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Titre : | Are Exercise and Physical Therapy Common Forms of Conservative Management in the Year Before Lumbar Spine Surgery? (2020) |
Auteurs : | Jessica A. Carrignan ; Richard Tyler Simmet ; Matthew Coddington ; Norman W. Gill ; Tina A. Greenlee ; Randall McCafferty ; Daniel Rhon |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 8, 2020) |
Article en page(s) : | p. 1389-1395 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.04.006 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Analgésiques morphiniques ; Dorsalgie ; Douleur chronique ; Neurochirurgie ; Réadaptation |
Résumé : |
Objective
To quantify and compare utilization of opioids, exercise therapy, and physical therapy in the year before spine surgery. Design A retrospective cohort of surgical and claims data. Setting Beneficiaries of the Military Health System seen at Brooke Army Medical Center Participants Patients (N=411) undergoing surgery between January 1, 2014, and December 31, 2015, identified retrospectively through the Surgical Scheduling System (S3) based on procedure type (fusion, laminectomy, arthroplasty, vertebroplasty, and diskectomy). Interventions Elective lumbar spine surgery. Main Outcome Measures Health care utilization variables present during the full 12 months before surgery, which included physical therapy services and visits for exercise therapy or manual therapy procedures and opioid prescriptions. Results The mean age of participants was 44.8±11.7 years and 32.4% were female. In the year before surgery, 143 (34.8%) patients had a physical therapy plan of care, 140 (34.1%) had at least 1 visit that included exercise therapy, and only 60 (14.6%) had a minimum of 6 exercise therapy visits. However, 347 (84.4%) patients received at least 1 opioid prescription fill (mean of 6.1 unique fills). Conclusions Before elective lumbar spine surgery, opioid prescriptions were common but physical therapy services and exercise therapy utilization occurred infrequently. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320302720#! |