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KMID : 1004620110170030388
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Clinical Nursing Research
2011 Volume.17 No. 3 p.388 ~ p.398
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Effectiveness of a Post-operative Exercise Program on Pain and Disability Activities in Patients with Lumbar Spinal Fusion
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Lee Mi-Young
Kim Bog-Ja
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Abstract
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Purpose: This study was to develop a post-operative exercise program, apply it to patients undergone lumbar
spinal fusion surgery, and evaluate the effectiveness of the program on pain and disability activities of daily living.
Methods: Fifty six patients who had lumbar spinal fusion were enrolled in this study. The patients were divided
into two groups; 28 patients in the intervention group completed post-operative lumbar exercise program including walking for four weeks and 28 patients in the control group only did walking exercises. The degrees of pain on low back and leg were evaluated using visual analog scale (VAS) and the functional outcome was evaluated using the Korean version of Oswestry Disability Index (KODI) before surgery and 5 weeks after surgery. The data were analyzed using descriptive statistics, Chi-square test, t-test with SPSS 18.0 program.
Results: Low back and leg pain of the participants in both experimental and control groups were improved after surgery compared to pre-surgery pain. However, there was no statistically significant difference between the groups.
KODI score in the intervention group was significantly lower than that of the control group (p=.014).
Conclusion: The developed post-operative exercise program in patients with lumbar spinal fusion surgery seems to be a useful intervention to reduce disability in activities of daily living.
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KEYWORD
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Spinal fusion, Post-operative, Exercise program, Pain, Disability
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