Factors Associated with Functional Outcomes in Persons who Underwent Posterior Lumbar Interbody Fusion: A Cross-Sectional study

Winrose, W (2019) Factors Associated with Functional Outcomes in Persons who Underwent Posterior Lumbar Interbody Fusion: A Cross-Sectional study. Masters thesis, College of Physiotherapy, Christian Medical College, Vellore.

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Abstract

BACKGROUND: Lumbar fusion surgery is one of the most common spinal surgery. The goal of this surgery is to provide fusion of the vertebra and thereby improving functional outcomes. The purpose of this study is to investigate the association of low back and psychological variables with function in subjects who underwent posterior lumbar interbody fusion. AIM OF THE STUDY: To find the association of low back, psychological, demographic and surgical factors with functional outcomes in persons who underwent posterior lumbar interbody fusion. OBJECTIVES: 1. To evaluate the association of low back pain, lumbar range of motion and core strength with functional outcomes in persons who underwent posterior lumbar interbody fusion. 2. To evaluate the association of kinesiophobia with functional outcomes in persons who underwent posterior lumbar interbody fusion. 3. To evaluate the association of demographic and surgical variables with functional outcomes in persons who underwent posterior lumbar interbody fusion. STUDY DESIGN: Cross-sectional study. METHODOLOGY: Twenty eight subjects who underwent Posterior Lumbar Interbody Fusion for spondylolisthesis with a post-operative duration between 3 and 12 months were assessed for demographic factors (age, sex, body mass index, duration of pain before surgery and Charlson Comorbidity Index), surgical factors (duration of surgery, number of levels fused, post-operative period), low back factors (pain intensity, lumbar range of motion and core strength) and psychological factor (kinesiophobia). Functional outcomes (Oswestry Disability Index and Short Form 12) were also assessed. ANALYSIS: Spearman’s correlation analysis was performed to evaluate the relationship of various factors with the functional outcome. The variables that correlated significantly with the functional outcomes were considered for further analysis in the regression model. RESULTS: Low back pain both at rest and during movement demonstrated a significant positive correlation with ODI and a significant negative correlation with SF 12. Radiating pain during movement showed a significant positive correlation with ODI whereas, kinesiophobia showed a significant negative correlation with SF 12. CONCLUSION: Low back pain (both at rest and during movement), radiating pain during movement and kinesiophobia were associated with functional outcomes.

Item Type: Thesis (Masters)
Additional Information: Reg.No.271710323
Uncontrolled Keywords: Spinal fusion, Spondylolisthesis, Core strength, Kinesiophobia, Oswestry Disability Index and Quality of life.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Ravindran C
Date Deposited: 22 Sep 2019 15:27
Last Modified: 22 Sep 2019 15:27
URI: http://repository-tnmgrmu.ac.in/id/eprint/11546

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