The purpose of this study was to examine the effectiveness of a new interventional protocol to improve functional performance in patients who have undergone a single-level lumbar microdiskectomy. 98 participants who had undergone a single-level lumbar microdiskectomy were randomly allocated to receive education only or exercise and education. The exercise intervention consisted of a 12-week periodized program of back extensor strength (force-generating capacity) and endurance training and mat and upright therapeutic exercises. The Oswestry Disability Index (ODI) and physical measures of functional performance were tested 4 to 6 weeks postsurgery and 12 weeks later, following completion of the intervention program.
The results showed that an intensive, progressive exercise program combined with education reduces disability and improves function in patients who have undergone a single-level lumbar microdiskectomy.
Kulig K, Beneck GJ, Selkowitz DM, Popovich JM, Ge TT, Flanagan SP, Poppert EM, Yamada KA, Powers CM, Azen S, Winstein CJ, Gordon J, Samudrala S, Chen TC, Shamie AN, Khoo LT, Spoonamore MJ, Wang JC, . An Intensive, Progressive Exercise Program Reduces Disability and Improves Functional Performance in Patients After Single-Level Lumbar Microdiskectomy. Physical Therapy, 2009 Sep 24, online article ahead of print