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Titre : | Health Behavior Change Counseling in Surgery for Degenerative Lumbar Spinal Stenosis. Part I: Improvement in Rehabilitation Engagement and Functional Outcomes (2015) |
Auteurs : | Richard L. Skolasky ; Anica M. Maggard ; David Li |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/7, 2015) |
Article en page(s) : | p. 12001207 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Laminectomie ; Rachis ; Rééducation et réadaptation |
Mots-clés: | Laminectomy ; Motivational interviewing ; Entretien motivationnel ; Spinal stenosis ; Sténose du canal vertébral ; Spine |
Résumé : |
Objective To examine whether a brief motivational interviewing [MI]based health behavior change counseling (HBCC) intervention increased patient participation in physical therapy and/or home exercise programs (HEPs), reduced disability, and improved health status after surgery for degenerative lumbar spinal stenosis. Design Prospective clinical trial. Setting Academic medical center. Participants From December 2009 through August 2012, consecutive patients (N=122) underwent surgery for degenerative lumbar spinal stenosis and, based on enrollment date, were prospectively assigned to a control (n=59) or HBCC intervention (n=63) group in a prospective, lagged-control clinical trial. Interventions Brief MI-based HBCC versus attention control. Main Outcome Measures Rehabilitation participation (primary); disability and health status (secondary). Therapists assessed engagement in, and patients reported attendance at, postoperative rehabilitation (physical therapy and/or HEP). At 3 and 6 months, disability and health status were assessed (Oswestry Disability Index [ODI] and Medical Outcomes Study 12-Item Short-Form Health Survey, version 2 [SF-12v2]) (significance, P<.05> Results Compared with controls, HBCC patients had significantly higher rehabilitation engagement (21.20+4.56 vs 23.57+2.71, respectively; P<.001 higher physical therapy vs .82 respectively p and hep .75 attendance better functional outcomes at months odi sf-12v2 the proportion of hbcc intervention impact on recovery mediated by rehabilitation participation was approximately half one-third months.> Conclusions HBCC can improve outcomes after spine surgery through improved rehabilitation participation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315002579 |