Abstract
Background
To compare the effect of five days of intensive postoperative rehabilitation and early
mobilization following scoliosis surgery.
Methods
Forty adolescent patients who had undergone scoliosis surgery were randomly allocated
into a rehabilitation group (RG, n = 20) and a mobilization group (MG, n = 20). The
RG received five days of intensive exercise program and early ambulation, the MG received
five days of a standard gait training and early ambulation. The patients were evaluated
for severity of pain using a visual analog scale, thorax mobility with the thoracic
mobility index, balance with the functional reach test, walking distance with the
2-min walk test, and quality of life with the Scoliosis Research Society-22 questionnaire.
The length of hospital stay was recorded.
Results
The RG was favored over the MG for improvements from 0 to 1 week for pain. Improvements
from 0 to 1 week were significantly better in the RG than the MG group for thorax
mobility, balance, and walking distance. Quality of life scores improvements from
0 to 1 week were significantly better in the RG group than in the MG group. The length
of hospital stay was significantly shorter in the RG group.
Conclusion
Five days of intensive postoperative rehabilitation were superior to early mobilization
in reducing the length of hospital stay, and in improving physical and functional
outcomes following scoliosis surgery.
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Article info
Publication history
Published online: December 15, 2021
Accepted:
November 24,
2021
Received in revised form:
November 7,
2021
Received:
February 18,
2021
Identification
Copyright
© 2021 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.
