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Comparison of Guided Exercise and Self-Paced Exercise After Lumbar Spine Surgery: A Randomized Controlled Trial
Seong Son1, Han Byeol Park1, Kyeong Sik Kong2
1Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, Incheon 21565, Republic of Korea.
Life (Basel, Switzerland)
|July 29, 2025
Summary
Postoperative exercise after lumbar spine surgery significantly improves pain and functional recovery. This tailored approach enhances strength, balance, and overall patient outcomes compared to standard care.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Physical Therapy
Background:
- The effectiveness of exercise rehabilitation post-spine surgery remains debated.
- Established protocols and functional outcome data are lacking.
- This study addresses the efficacy of exercise post-lumbar spine surgery.
Purpose of the Study:
- To determine the efficacy of a structured exercise rehabilitation program after lumbar spine surgery.
- To evaluate the impact of exercise on pain, quality of life, and functional parameters.
Main Methods:
- A 12-week prospective, randomized controlled trial involving 40 patients undergoing lumbar spine surgery.
- Participants were divided into exercise and control groups (n=20 each).
- Outcomes assessed included pain (VAS), quality of life (EQ-5D-5L), body composition, and functional tests (ROM, strength, flexibility, 6MWT, single-leg stance, gait).
Main Results:
- The exercise group demonstrated significantly greater improvements in pain (VAS) and quality of life (EQ-5D-5L) compared to the control group.
- Significant enhancements were observed in lumbar strength, 6-minute walking test, single-leg stance, coordination, and gait patterns in the exercise group.
- Marked improvement in single-leg stance time for the affected leg was noted in the exercise group (280.9% vs. 48.7%).
Conclusions:
- Tailored postoperative exercise is effective in reducing pain following lumbar spine surgery.
- Exercise rehabilitation significantly enhances functional recovery, including improvements in strength and balance.
- This approach offers a promising strategy for optimizing patient outcomes after lumbar spine surgery.
