To compare the current rehabilitation pathway with the implementation of a newly developed rehabilitation pathway for patients with a single and double level lumbar arthrodesis.
This involves a prospective interventional study with a one year follow-up. The investigators will compare the outcomes of the current rehabilitation pathway with a newly developed (based on systematic review and delphi study) rehabilitation pathway for patients with a single and double level lumbar arthrodesis. The usual care group (n= 30) will be compared with the intervention group (n= 30).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
Rehabilitation with a biopsychosocial focus
usual care
UZ/KU Leuven
Leuven, Vlaams Brabant, Belgium
Oswestry Disability Index (ODI)
questionnaire measuring disability related to low back pain
Time frame: Postoperative: 1 week
Oswestry Disability Index (ODI)
questionnaire measuring disability related to low back pain
Time frame: Postoperative: 6 weeks
Oswestry Disability Index (ODI)
questionnaire measuring disability related to low back pain
Time frame: Postoperative: 3 months
Oswestry Disability Index (ODI)
questionnaire measuring disability related to low back pain
Time frame: Postoperative: 6 months
Oswestry Disability Index (ODI)
questionnaire measuring disability related to low back pain
Time frame: Postoperative: 1 year
Numeric Rating scale (NRS)
Severity of low back pain will be scored by the Numerical Rating Scale (NRS) from zero ('no pain') to ten ('worst pain imaginable') (Jensen, M.P., Karoly, P., Braver, S. (1986). The measurement of clinical pain intensity: a comparison of six methods. Pain 27, 117-126.)
Time frame: Postoperative: 1 week, 6 weeks, 3 months, 6 months, 1 year
Tampa scale for Kinesiophobia (TSK)
The Tampa Scale for Kinesiophobia (TSK), which ranges from 17 ('low') to 68 ('high'), was completed to identify fear of (re)injury following movements or activities in the participants with low back pain (Kori, K.S., Miller, R.P., Todd, D.D. (1990). Kinesiophobia: A new view of chronic pain behaviour. Pain 3, 35-43.)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Postoperative: 1 week, 6 weeks, 3 months, 6 months, 1 year
Pain Catastrophizing scale (PCS)
People are asked to indicate the degree to which they have the above thoughts and feelings when they are experiencing pain using the 0 (not at all) to 4 (all the time) scale. A total score is yielded (ranging from 0-52), along with three subscale scores assessing rumination, magnification and helplessness.
Time frame: Postoperative: 1 week, 6 weeks, 3 months, 6 months, 1 year
Depression Anxiety stress scale (DASS)
A higher score on the DASS indicates greater severity or frequency of negative emotional symptoms, ranging from 0-126.
Time frame: Postoperative: 1 week, 6 weeks, 3 months, 6 months, 1 year
EuroQol five dimensions questionnaire (EQ-5D)
questionnaire measuring general health
Time frame: Postoperative: 1 week, 6 weeks, 3 months, 6 months, 1 year
Sit-to-stand
time to perform 5 times sit-to-stand-to-sit
Time frame: Postoperative: 1 week, 6 weeks, 3 months, 6 months, 1 year
Patient Specific Functional Scale (PSFS)
The PSFS is a questionnaire measuring disability related to low back pain. The Scale is developed by "Stratford, P., Gill, C., Westaway, M., \& Binkley, J. (1995). Assessing disability and change on individual patients: a report of a patient specific measure. Physiotherapy Canada, 47, 258-263." Three to five activities are scored on a Visual Analogue Scale (VAS) from 0 ('not able to perform activity') to 10 ('can perform activity without any problems'). Lower scores indicate a worse outcome on function. The total score is the sum of the VAS scores of the 3 to 5 activities.
Time frame: Postoperative: 1 week, 6 weeks, 3 months, 6 months, 1 year
Return-to-work
questionnaire on work resumption
Time frame: Postoperative: 1 week, 6 weeks, 3 months, 6 months, 1 year