Physiotherapy management of patients undergoing lumbar spinal surgery: a survey of Australian physiotherapists

  title={Physiotherapy management of patients undergoing lumbar spinal surgery: a survey of Australian physiotherapists},
  author={Sarah Gilmore and Jodie A. McClelland and Megan Davidson},
Physiotherapists are commonly involved in the management of patients immediately before and after spinal surgery, however there is currently little known about what constitutes physiotherapy intervention in the hospital setting. This research aimed to describe the current physiotherapy practice in Australia for the peri-operative management of adults undergoing lumbar spinal surgery. A telephone survey was conducted using a structured questionnaire format. All Australian hospitals that admit… Expand
3 Citations
Predictors of substantial improvement in physical function six months after lumbar surgery: is early post-operative walking important? A prospective cohort study
Walking time in the week after lumbar surgery is one of several predictors of substantial improvement in function at six months and further research is required to determine whether intervention designed to increase walking early after lUMBar surgery results in improved longer-term recovery of function. Expand
Rehabilitation training for community health workers: a five-year study
  • K. Nesbit, A. Clark
  • Medicine
  • International Journal of Health Promotion and Education
  • 2018
Community health workers participating in the rehabilitation training program in a resource-limited setting over the past 5 years have improved their knowledge, skill competency and the ability to implement what they have learned for patient care in the village. Expand
The validity of using activity monitors to detect step count after lumbar fusion surgery
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Physiotherapeutic interventions before and after surgery for degenerative lumbar conditions: a systematic review.
Very-low-quality evidence suggests that physiotherapy may improve pain and function following lumbar surgery, and limited guidance for physiotherapeutic practice is provided. Expand
National audit of post-operative management in spinal surgery
Demonstrable inconsistencies within and between spinal surgeons in their approaches to post-operative management can be interpreted as evidence of continuing and significant uncertainty across the sub-speciality as to what does constitute best care in these areas of practice. Expand
Evaluation of current surgeon practice for patients undergoing lumbar spinal fusion surgery in the United Kingdom.
There was some consistency of practice: most patients were seen preoperatively; all surgeons ensured patients are mobile within 3 d of surgery; and there was agreement for the value of post-operative physiotherapy. Expand
Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial
The integrated programme of prehabilitation and early rehabilitation improved the outcome and shortened the hospital stay — without more complications, pain or dissatisfaction. Expand
Accelerated rehabilitation after total knee replacement.
This protocol involved modifications to normal knee replacement procedure, including infiltration of bupivacaine and adrenaline to the divided tissue layers at the time of surgery, spinal anaesthesia, and mobilisation on the day of surgery to ensure good levels of knee function at 6 weeks post surgery. Expand
A prospective, randomised trial of immediate exercise following lumbar microdiscectomy: a preliminary study.
Immediate commencement of exercises following first-time single-level lumbar microdiscectomy enabled patients to become independently mobile more rapidly and return to work sooner. Expand
Does removal of deep breathing exercises from a physiotherapy program including pre-operative education and early mobilisation after cardiac surgery alter patient outcomes?
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Rehabilitation after lumbar disc surgery.
Exercise programs starting four to six weeks post-surgery seem to lead to a faster decrease in pain and disability than no treatment, and there is no evidence that active programs increase the re-operation rate after first-time lumbar surgery. Expand
Randomized controlled trial of neural mobilization after spinal surgery.
The neural mobilization protocol evaluated in this study did not provide an additional benefit to standard postoperative care for patients undergoing spinal surgery and the authors advocate that this protocol not be used in clinical practice. Expand