Table 3.
General characteristics of the included studies.
Articles | Sample (drop out) | Intervention | Duration, frequency and intensity of intervention | Outcomes | Evaluation/reassessment | Results |
---|---|---|---|---|---|---|
Beneck et al.18 | 98(21) A:51(6) B:47(15) |
A: education & exercise (lumbar extensor strength, endurance training, trunk and lower extremity training) B: education |
3 times a week for 12 weeks | -Quality of life (SF-36) | -At baseline (4–6 weeks postoperatively) -After the therapeutic intervention (12 weeks) |
- Statistically significant improvement on SF-36 role physical and SF-36 bodily pain in group A comparison to group B. |
Jentoft et al.21 | 70 A:33 B:37 |
A: Information (advise, education) & standard post-operative mobilization. Exercise program (hospital & home): mobility, strength, stretching B: Information (advise, education) & standard post-operative mobilization. |
For 12 weeks 2-6 treatments, 10–30′, 7 exercises, 8–10 repetitions, gradually increase, twice a day (hospital) and 11 exercises (home) |
-Pain: back/hip pain, leg pain (NPRS) -Disability (ODI) |
-At baseline - 6–8 weeks after surgery −12 months after surgery |
-Statistically significant improvement in leg pain in both groups after 12 months. Group A had also statistically significant improvement between 6 and 8 weeks and 12 months. There was not a statistically significant improvement for back/hip pain in both groups. Between both groups group A had statistically significant better results after 12 months for leg pain. -Statistically significant improvement in disability in both groups after 12 months. Group A had also statistically significant improvement between 6 and 8 weeks and 12 months Between both groups, group A had statistically significant better results after 12 months. |
Ju et al.1 | 14 A:7 B:7 |
A: Medx lumbar extension program and progressive resistance exercise PRE (torso flexion, hip extension, torso rotation, leg extension, seated leg curl, leg press, abdominal press, overhead press) Β: no exercise rehabilitation program |
70′ 3 times a week for 12 weeks Medx: 40–50% maximal isometric strength. Intensity gradually increased by increasing the weight by 5–10% PRE: exercise intensity 40–50% of the participants’ one repetition maximum, 18–20 repetitions per set |
- Pain: back pain, night pain, exercise pain, handicap (VAS) -Strength (Med, USA) |
-At baseline -After the therapeutic intervention for group A (12 weeks) -After resting for weeks for group B |
-Statistically significant improvements in all four types of pain in group A. Group B did not show any statistically significant improvements. -Group A showed statistically significant improvement in strength, whereas group B did not. |
Kim et al.17 | 34(4) A:11(1) B:12(2) C:11(1) |
A: After 6 weeks of rest the participants followed a progressive resistance exercise (stretching, aerobic exercise, lumbar extension training with the MedX machine) Β: After 6 weeks of rest the participants followed an aquatic backward locomotion exercise (stretching and water exercises) C: After 6 weeks of rest the participants were instructed to maintain everyday activities without any intensive training exercise |
60′ After 6 weeks of rest, exercise program was performed 2 times a week for 12 weeks followed by a period of detraining and then retraining Stretching: 40% HRmax A: aerobic exercise 40–60% HRmax, lumbar extension training 2 sets 15–20 repetitions 50–60% 1 RM B: ranging between 40 and 70% HRmax |
-Strength: isometric lumbar extension strength (MedX) | -At baseline (before surgery) −6 weeks after surgery −12 weeks after surgery (first 6th week exercise program) −18 weeks after surgery (second 6th week exercise program) -after detraining -after retraining |
-Group A and B had greater increases in strength after the first 6th week exercise program in comparison to group C. Statistically significant improvement was shown after the second 6th week exercise in group A and in group B. After the detraining period in both A and B group, the lumbar extension strength decreased similar and became about the same with group C. After the retraining period, group A an B had statistically significant better strength than group C. |
Ogutluler Ozkara et al.19 | 30 A:15 Β:15 |
Α: instructions (lying, standing, sitting, walking) and an exercise program (strengthening, stretching, passive-active movement, mobilization) Β: instructions (lying, standing, sitting, walking) |
3 times a week, for 12 weeks. 2 sets of each exercise, first week 10 repetitions and after the first week 5–10 repetitions |
-Pain (VAS) -Disability (ODI) -Quality of life (SF-360 -Resume to work |
- At baseline -Reassessment at 6 weeks - After the therapeutic intervention (12 weeks) |
-Statistically significant improvement on VAS in both groups. Between both groups group A had statistically significant better results. -Statistically significant improvement on ODI in both groups. Between both groups, group A had statistically significant better results. -For group A there was statistically significant improvement in SF-36 virality and SF-36 emotional role, whereas in group B only for SF- virality. Between both groups, group A had statistically significant better results in physical functioning of the SF-36, including body pain and social functioning sub-parameters. -Between both groups there was not a statistically significant difference for the term of returning to normal life. |
Oosterhuis et al.16 | 173 Α:92(12) Β:77(7) |
Α: 1–2 days postoperative care. Advice and instructions for transfers and performing daily living activities. At discharge they were given a booklet providing advice and suggestions for exercises. The therapist focused his treatment on the ability for personal care activities. Exercises were taught with gradually increasing intensity. Β:1–2 days postoperative care. Advice and instructions for transfers and performing daily living activities. At discharge they were given a booklet providing advice and suggestions for exercises |
30′ per week 1 or 2 times a week for 6–8 weeks |
-Pain: leg pain, back pain (NRS) -Disability (ODI) -quality of life: general physical and mental health (SF-12) |
-At baseline -After 3,6,9,12 and 26 weeks |
There was an improvement in all of these variables in both groups but they were not characterized as statistically significant. Between both groups the results were not statistically significant different. |
Rushton et al.20 | 59 A:29(12) Β:30(11) |
Α:Physiotherapy & leaflet: education, advice, mobility exercises, core stability exercises, progressive approach to exercise Β:Patient leaflet |
For 8 weeks, 8 physiotherapy sessions | -Pain: beck pain, leg pain (VAS) -Disability (RMDQ) -quality of life (EQ-5D) -return to work/function |
-At baseline (4 weeks after surgery) -After the therapeutic intervention (12 weeks after surgery) -Follow-up assessment (26 weeks after surgery) |
-In all the variables there was an improvement in both groups but it wasn’t characterized as statistically significant. |