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Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial

Background: The introduction of early rehabilitation exercise is the foundation of treatment post-Posterior lumbar interbody fusion (PLIF) surgery, and the search for additional sources of reinforcement physiotherapy seems to be very important. Methods: The patients were randomly divided into the vi...

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Autores principales: Skrobot, Wojciech, Liedtke, Ewelina, Krasowska, Katarzyna, Dzik, Katarzyna P., Flis, Damian J., Samoraj-Dereszkiewicz, Anna, Libionka, Witold, Kortas, Jakub, Kloc, Wojciech, Antosiewicz, Jedrzej, Kaczor, Jan J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6769962/
https://www.ncbi.nlm.nih.gov/pubmed/31547377
http://dx.doi.org/10.3390/nu11092202
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author Skrobot, Wojciech
Liedtke, Ewelina
Krasowska, Katarzyna
Dzik, Katarzyna P.
Flis, Damian J.
Samoraj-Dereszkiewicz, Anna
Libionka, Witold
Kortas, Jakub
Kloc, Wojciech
Antosiewicz, Jedrzej
Kaczor, Jan J.
author_facet Skrobot, Wojciech
Liedtke, Ewelina
Krasowska, Katarzyna
Dzik, Katarzyna P.
Flis, Damian J.
Samoraj-Dereszkiewicz, Anna
Libionka, Witold
Kortas, Jakub
Kloc, Wojciech
Antosiewicz, Jedrzej
Kaczor, Jan J.
author_sort Skrobot, Wojciech
collection PubMed
description Background: The introduction of early rehabilitation exercise is the foundation of treatment post-Posterior lumbar interbody fusion (PLIF) surgery, and the search for additional sources of reinforcement physiotherapy seems to be very important. Methods: The patients were randomly divided into the vitamin D3 (n = 15; D3) supplemented group and received 3200 IU per day for five weeks before surgery and the placebo group (n = 18; Pl) received vegetable oil during the same time. The patients began the supervisor rehabilitation program four weeks after surgery. Results: The limits of stability (LOS) were significantly improved in the D3 group after 5 and 14 weeks (p < 0.05), while in the Pl group, progress was only observed after 14 weeks (p < 0.05). The LOS were also higher in the D3 group than in the Pl group after five weeks of supervised rehabilitation (p < 0.05). In the postural stability (PST) test, significant progress was observed in the D3 group after 14 weeks (p < 0.02). In addition, neither rehabilitation nor supplementation had significant effects on the risk of falls (RFT). Conclusions: Vitamin D supplementation seems to ameliorate the effects of an early postoperative rehabilitation program implemented four weeks after posterior lumbar interbody fusion. Early physiotherapy treatment after PLIF surgery combined with vitamin D supplementation appears to be a very important combination with regard to the patients’ recovery process.
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spelling pubmed-67699622019-10-30 Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial Skrobot, Wojciech Liedtke, Ewelina Krasowska, Katarzyna Dzik, Katarzyna P. Flis, Damian J. Samoraj-Dereszkiewicz, Anna Libionka, Witold Kortas, Jakub Kloc, Wojciech Antosiewicz, Jedrzej Kaczor, Jan J. Nutrients Article Background: The introduction of early rehabilitation exercise is the foundation of treatment post-Posterior lumbar interbody fusion (PLIF) surgery, and the search for additional sources of reinforcement physiotherapy seems to be very important. Methods: The patients were randomly divided into the vitamin D3 (n = 15; D3) supplemented group and received 3200 IU per day for five weeks before surgery and the placebo group (n = 18; Pl) received vegetable oil during the same time. The patients began the supervisor rehabilitation program four weeks after surgery. Results: The limits of stability (LOS) were significantly improved in the D3 group after 5 and 14 weeks (p < 0.05), while in the Pl group, progress was only observed after 14 weeks (p < 0.05). The LOS were also higher in the D3 group than in the Pl group after five weeks of supervised rehabilitation (p < 0.05). In the postural stability (PST) test, significant progress was observed in the D3 group after 14 weeks (p < 0.02). In addition, neither rehabilitation nor supplementation had significant effects on the risk of falls (RFT). Conclusions: Vitamin D supplementation seems to ameliorate the effects of an early postoperative rehabilitation program implemented four weeks after posterior lumbar interbody fusion. Early physiotherapy treatment after PLIF surgery combined with vitamin D supplementation appears to be a very important combination with regard to the patients’ recovery process. MDPI 2019-09-12 /pmc/articles/PMC6769962/ /pubmed/31547377 http://dx.doi.org/10.3390/nu11092202 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Skrobot, Wojciech
Liedtke, Ewelina
Krasowska, Katarzyna
Dzik, Katarzyna P.
Flis, Damian J.
Samoraj-Dereszkiewicz, Anna
Libionka, Witold
Kortas, Jakub
Kloc, Wojciech
Antosiewicz, Jedrzej
Kaczor, Jan J.
Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial
title Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial
title_full Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial
title_fullStr Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial
title_full_unstemmed Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial
title_short Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial
title_sort early rehabilitation program and vitamin d supplementation improves sensitivity of balance and the postural control in patients after posterior lumbar interbody fusion: a randomized trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6769962/
https://www.ncbi.nlm.nih.gov/pubmed/31547377
http://dx.doi.org/10.3390/nu11092202
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