Lumbar degenerative disease surgery has been a routine clinical operation, and has good treatment effects. Although the patient's neurological symptoms improve after surgery, many patients still have postoperative muscle soreness. The postoperative rehabilitation intervention for the patients receiving traditional lumbar surgery has been confirmed to effectively improve pain and disability. However, in recent years, minimally invasive lumbar spinal surgery has gradually replaced traditional surgery, postoperative pain has been greatly reduced. Therefore, patients have the opportunity to receive early intervention in rehabilitation, but there is no standardization process for rehabilitation of minimally invasive lumbar spine surgery. Therefore, this study aims to establish a health education program for patients receiving minimally invasive lumbar spinal surgery, and conduct clinical trials to test its effectiveness.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
100
Physical therapist will be consulted one day before and after the operation (OP) day. On the day before the OP day, they focus on education, including how to get up from bed and stand up from a chair. Five rehabilitation exercises are also demonstrated: 1) ankle flexion and extension, 2) knee flexion and extension, 3) hip joint abduction and adduction, 4) hip joint flexion and extension, and 5) drawing-in maneuver. The participants will be required to repeat each component to confirm that they can do it correctly. Each exercise is suggested to be done 10 times per day following MI-TLIF, and the number will be recorded 3 days (pre-OP day, post-OP day, and post-OP day 2).
Taipei Medical University-Shuang Ho Hospital
Taipei, Taiwan
RECRUITINGChange of Oswestry Disability Index
This scale evaluates subject's physical function. The range is 0 to 1. Higher values represent a better outcome.
Time frame: The day before operation day, and 1, 3, 6 months after surgery
Change of Visual Analogue Scale
This scale evaluates subject's pain intensity. "0" indicates no pain and "10" indicates the worst possible pain.
Time frame: The day before operation day, and 1, 3, 6 months after surgery
Change of Short Form 12 version 2
This scale evaluates subject's health-related quality of life. We will record the subscales: physical component summary (PCS) and mental component summary (MCS). Higher values represent a better outcome.
Time frame: The day before operation day, and 1, 3, 6 months after surgery
Change of Functional reach test
It is a dynamic measure of balance. A 100 cm yardstick will be horizontally set on the wall with the acromion height. The patient will be asked to make a fit and reach forward as far as possible without moving his/her feet. It will be measured twice and the better outcome will be recorded.
Time frame: The day before operation day, and 1, 3, 6 months after surgery
Change of 30-second Chair Rise
It is used to evaluate the lower limb function and strength relating to the daily activities. The patient starts with a sitting position, and need to repeat stand-to-sit movements. He/She will be encouraged to move safely as soon as possible in 30 minutes. Higher number indicates better function.
Time frame: The day before operation day, and 1, 3, 6 months after surgery
Change of Timed Up and Go test
It was developed to measure subjects' balance and mobility. The patient starts with a sitting position, stands up, walks a 3-meter distance, turns, walks back, and sits down. He/She will be encouraged to finish it safely as soon as possible. A shorter time indicates better function.
Time frame: The day before operation day, and 1, 3, 6 months after surgery
Change of 15-m walk test
Gait speed shows good reliability and is valid to assess physical mobility. A 15-mile straight line will be mounted on a flat surface. The patient will be required to walk down the line at the maximal speed. He/She will be encouraged to finish it safely as soon as possible. A shorter time indicates better function.
Time frame: The day before operation day, and 1, 3, 6 months after surgery
Length of hospitalization
Time frame: The duration between admission and discharge
Narcotic use during hospitalization
Time frame: The duration between admission and discharge
Return-to-work status
Time frame: up to 6 months after surgery
Adverse events
The rate of infection and the rate of re-operation (including: dural tear, cage migration and retropulsion, and screw loosening).
Time frame: up to 6 months after surgery
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