Wang Haoming, Huo Yachong, Zhao Yachao, Zhang Botong, Yang Dalong, Yang Sidong, Ding Wenyuan
Department of Spine Surgery, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang 050051, Hebei Province, China.
Hebei Provincial Key Laboratory of Orthopaedic Biomechanics, 139 Ziqiang Road, Shijiazhuang 050051, Hebei Province, China.
Pain Res Manag. 2020 Jan 16;2020:1065202. doi: 10.1155/2020/1065202. eCollection 2020.
In this study, it was aimed to investigate the clinical rehabilitation effect of lower-limb training on the patients that undergo oblique lumbar interbody fusion (OLIF) procedures.
The eligible participants undergoing OLIF procedures between 01/2017 and 07/2019 were identified. All the patients underwent one-segment fusion operation (L3-4 or L4-5). Based on whether the participants received postoperative rehabilitation training, they were divided into two groups: intervention group and control group. Postoperatively, the participants in the intervention group were trained with lower-extremity rehabilitation exercise and maintained for three months. All participants got reexamined at the first postoperative week, the second postoperative week, the first postoperative month, and the third postoperative month (last follow-up). Comparisons were made in terms of the lower-extremity muscle force, visual analogue scale (VAS) score, lumbar JOA score, Oswestry disability index (ODI), the incidence of deep venous thrombosis (DVT), and patient satisfaction.
Seventy-seven participants in the intervention group (32 males and 45 females) and 82 in the control group (39 males and 43 females) were incorporated in this study. The median age of the participants was 57 years (39∼73) in the intervention group and 54 years (35∼71) in the control group. No statistical significance between the two groups was found ( > 0.05). ODI score was less in the intervention group as compared to the control group in the first week after surgery (=0.029). VAS and JOA scores were better in the intervention group in the first two weeks after surgery ( < 0.05). DVT incidence in the intervention group was lower than the control group at final follow-up (=0.037). Both group participants have achieved good grading in muscle force rehabilitation but no significant differences between the two groups. Additionally, satisfaction was higher in the intervention group than the control group.
In summary, postoperative lower-extremity rehabilitation exercise can effectively accelerate patients' health recovery from the OLIF surgery and increase their satisfaction.
本研究旨在探讨下肢训练对接受斜外侧腰椎椎间融合术（OLIF）患者的临床康复效果。
确定2017年1月至2019年7月期间接受OLIF手术的符合条件的参与者。所有患者均接受单节段融合手术（L3-4或L4-5）。根据参与者是否接受术后康复训练，将他们分为两组：干预组和对照组。术后，干预组的参与者接受下肢康复锻炼并持续三个月。所有参与者在术后第一周、第二周、术后第一个月和术后第三个月（最后一次随访）进行复查。比较下肢肌力、视觉模拟量表（VAS）评分、腰椎JOA评分、Oswestry功能障碍指数（ODI）、深静脉血栓形成（DVT）发生率和患者满意度。
本研究纳入了干预组的77名参与者（32名男性和45名女性）和对照组的82名参与者（39名男性和43名女性）。干预组参与者的中位年龄为57岁（39至73岁），对照组为54岁（35至71岁）。两组之间未发现统计学意义（>0.05）。与对照组相比，干预组在术后第一周的ODI评分较低（=0.029）。干预组在术后前两周的VAS和JOA评分更好（<0.05）。在最后一次随访时，干预组的DVT发生率低于对照组（=0.037）。两组参与者在肌力康复方面均取得了良好的分级，但两组之间无显著差异。此外，干预组的满意度高于对照组。
总之，术后下肢康复锻炼可以有效加速患者从OLIF手术中恢复健康并提高他们的满意度。
