Postoperative Mobilisierung und Belastung nach lumbalen Wirbelsäuleneingriffen

Zusammenfassung

Die postoperative Mobilisierung, Belastung und physiotherapeutische Behandlung ist ein wichtiger Bestandteil der Therapie von lumbalen Pathologien. Insbesondere physiotherapeutische und rehabilitative Behandlungen werden für die Verbesserung der klinischen Ergebnisse nach lumbalen spinalen operativen Eingriffen durchgeführt. Mehrere Studien haben den Einfluss der postoperativen Behandlung nach lumbalen Wirbelsäuleneingriffen untersucht. Die postoperative Behandlung nach lumbalen Wirbelsäulenoperationen wird allerdings bis heute nicht einheitlich durchgeführt. Der Anfang der physiotherapeutischen Behandlung nach dem Eingriff, die Dauer, Form und Intensität der physiotherapeutischen Behandlungen variieren in der internationalen Literatur. Ziel dieser Übersichtsarbeit ist Empfehlungen für die postoperative Behandlung von drei verschiedenen lumbalen spinalen Eingriffen (lumbale Bandscheibenoperation, lumbale stabilitätserhaltende Dekompressionsoperation und lumbale Fusionsoperation) in Bezug auf die Mobilisierung, Belastung und Rehabilitation anhand der aktuellen Studienlage und Erfahrung aus der eigenen Institution auszusprechen.

Abstract

Postoperative mobilization, weight-bearing, and physiotherapy treatment is an important component of therapy for lumbar pathology. Physiotherapeutic and rehabilitative treatments are performed for the improvement of clinical outcomes after lumbar spinal surgical procedures. Several studies have looked at the impact of postoperative treatment after lumbar spinal surgery. However, the exact postoperative treatment after lumbar spinal surgery remains inconsistent to date. The start of physiotherapy treatment after surgery, the duration, form and intensity of physiotherapy treatments vary in the international literature. The aim of this review is to make recommendations for the postoperative treatment of three different lumbar spinal surgeries (lumbar disc surgery, lumbar stability-maintaining decompression surgery, and lumbar fusion surgery) in terms of mobilization, loading, and rehabilitation based on current studies and experience from our own institution.

Schlüsselwörter

Postoperative Mobilisierung - Physiotherapie - Belastung nach Wirbelsäulenoperationen - Rehabilitation nach Wirbelsäulenoperationen

Keywords

Postoperative mobilisation - physiotherapy - weight-bearing after spine surgery - rehabilitation after spine surgery

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