Affiliations: [a] Department of Physical Medicine, Rehabilitation of State Hospital of Konya, Konya, Turkey | [b] Department of Physical Medicine, Rehabilitation of Necmettin Erbakan University Faculty of Medicine, Konya, Turkey | [c] Department of Physical Medicine, Istanbul Faculty of Medicine, Rehabilitation of Istanbul University, Istanbul, Turkey
Correspondence:
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Corresponding author: Ali Yavuz Karahan, Yunusemre, Mh Nurani sk, No 1 meram, Konya 42090, Turkey. Tel.: +90 5386921934; E-mail:aliyavuzkarahan@outlook.com
Abstract: BACKGROUND: Failed back surgery syndrome (FBSS) is a condition
characterized by persistent pain following back surgeries. OBJECTIVE: To determine the effects of different exercises programs
in FBSS. METHODS:
A single-blind, randomized, controlled trial designed. One
hundred participants with failed back surgery syndrome were randomly
assigned to three different exercises groups (Isokinetic, Dynamic lumbar
stabilization (DLS), and home exercises (HE) groups) and a control group.
Patients were evaluated before and after 8-week exercise program and
follow-ups at the 3rd and 6th months after the exercise program.
Finger-floor distance and lumbar Schober for lumbar mobility, visual analog
scale (VAS) for pain, Modified Oswestry Disability Index, Beck Depression
Inventory, fear-avoidance attitudes survey, and progressive-isoinertial
weight lifting test were used as follow-up parameters. Lumbar muscle
strength was assessed with the isokinetic dynamometer. RESULTS: VAS levels were decreased from 67.7 to 22.8 in isokinetic
and from 68.7 to 25.0 in DLS and from 64.6 to 47.1 in HE groups at the end
of the program (p< 0.05). Also, all of other follow-up parameters of the
isokinetic and DLS exercise groups viewed significant improvements compared
to the control group. CONCLUSIONS: According to our results either isokinetic or DLS
exercises are more effective in FBSS patients.
Keywords: Dynamic lumbar stabilization, exercise, failed back surgery syndrome, treatment, isokinetic
