Cochrane · systematic review · CD003007

Rehabilitation after lumbar disc surgery

Oosterhuis, T, Costa, LOP, Maher, CG, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
7
No studies
2
Included studies
NR
No studies 2 · 22.2%Ungraded 0 · 0%Very low 4 · 44.4%Low 3 · 33.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Exercise therapy versus no treatment four to six weeks after lumbar disc surgery

Population: patients four to six weeks after lumbar disc surgery
3 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (post‐treatment) VAS or LBPRS
Exercise therapy vs no treatment four to six weeks after lumbar disc surgery
no estimate extracted272 participantsVery low
Downgraded: imprecision, inconsistency
Functional status (post‐treatment) ODI or LBPRS
Exercise therapy vs no treatment four to six weeks after lumbar disc surgery
no estimate extracted252 participantsLow
Downgraded: imprecision
Functional status (long term) ODI or LBPRS
Exercise therapy vs no treatment four to six weeks after lumbar disc surgery
no estimate extracted226 participantsLow
Downgraded: imprecision

High‐intensity exercise versus low‐intensity exercise programmes four to six weeks after lumbar disc surgery

Population: patients four to six weeks after lumbar disc surgery
3 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (short term) VAS
High‐intensity exercise vs low‐intensity exercise programmes four to six weeks after lumbar disc surgery
no estimate extracted103 participantsVery low
Downgraded: imprecision, inconsistency
Function (short term) RDQ or ODI
High‐intensity exercise vs low‐intensity exercise programmes four to six weeks after lumbar disc surgery
no estimate extracted103 participantsLow
Downgraded: imprecision
Functional status (long term)
High‐intensity exercise vs low‐intensity exercise programmes four to six weeks after lumbar disc surgery
no estimate extractedNRNo studies

Supervised programmes versus home exercises four to six weeks after lumbar disc surgery

Population: patients four to six weeks after lumbar disc surgery
3 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (short term) VAS or five‐point box scale
Supervised programmes vs home exercises four to six weeks after lumbar disc surgery
no estimate extracted229 participantsVery low
Downgraded: imprecision, inconsistency
Functional status (short term) ODI or 12‐item scale
Supervised programmes vs home exercises four to six weeks after lumbar disc surgery
no estimate extracted229 participantsVery low
Downgraded: imprecision, inconsistency
Functional status (long term)
Supervised programmes vs home exercises four to six weeks after lumbar disc surgery
no estimate extractedNRNo studies