Archives of Physical Medicine and Rehabilitation
Volume 86, Issue 5 , Pages 865-870 , May 2005

Effects of Home Strength Training and Stretching Versus Stretching Alone After Lumbar Disk Surgery: A Randomized Study With a 1-Year Follow-Up

  • Arja Häkkinen, PhD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Jyväskylä Central Hospital, Jyväskylä
    • Corresponding Author InformationReprint requests to Arja Häkkinen, PhD, Dept of Physical Medicine and Rehabilitation, Jyväskylä Central Hospital, Keskussairaalantie 19, FIN-40620 Jyväskylä, Finland.
    • ,
  • Jari Ylinen, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Jyväskylä Central Hospital, Jyväskylä
    • ,
  • Hannu Kautiainen, BA

      Affiliations

    • Rheumatism Foundation Hospital, Heinola, Finland.
    • ,
  • Ulla Tarvainen, MSc

      Affiliations

    • Department of Physical Medicine and Rehabilitation, Jyväskylä Central Hospital, Jyväskylä
    • ,
  • Ilkka Kiviranta, MD, PhD

      Affiliations

    • Department of Orthopaedics and Traumatology, Jyväskylä Central Hospital, Jyväskylä

References 

  1. Olmarker K , Rydevik B . Pathophysiology of sciatica . Orthop Clin North Am . 1991;22:223–234
  2. Graver V , Haaland AK , Magnaes B , Loeb M . Seven-year clinical follow-up after lumbar disc surgery (results and predictors of outcome) . Br J Neurosurg . 1999;13:178–184
  3. Hurme M , Alaranta H . Factors predicting the results of surgery for lumbar intervertebral disc herniation . Spine . 1987;12:933–938
  4. Korres DS , Loupassis G , Stamos K . Results of lumbar discectomy (a study using 15 different evaluation methods) . Eur Spine J . 1992;1:20–24
  5. Barios C , Ahmed M , Arrotegui JI , Bjornsson A . Clinical factors predicting outcome after surgery for herniated lumbar disc (an epidemiological multivariate analysis) . J Spinal Disord . 1990;3:205–209
  6. Pappas CT , Harrington T , Sonntag VK . Outcome analysis in 654 surgically treated lumbar disc herniations . Neurosurg . 1992;30:862–866
  7. Manniche C , Asmussen KH , Vinterberg H , et al.   Back pain, sciatica and disability following first-time conventional haemilaminectomy for lumbar disc herniation. Use of “Low Back Pain Rating Scale” as a postal questionnaire . Dan Med Bull . 1994;41:103–106
  8. Cassisi JE , Robinson ME , O’Conner P , MacMillan M . Trunk strength and lumbar paraspinal muscle activity during isometric exercise in chronic low back pain . Spine . 1993;18:245–251
  9. Roy SH , DeLuca DL , Casavant DA . Lumbar muscle fatigue and chronic low back pain . Spine . 1989;14:992–1001
  10. Ostelo RW , de Vet HC , Waddell G , Kerckhoffs MR , Leffers P , van Tulder M . Rehabilitation following first-time lumbar disc surgery (a systematic review within the framework of the Cochrane collaboration) . Spine . 2003;28:209–218
  11. Kjellby-Wendt G , Styf J . Early active training after lumbar discectomy. A prospective, randomized, and controlled study . Spine . 1998;23:1235–1251
  12. Alaranta H , Hurme M , Einola S , Kallio V , Knuts LR , Torma T . Rehabilitation after surgery for lumbar disc herniation (results of a randomized clinical trial) . Int J Rehabil Res . 1986;9:247–257
  13. Manniche C , Skall HF , Braendholt L , et al.   Clinical trial of postoperative dynamic back exercises after first lumbar discectomy . Spine . 1993;18:92–97
  14. Danielsen JM , Johnsen R , Kibsgaard SK , Hellevik E . Early aggressive exercise for postoperative rehabilitation after discectomy . Spine . 2000;25:1523–1532
  15. Wood EG , Hanley EN . Lumbar disc herniation and open limited discectomy (indications, techniques, and results) . Oper Tech Orthop . 1991;1:23–28
  16. Price D , McGrath P , Rafii A , Buckingham B . The validation of visual analogue scales as ratio scale measures for chronic and experimental pain . Pain . 1983;17:45–56
  17. Fairbank JC , Couper J , Davies JB , O’Brien JP . The Oswestry low back pain disability questionnaire . Physiotherapy . 1980;66:271–273
  18. Million R , Hall K , Nilsen K , Baker RD , Jayson MI . Assessment of the progress of the back-pain patient . Spine . 1982;7:204–212
  19. Alaranta H , Hurri H , Heliövaara M , Soukka A , Harju R . Non-dynamometric trunk performance tests (reliability and normative data) . Scand J Rehabil Med . 1994;26:211–215
  20. Rantanen P , Airaksinen O , Penttinen E . Paradoxical variation of strength determinants with different rotation axes in trunk flexion and extension tests . Eur J Appl Physiol . 1994;68:322–326
  21. Macrae IF , Wright V . Measurement of back movement . Ann Rheum Dis . 1969;28:584–589
  22. Yoshihara K , Shirai Y , Nakayama Y , Uesaka S . Histochemical changes in the multifidus muscle in patients with lumbar intervertebral disc herniation . Spine . 2001;26:622–626
  23. Lehto M , Hurme M , Alaranta H , et al.   Connective tissue changes of the multifidus muscle in patients with lumbar disc herniation. An immunohistologic study of collagen types I and III and fibronectin . Spine . 1989;14:302–309
  24. Parkkola R , Rytökoski U , Kormano M . Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects . Spine . 1993;18:830–836
  25. Mayer TG , Mooney V , Gatchel RJ , et al.   Quantifying postoperative deficits of physical function following spinal surgery . Clin Orthop . 1989;Jul(244):147–157
  26. Häkkinen A , Kuukkanen T , Tarvainen U , Ylinen J . Trunk muscle strength in flexion, extension and axial rotation in lumbar disc herniation surgery patients and healthy controls . Spine . 2003;28:1068–1073
  27. Kahanovitz N , Viola K , Gallagher M . Long-term strength assessment of postoperative discectomy patients . Spine . 1989;14:402–403
  28. Brus H , van de Laar M , Taal E , Rasker J , Wiegman O . Compliance in rheumatoid arthritis and the role of formal patient education . Semin Arthritis Rheum . 1997;26:702–710
  29. Frazer S , Spink K . Examining the role of social support and group cohesion in exercise compliance . J Behav Med . 2002;25:233–249
  30. Ylinen J , Takala EP , Nykänen M , et al.   Active neck muscle training in the treatment of chronic neck pain in women (a randomized controlled trial) . JAMA . 2003;21:289; :2509-16
  31. Johannsen F , Remvig L , Kryger P , et al.   Supervised endurance exercise training compared to home training after first lumbar diskectomy (a clinical trial) . Clin Exp Rheumatol . 1994;12:609–614

 Supported by the Jyväskylä Central Hospital, Jyväskylä, Finland.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the author(s) or on any organization with which the author(s) is/are associated.

PII: S0003-9993(05)00016-X

doi: 10.1016/j.apmr.2004.11.012

Archives of Physical Medicine and Rehabilitation
Volume 86, Issue 5 , Pages 865-870 , May 2005

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