Ein „Best-Practice-Modell“ für die Rehabilitation nach lumbaler Nukleotomie

Ist eine Rehabilitation nach einer Bandscheibenoperation notwendig? Und wenn ja, wie sollte diese gestaltet werden? Christoph Thalhamer diskutiert die Frage nach der Notwendigkeit und stellt anhand aktueller Literatur ein Best-Practice-Modell der postoperativen Rehabilitation vor.

Publikationsverlauf

Artikel online veröffentlicht:
07. Dezember 2022

• Literatur

• 1 Cherkin DC, Deyo RA, Loeser JD. et al. An international comparison of back surgery rates. Spine 1994; 19: 1201-1206
• 2 Deyo RA. Fusion surgery for lumbar degenerative disc disease: still more questions than answers. Spine J 2015; 15: 272-274
• 3 Kobayashi K, Ando K, Nishida Y. et al. Epidemiological trends in spine surgery over 10 years in a multicenter database. Eur Spine J 2018; 27: 1698-1703
• 4 Rushton A, Zoulas K, Powell A. et al. Physical prognostic factors predicting outcome following lumbar discectomy surgery: systematic review and narrative synthesis. BMC Musculoskeletal Disorders 2018; 19: 326
• 5 Weinstein JN, Lurie JD, Olson PR. et al. United States’ trends and regional variations in lumbar spine surgery: 1992–2003. Spine (Phila Pa 1976) 2006; 31: 2707-2714
• 6 Jacobs WCH, van Tulder M, Arts M. et al. Surgery versus conservative management of sciatica due to a lumbar herniated disc: a systematic review. Eur Spine J 2011; 20: 513-522
• 7 Weinstein JN, Lurie JD, Tosteson TD. et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA 2006; 296: 2441-2450
• 8 LeBlanc L, Moldovan ID, Sabri E. et al. Comparing the Effects of Early Versus Late Exercise Intervention on Pain and Neurodynamic Mobility Following Unilateral Lumbar Microdiscectomy: A Pilot Study. Spine 2021; 46: E998-E1005
• 9 Oosterhuis T, Costa LOP, Maher CG. et al. Rehabilitation after lumbar disc surgery. Cochrane Database Syst Rev 2014; 2013: CD003007
• 10 Oosterhuis T, Ostelo RW, van Dongen JM. et al. Early rehabilitation after lumbar disc surgery is not effective or cost-effective compared to no referral: a randomised trial and economic evaluation. J Physiother 2017; 63: 144-153
• 11 Williamson E, White L, Rushton A. A survey of post-operative management for patients following first time lumbar discectomy. Eur Spine J 2007; 16: 795-802
• 12 Rushton A, White L, Heap A. et al. Development of an optimised 1:1 physiotherapy intervention post first-time lumbar discectomy: a mixed-methods study. BMJ Open 2016; 6: e009409
• 13 Goerttler P. Physiotherapie nach lumbaler Bandscheibenoperation. Literaturstudie. manuelletherapie 2004; 8: 10-18
• 14 Rushton A, Wright C, Goodwin P. et al. Physiotherapy rehabilitation post first lumbar discectomy: a systematic review and meta-analysis of randomized controlled trials. Spine (Phila Pa 1976) 2011; 36: E961-972
• 15 Tousignant-Laflamme Y, Martel MO, Joshi AB. et al. Rehabilitation management of low back pain – it’s time to pull it all together!. J Pain Res 2017; 10: 2373-2385
• 16 Blümle A, Lagrèze WA, Motschall E. Systematische Literaturrecherche in PubMed. Eine Kurzanleitung. Manuelle Medizin 2018; 56: 281-292
• 17 Aldemir K, Gürkan A. The effect of pedometer-supported walking and telemonitoring after disc hernia surgery on pain and disability levels and quality of life. Int J Nurs Pract 2021; 27: e12917
• 18 Beneck GJ, Popovich Jr JM, Selkowitz DM. et al. Intensive, progressive exercise improves quality of life following lumbar microdiskectomy: a randomized controlled trial. Clin Rehabil 2014; 28: 892-901
• 19 Jentoft ES, Kvale A, Assmus J. et al. Effect of information and exercise programmes after lumbar disc surgery: A randomized controlled trial. Physiother Res Int 2020; 25: e1864
• 20 Kim BJ, Kim T, Ahn J. et al. Manipulative rehabilitation applied soon after lumbar disc surgery improves late post-operative functional disability: A preliminary 2-year follow-up study. J Back Musculoskelet Rehabil 2017; 30: 999-1004
• 21 Kulikov AG, Voronina DD, Morozov AE. et al. New approach for evaluating the effectiveness of whole-body magnetic field therapy in the rehabilitation of patients with lumbar discectomy. J Back Musculoskelet Rehabil 2018; 31: 1065-1073
• 22 Ozkara GO, Ozgen M, Ozkara E. et al. Effectiveness of physical therapy and rehabilitation programs starting immediately after lumbar disc surgery. Turk Neurosurgery 2015; 25: 372-379
• 23 Zhang R, Zhang SJ, Wang XJ. Postoperative functional exercise for patients who underwent percutaneous transforaminal endoscopic discectomy for lumbar disc herniation. Eur Rev Med Pharmacol Sci 2018; 22 (01) 15-22
• 24 Lin I, Wiles L, Waller R. et al. What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. Br J Sports Med 2020; 54: 79-86
• 25 Longtin C, Décary S, Cook CE. et al. Optimizing management of low back pain through the pain and disability drivers management model: A feasibility trial. PLoS One 2021; 16: e0245689
• 26 Tousignant-Laflamme Y, Cook CE, Mathieu A. et al. Operationalization of the new Pain and Disability Drivers Management model: A modified Delphi survey of multidisciplinary pain management experts. J Eval Clin Pract 2020; 26: 316-325
• 27 Treede RD, Rief W, Barke A. et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain 2019; 160: 19-27
• 28 Attal N, Bouhassira D, Baron R. Diagnosis and assessment of neuropathic pain through questionnaires. Lancet Neurol 2018; 17: 456-466
• 29 Kosek E, Cohen M, Baron R. et al. Do we need a third mechanistic descriptor for chronic pain states?. Pain 2016; 157: 1382-1386
• 30 Nijs J, Goubert D, Ickmans K. Recognition and Treatment of Central Sensitization in Chronic Pain Patients: Not Limited to Specialized Care. J Orthop Sports Phys Ther 2016; 46: 1024-1028
• 31 Nijs J, Lahousse A, Kapreli E. et al. Nociplastic Pain Criteria or Recognition of Central Sensitization? Pain Phenotyping in the Past, Present and Future. J Clin Med 2021; 10: 3203
• 32 Smart KM, Blake C, Staines A. et al. Mechanisms-based classifications of musculoskeletal pain: part 1 of 3: symptoms and signs of central sensitisation in patients with low back (± leg) pain. Man Ther 2012; 17: 336-344
• 33 Klute M, Laekeman M, Kuss K. et al. Cross-cultural adaptation and validation of the German Central Sensitization Inventory (CSI-GE). BMC Musculoskelet Disord 2021; 22: 708
• 34 Middlebrook N, Rushton AB, Abichandani D. et al. Measures of central sensitization and their measurement properties in musculoskeletal trauma: A systematic review. Eur J Pain 2021; 25: 71-87
• 35 van Griensven H, Schmid A, Trendafilova T. et al. Central Sensitization in Musculoskeletal Pain: Lost in Translation?. J Orthop Sports Phys Ther 2020; 50: 592-596
• 36 Dominick CH, Blyth FM, Nicholas MK. Unpacking the burden: understanding the relationships between chronic pain and comorbidity in the general population. Pain 2012; 153: 293-304
• 37 Fayaz A, Ayis S, Panesar S. et al. Assessing the relationship between chronic pain and cardiovascular disease: A systematic review and meta-analysis. Scand J Pain 2016; 13: 76-90
• 38 Gajsar H, Titze C, Levenig C. et al. Psychological pain responses in athletes and non-athletes with low back pain: Avoidance and endurance matter. Eur J Pain 2019; 23: 1649-1662
• 39 Hasenbring MI, Chehadi O, Titze C. et al. Fear and anxiety in the transition from acute to chronic pain: there is evidence for endurance besides avoidance. Pain Management 2014; 4: 363-374
• 40 Stearns ZR, Carvalho ML, Beneciuk JM. et al. Screening for Yellow Flags in Orthopaedic Physical Therapy: A Clinical Framework. J Orthop Sports Phys Ther 2021; 51: 459-469
• 41 Main CJ, Burton AK. Economic and occupational influences on pain and disability. In: Main CJ, Spanswick CC. eds. Pain Management: An Interdisciplinary Approach. Edinburgh, Scotland: Elsevier, Churchill Livingstone; 2000: 63-87
• 42 Stratford P, Gill C, Westaway M. et al. Assessing disability and change on individual patients: a report of a patient specific measure. Physiotherapy Canda 1995; 47: 258-263
• 43 Wood L, Foster NE, Lewis M. et al. Exercise Interventions for Persistent Non-Specific Low Back Pain – Does Matching Outcomes to Treatment Targets Make a Difference? A Systematic Review and Meta-Analysis. J Pain 2021; 22: 107-126
• 44 Pourahmadi M, Delavari S, Hayden JA. et al. Does motor control training improve pain and function in adults with symptomatic lumbar disc herniation? A systematic review and meta-analysis of 861 subjects in 16 trials. Br J Sports Med 14.06.2022;
• 45 Richardson C, Hodges P, Hides J. Therapeutic Exercise for Lumbopelvic Stabilization. A Motor Control Approach for the Treatment and Prevention of Low Back Pain. 2nd edition. Edinburgh: Elsevier, Churchill Livingstone; 2004
• 46 Luomajoki HA, Bonet Beltran MB, Careddu S. et al. Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment: A systematic review and meta-analysis. Musculoskelet Sci Pract 2018; 36: 1-11
• 47 McGill S. Low Back Disorders. Evidence-Based Prevention and Rehabilitation. 3 rd edition. USA: Human Kinetics; 2015
• 48 Kendall NAS, Linton SJ, Main C. Psychosocial Yellow Flags for acute low back pain: ‘Yellow Flags’ as an analogue to `Red Flags´. European Journal of Pain 1998; 1: 87-89
• 49 Lepley LK, Lepley AS, Onate JA. et al. Eccentric Exercise to Enhance Neuromuscular Control. Sports Health 2017; 9: 333-340
• 50 Lum D, Barbosa TM. Brief review: effects of isometric strength training on strength and dynamic performance. International Journal of Sports Medicine 2019;
• 51 Norte G, Rush J, Sherman D. Arthrogenic Muscle Inhibition: Best Evidence, Mechanisms, and Theory for Treating the Unseen in Clinical Rehabilitation. J Sport Rehabil 2021; 31: 717-735
• 52 Oranchuk DJ, Storey AG, Nelson AR. et al. Isometric training and long-term adaptions: Effects of muscle length, intensity, and intent: a systematic review. Scand J Med Sci Sports 2019; 29: 484-503
• 53 Adams MA, Stefanakis M, Dolan P. Healing of a painful intervertebral disc should not be confused with reversing disc degeneration: implications for physical therapies for discogenic back pain. Clin Biomech (Bristol, Avon) 2010; 25: 961-971
• 54 Gilmore SJ, Hahne AJ, Davidson M. et al. Physical activity patterns of patients immediately after lumbar surgery. Disabil Rehabil 2020; 42: 3793-3799
• 55 Master H, Pennings JS, Coronado RA. et al. How Many Steps Per Day During the Early Postoperative Period are Associated With Patient-Reported Outcomes of Disability, Pain, and Opioid Use After Lumbar Spine Surgery?. Arch Phys Med Rehabil 2021; 102: 1873-1879
• 56 McGregor AH, Dicken B, Jamrozik K. National audit of post-operative management in spinal surgery. BMC Musculoskelet Disord 2006; 7: 47
• 57 van Erp RMA, Jelsma J, Huijnen IPJ. et al. Spinal Surgeons’ Opinions on Pre- and Postoperative Rehabilitation in Patients Undergoing Lumbar Spinal Fusion Surgery: A Survey-Based Study in the Netherlands and Sweden. Spine (Phil Pa 1976) 2018; 43: 713-719
• 58 Carragee EJ, Helms E, O´Sullivan GS. Are postoperative activity restrictions necessary after posterior lumbar discectomy? A prospective study of outcomes in 50 consecutive cases. Spine (Phila Pa 1976) 1996; 21: 1893-1897
• 59 Carragee EJ, Han MY, Yang B. et al. Activity restrictions after posterior lumbar discectomy. A prospective study of outcomes in 152 cases with no postoperative restrictions. Spine (Phila Pa 1976) 1999; 24: 2346-2351
• 60 Gilmore SJ, McClelland JA, Davidson M. Physiotherapeutic interventions before and after surgery for degenerative lumbar conditions: a systematic review. Physiotherapy 2015; 101: 111-118
• 61 Hodges PW, Danneels L. Changes in Structure and Function of the Back Muscles in Low Back Pain: Different Time Points, Observations, and Mechanisms. J Orthop Sport Phys Ther 2019; 49: 464-476
• 62 Saragiotto BT, Maher CG, Yamato TP. et al. Motor control exercise for chronic non-specific low-back pain. Cochrane Database Syst Rev 2016; 2016: CDC012004
• 63 Lepley AS, Lepley LK. Mechanisms of Arthrogenic Muscle Inhibition. J Sport Rehabil 2021; 31: 707-716
• 64 Reiman MP, Sylvain J, Loudon JK. et al. Return to sport after open and microdiscectomy surgery versus conservative treatment for lumbar disc herniation: a systematic review with meta-analysis. Br J Sports Med 2016; 50: 221-230
• 65 Ziegler DS, Jensen RK, Thomsen GF. et al. Returning to Work Within Two Years After First-Time, Single-Level, Simple Lumbar Discectomy: A Multifactorial, Predictive Model. J Occup Rehabil 2020; 30: 274-287
• 66 Kamper SJ, Apeldoorn AT, Chiarotto A. et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ 2015; 350: h444
• 67 May S, Rosedale R. An international survey of the comprehensiveness of the McKenzie classification system and the proportions of classifications and directional preferences in patients with spinal pain. Musculoskelet Sci Pract 2019; 39: 10-15
• 68 Cook CE. Die Wirkung unserer Hände. physiopraxis 2020; 18: 22-27
• 69 Bialosky JE, Bishop MD, Price DD. et al. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man Ther 2009; 14: 531-538
• 70 Bialosky JE, Beneciuk JM, Bishop MD. et al. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. J Orthop Sports Phys Ther 2018; 48: 8-18
• 71 Damian K, Cook CE, Kenneth L. et al. Time to evolve: the applicability of pain phenotyping in manual therapy. J Man Manip Ther 2022; 30: 61-67
• 72 Scrimshaw SV, Maher CG. Randomized controlled trial of neural mobilization after spinal surgery. Spine (Phila Pa 1976) 2001; 26: 2647-2652
• 73 Basson A, Olivier B, Ellis R. et al. The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther 2017; 47: 593-615
• 74 Ellis R, Carta G, Andrade RJ. et al. Neurodynamics: is tension contentious?. J Man Manip Ther 2022; 30: 3-12
• 75 Main CJ, George SZ. Psychologically informed practice for management of low back pain: future directions in practice and research. Phys Ther 2011; 91: 820-824
• 76 Louw A, Zimney K, Puentedura EJ. et al. The efficacy of pain neuroscience education on musculoskeletal pain: A systematic review of the literature. Physiother Theory Pract 2016; 32: 332-355
• 77 Richter M. „Schmerzen verstehen“ in der Praxis. Manuelle Medizin 2017; 55: 265-273
• 78 Wood L, Hendrick PA. A systematic review and meta-analysis of pain neuroscience education for chronic low back pain: Short-and long-term outcomes of pain and disability. Eur J Pain 2019; 23: 234-249
• 79 Rushton A, Heneghan NR, Heymans MW. et al. Clinical course of pain and disability following primary lumbar discectomy: systematic review and meta-analysis. Eur Spine J 2020; 29: 1660-1670
• 80 Mancuso CA, Duculan R, Girardi FP. Healthy Physical Activity Levels Below Recommended Thresholds Two Years After Lumbar Spine Surgery. Spine 2017; 42: E241-E247
• 81 Bull FC, Al-Ansari SS, Biddle S. et al. World Health Organization 2020 guidelines on physical activity and sedentary behavior. Br J Sports Med 2020; 54: 1451-1462