Influence of Early Intensive Rehabilitation on Functional Mobility after Low Back Surgery

Open Access Maced J Med Sci. 2016 Dec 15;4(4):661-664. doi: 10.3889/oamjms.2016.121. Epub 2016 Dec 3.


Aim: The research aims to determine the influence of early goal-oriented physical therapy program in combination with educational booklet and standard physical therapy without written instructions on functional mobility outcomes in patients after low back surgery.

Material and methods: Thirty patients with similar functional impairments were randomly divided into two groups, a control group (CG n = 10) and an experimental group (EG n = 20). The outcome measures include time to move from lying to sitting position, the TUG test and the 6-meter walk test. Rehabilitation program includes daily physical therapy with mild to moderate intensity, achieving sitting position and education sessions how to perform activities of daily living (ADL) from the first day after surgery.

Results: There was a significant improvement from baseline in two groups for all performed tests (p < 0.001). Statistical significant differences between two groups for transfers in bed on discharge (p < 0.05), in one month (p < 0.01) and for TUG in one month (p < 0.05) were found.

Conclusion: The study revealed that early rehabilitation program consists of therapeutic exercises and written educational booklet after low back surgery improves transfer abilities and basic activities in one month.

Keywords: Educational booklet; Functional Mobility; Physical therapy; Postoperative period; Rehabilitation; Surgery.