title: Trunk Control Ability after Minimally Invasive Lumbar Fusion Surgery during the Early Postoperative Phase.
abstract: [Purpose] Lumbar fusion has been used for spinal disorders when conservative treatment fails. The minimally invasive approach causes minimal damage to the back muscles and shortens the postoperative recovery time. However, evidence regarding functional recovery in patients after minimally invasive lumbar spinal fusion is limited. The purpose of this study was to investigate how trunk control ability is affected after minimally invasive lumbar fusion surgery during the early postoperative phase. [Subjects and Methods] Sixteen patients and 16 age- and sex-matched healthy participants were recruited. Participants were asked to perform a maximum forward reaching task and were evaluated 1 day before and again 1 month after the lumbar fusion surgery. Center of pressure (COP) displacement, back muscle strength, and scores for the Visual Analog Scale, and Chinese version of the modified Oswestry Disability Index (ODI) were recorded. [Results] The healthy control group exhibited more favorable outcomes than the patient group both before and after surgery in back strength, reaching distance, reaching velocity, and COP displacement. The patient group improved significantly after surgery in all clinical outcome measurements. However, reaching distance decreased, and the reaching velocity as well as COP displacement did not differ before and after surgery. [Conclusion] The LBP patients with lumbar fusion surgery showed improvement in pain intensity 1 month after surgery but no improvement in trunk control during forward reaching. The results provide evidence that the back muscle strength was not fully recovered in patients 1 month after surgery and limited their ability to move their trunk forward.
authors.affiliation: Institute of Biomedical Engineering, National Taiwan University, Taiwan ; Division of Orthopedic Surgery, Department of Surgery, Far Eastern Memorial Hospital, Taiwan.
authors.forename: Jwo-Luen
authors.initials: JL
authors.lastname: Pao
authors.affiliation: Department of Orthopedics, National Taiwan University Hospital, Taiwan ; Department of Orthopedics, College of Medicine, National Taiwan University, Taiwan.
authors.forename: Rong-Sen
authors.initials: RS
authors.lastname: Yang
authors.affiliation: School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taiwan.
authors.forename: Chen-Hsi
authors.initials: CH
authors.lastname: Hsiao
authors.affiliation: School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taiwan ; Physical Therapy Center, National Taiwan University Hospital, Taiwan.
authors.forename: Wei-Li
authors.initials: WL
authors.lastname: Hsu
keywords: Biomechanics; Low back pain; Postural balance