Postoperative rehabilitation versus early mobilization following scoliosis surgery: A single-blind randomized
Zilan Bazancir1, Burcu Talu2, Mehmet Fatih Korkmaz3
1Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey.
Background:
To compare the effect of five days of intensive postoperative rehabilitation and early mobilization following scoliosis surgery.
Methods:
Forty adolescent patients who had undergone scoliosis surgery were randomly allocated into a rehabilitation group (RG, n = 20) and a mobilization group (MG, n = 20). The RG received five days of intensive exercise program and early ambulation, the MG received five days of a standard gait training and early ambulation. The patients were evaluated for severity of pain using a visual analog scale, thorax mobility with the thoracic mobility index, balance with the functional reach test, walking distance with the 2-min walk test, and quality of life with the Scoliosis Research Society-22 questionnaire. The length of hospital stay was recorded.
Results:
The RG was favored over the MG for improvements from 0 to 1 week for pain. Improvements from 0 to 1 week were significantly better in the RG than the MG group for thorax mobility, balance, and walking distance. Quality of life scores improvements from 0 to 1 week were significantly better in the RG group than in the MG group. The length of hospital stay was significantly shorter in the RG group.
Conclusion:
Five days of intensive postoperative rehabilitation were superior to early mobilization in reducing the length of hospital stay, and in improving physical and functional outcomes following scoliosis surgery.
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