Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study

Background: The effect of lumbar decompression on physical activity (PA) measures (measured as number of steps/day and as moderate to vigorous PA (MVPA)) is poorly understood. The aim of the current study was to compare PA in patients before and after lumbar decompression and to determine the associ...

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Autores principales:	Caroline Aubry, Corina Nüesch, Oliver Fiebig, Thomas M. Stoll, Markus Köhler, Alain Barth, Annegret Mündermann
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Lumbar decompression surgery Accelerometry Physical activity Steps per day Moderate to vigorous activity Physiotherapy Orthopedic surgery RD701-811 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/a33acf607cbd4ece80adf9eb00624182
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spelling	oai:doaj.org-article:a33acf607cbd4ece80adf9eb006241822021-11-04T04:41:54ZAccelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study2666-548410.1016/j.xnsj.2021.100087https://doaj.org/article/a33acf607cbd4ece80adf9eb006241822021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666548421000391https://doaj.org/toc/2666-5484Background: The effect of lumbar decompression on physical activity (PA) measures (measured as number of steps/day and as moderate to vigorous PA (MVPA)) is poorly understood. The aim of the current study was to compare PA in patients before and after lumbar decompression and to determine the association between change in steps/day and MVPA with change in disability, health-related quality of life (HRQOL) and pain. Methods: Patients undergoing lumbar decompression surgery were recruited. Steps/day and MVPA MVPA were recorded with an accelerometer. Oswestry Disability Index (ODI), HRQOL (Short Form 36 questionnaire (SF-36)) and pain levels (visual analogue scale (VAS)) were collected prior to surgery and six and twelve weeks postoperatively. Steps/day were compared to the lower bound of steps/day in healthy persons (7,000 steps per day), and the relationship between changes in steps/day, MVPA, ODI, SF-36, and VAS were calculated. Results: Twenty-six patients aged 37 to 75 years met inclusion criteria and were included in the study. Lumbar decompressions were performed for stenosis and/or disc herniation. Preoperatively, patients took an average 5,073±2,621 (mean±standard deviation) steps/day. At 6 weeks postoperatively, patients took 6,131±2,343 steps/day. At 12 weeks postoperatively, patients took 5,683±2,128 steps/day. Postoperative MVPA minutes per week increased compared to preoperative MVPA (preoperative: 94.6±122.9; 6 weeks: 173.9±181.9; 12 weeks: 145.7±132.8). From preoperative to 12 weeks postoperative, change in steps correlated with MVPA (R=0.775; P<0.001), but not with ODI (R=0.069; P=0.739), SF-36 (R=0.138; P=0.371), VAS in the back (R=0.230; P=0.259) or VAS in the leg (R=-0.123; P=0.550). Conclusions: During the first 12 postoperative weeks, daily steps did not reach the lower bound of normal step activity of 7,000 steps/day, however postoperative steps/day were higher than before surgery. Steps/day and MVPA appear to be independent of ODI and SF-36 and represent additional outcome parameters in patients undergoing lumbar decompression surgery and should be considered e.g., by physiotherapists especially from 6 to 12 weeks postoperatively. Level of evidence: 2, prospective cohort studyCaroline AubryCorina NüeschOliver FiebigThomas M. StollMarkus KöhlerAlain BarthAnnegret MündermannElsevierarticleLumbar decompression surgeryAccelerometryPhysical activitySteps per dayModerate to vigorous activityPhysiotherapyOrthopedic surgeryRD701-811Neurology. Diseases of the nervous systemRC346-429ENNorth American Spine Society Journal, Vol 8, Iss , Pp 100087- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lumbar decompression surgery Accelerometry Physical activity Steps per day Moderate to vigorous activity Physiotherapy Orthopedic surgery RD701-811 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Lumbar decompression surgery Accelerometry Physical activity Steps per day Moderate to vigorous activity Physiotherapy Orthopedic surgery RD701-811 Neurology. Diseases of the nervous system RC346-429 Caroline Aubry Corina Nüesch Oliver Fiebig Thomas M. Stoll Markus Köhler Alain Barth Annegret Mündermann Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study
description	Background: The effect of lumbar decompression on physical activity (PA) measures (measured as number of steps/day and as moderate to vigorous PA (MVPA)) is poorly understood. The aim of the current study was to compare PA in patients before and after lumbar decompression and to determine the association between change in steps/day and MVPA with change in disability, health-related quality of life (HRQOL) and pain. Methods: Patients undergoing lumbar decompression surgery were recruited. Steps/day and MVPA MVPA were recorded with an accelerometer. Oswestry Disability Index (ODI), HRQOL (Short Form 36 questionnaire (SF-36)) and pain levels (visual analogue scale (VAS)) were collected prior to surgery and six and twelve weeks postoperatively. Steps/day were compared to the lower bound of steps/day in healthy persons (7,000 steps per day), and the relationship between changes in steps/day, MVPA, ODI, SF-36, and VAS were calculated. Results: Twenty-six patients aged 37 to 75 years met inclusion criteria and were included in the study. Lumbar decompressions were performed for stenosis and/or disc herniation. Preoperatively, patients took an average 5,073±2,621 (mean±standard deviation) steps/day. At 6 weeks postoperatively, patients took 6,131±2,343 steps/day. At 12 weeks postoperatively, patients took 5,683±2,128 steps/day. Postoperative MVPA minutes per week increased compared to preoperative MVPA (preoperative: 94.6±122.9; 6 weeks: 173.9±181.9; 12 weeks: 145.7±132.8). From preoperative to 12 weeks postoperative, change in steps correlated with MVPA (R=0.775; P<0.001), but not with ODI (R=0.069; P=0.739), SF-36 (R=0.138; P=0.371), VAS in the back (R=0.230; P=0.259) or VAS in the leg (R=-0.123; P=0.550). Conclusions: During the first 12 postoperative weeks, daily steps did not reach the lower bound of normal step activity of 7,000 steps/day, however postoperative steps/day were higher than before surgery. Steps/day and MVPA appear to be independent of ODI and SF-36 and represent additional outcome parameters in patients undergoing lumbar decompression surgery and should be considered e.g., by physiotherapists especially from 6 to 12 weeks postoperatively. Level of evidence: 2, prospective cohort study
format	article
author	Caroline Aubry Corina Nüesch Oliver Fiebig Thomas M. Stoll Markus Köhler Alain Barth Annegret Mündermann
author_facet	Caroline Aubry Corina Nüesch Oliver Fiebig Thomas M. Stoll Markus Köhler Alain Barth Annegret Mündermann
author_sort	Caroline Aubry
title	Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study
title_short	Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study
title_full	Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study
title_fullStr	Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study
title_full_unstemmed	Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study
title_sort	accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: an observational cohort study
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/a33acf607cbd4ece80adf9eb00624182
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Accelerometry-based physical activity, disability and quality of life before and after lumbar decompression surgery from a physiotherapeutic perspective: An observational cohort study

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