changes in sedentary behavior between groups was found 3 months after surgery. At 12 months after surgery, there was a significant difference between groups (mean difference: -25.4 min/d (95% confidence interval -49.1 to -1.7)) in favor of the intervention group.Compared with usual care, GAPE had no effect on short-term changes in sedentary behavior but GAPE had a statistical, but possibly not clinical significant effect on sedentary behavior 12 months after LSF. Further, the behavioral intervention was safe to perform. |
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| ISSN: | 00039993 |
| DOI: | 10.1016/j.apmr.2024.04.005 |