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Related Experiment Videos

Quantifying postoperative deficits of physical function following spinal surgery.

T G Mayer1, V Mooney, R J Gatchel

  • 1Division of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas 75235.

Clinical Orthopaedics and Related Research
|July 1, 1989
PubMed
Summary

Spinal surgery patients show significant physical deconditioning three months post-operation, with reduced motion and strength. Subjective pain reports do not reliably indicate functional capacity after surgery.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Physical Therapy

Background:

  • Post-surgical physical deconditioning is a concern for spinal surgery patients.
  • Objective measures of functional capacity are needed to assess recovery.
  • Subjective pain and disability reports may not accurately reflect physical function.

Purpose of the Study:

  • To objectively quantify physical deconditioning in spinal surgery patients.
  • To evaluate the relationship between subjective pain/disability and objective functional capacity.
  • To identify factors influencing recovery and risk of persistent dysfunction.

Main Methods:

  • Cross-sectional study of 46 spinal surgery patients (35 male, 11 female) at three months post-surgery.
  • Patients completed subjective pain/disability indices.

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  • Objective assessments included lumbar motion, trunk strength, lifting capacity, and bicycle ergometry.

    • Main Results:

    • Lumbar motion was restricted to 50%-60% of normative values.
    • Trunk strength and lifting capacity averaged below 50% of gender-specific norms.
    • Spinal fusion patients showed poorer performance and higher pain/disability incidence.
    • No significant differences in outcomes based on employment status, pre-surgery disability duration, or subjective pain levels.

    Conclusions:

    • Subjective pain and disability are unreliable indicators of functional capacity three months after spinal surgery.
    • Significant physical deconditioning and risk of persistent dysfunction are common post-spinal surgery.
    • Objective functional assessments are crucial for evaluating recovery and guiding rehabilitation.