Abstract:
:Purpose: To describe the physical activity patterns of patients in the first week after lumbar surgery, and to investigate factors that potentially limit walking time early after surgery.Materials and methods: Adults undergoing lumbar decompression, discectomy and/or fusion surgery (N = 216, mean age 62 years, SD 13.9) were invited to participate. Walking time and step count were recorded for the first seven post-operative days, using an ActivPAL accelerometer. Participants recorded daily pain scores, supervision requirements while walking, and any complications that prevented walking.Results: On the first post-operative day, participants spent an average of 17 min (SD 20) walking, by Day 6, participants spent an average of 53 min (SD 38) walking. Participants who reported minor post-operative complications had a significantly lower step count than those without complications (p < 0.01). A lower step count was associated with a longer time to achieve independent mobility (r= -0.60, 95% CI -0.68 to -0.50), and a longer hospital admission (r= -0.70, 95% CI -0.76 to -0.63).Conclusions: This study found that patients walk for less than an hour a day over the week after lumbar surgery. Further research is required to investigate whether intervention designed to increase walking time improves post-operative activity and longer-term patient outcome.IMPLICATIONS FOR REHABILITATIONWhile resuming walking after lumbar surgery is a common focus of early rehabilitation, little is known about how much walking patients do, or how walking impacts recovery.The findings from this study describe activity patterns early after lumbar surgery, which may be used to inform patients about normal post-operative recovery.A lower post-operative step count was associated with several patient factors, including a fusion procedure and more severe post-operative pain, which may be used to guide peri-operative care and rehabilitation protocols.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Gilmore SJ,Hahne AJ,Davidson M,McClelland JAdoi
10.1080/09638288.2019.1610512subject
Has Abstractpub_date
2020-12-01 00:00:00pages
3793-3799issue
26eissn
0963-8288issn
1464-5165journal_volume
42pub_type
杂志文章abstract:PURPOSE:Accelerated degradation models are emerging as ways to characterize the interaction between disability and the functional decline of aging and to provide insights about the processes of aging with disability. Typically the models employ sophisticated mathematical treatments that are beyond the scope of many cli...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638280903168515
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:The aim is to examine two aspects of outcome after traumatic brain injury (TBI). Functional outcome was assessed by the Glasgow Outcome Scale - Extended (GOSE) and by clinician ratings, while health-related quality of life (HRQoL) was assessed by the Quality of Life after Brain Injury (QOLIBRI). METHOD:The GOS...
journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2011.574776
更新日期:2011-01-01 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280110076036
更新日期:2002-03-20 00:00:00
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journal_title:Disability and rehabilitation
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doi:10.1080/09638288.2018.1496154
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:At a political and academic level, South Africa propagates a rights-based approach to disability. The aim of this paper is to explore how disability is conceptualized by persons with disabilities living in a rural area of South Africa. METHODS:In keeping with explorative studies, the study utilized a qualit...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2017.1313909
更新日期:2018-07-01 00:00:00
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doi:10.3109/09638288.2016.1140830
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2012.727945
更新日期:2013-07-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638280500164685
更新日期:2005-11-30 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2019-09-01 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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doi:10.1080/09638280802572973
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abstract::Minor head injury accounts for 95% of all head injury. In this study 62 patients, hospitalized after minor head injury, were assessed within 48 h, and invited to attend for review and retesting 3 months later. Thirty-five patients were followed up in this way and 11 more were interviewed over the telephone. There was ...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638289609166306
更新日期:1996-05-01 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1260648
更新日期:2018-02-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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更新日期:2019-09-20 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2007-08-15 00:00:00
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journal_title:Disability and rehabilitation
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pub_type: 杂志文章,随机对照试验
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更新日期:2010-01-01 00:00:00
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更新日期:2020-09-01 00:00:00
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更新日期:2013-06-01 00:00:00
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更新日期:2008-01-01 00:00:00
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更新日期:2017-12-01 00:00:00
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journal_title:Disability and rehabilitation
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doi:10.1080/09638280902773737
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更新日期:2012-01-01 00:00:00
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更新日期:2011-01-01 00:00:00