Cargando…

Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study

The present study aimed to compare changes during inpatient rehabilitation between conservatively and surgically treated patients. A total of n = 162 patients with cervical spine complaints were included in the study (n = 107 conservatively treated, n = 55 after surgery). Patients completed disease-...

Descripción completa

Detalles Bibliográficos
Autores principales: Missmann, Martin, Grote, Vincent, Riedl, David, Grenier, Jean-Pascal, Fischer, Michael J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917686/
https://www.ncbi.nlm.nih.gov/pubmed/36769651
http://dx.doi.org/10.3390/jcm12031004
_version_ 1784886427549433856
author Missmann, Martin
Grote, Vincent
Riedl, David
Grenier, Jean-Pascal
Fischer, Michael J.
author_facet Missmann, Martin
Grote, Vincent
Riedl, David
Grenier, Jean-Pascal
Fischer, Michael J.
author_sort Missmann, Martin
collection PubMed
description The present study aimed to compare changes during inpatient rehabilitation between conservatively and surgically treated patients. A total of n = 162 patients with cervical spine complaints were included in the study (n = 107 conservatively treated, n = 55 after surgery). Patients completed disease-specific (NDI) and generic (NPRS, EQ-5D-5L, HAQ) patient reported outcome measures (PROMs) before and after rehabilitation. In addition, the range of motion (ROM) in the transversal plane of the cervical spine was measured. Changes and correlations between PROMs and ROM values during rehabilitation were assessed. The influence of moderating factors on NDI outcomes was examined. Significant improvements with large effect sizes were found in PROMs and ROM (all p < 0.001). The conservatively treated patients showed significantly greater NDI improvements than operated patients (p = 0.050), but a greater proportion of poor performance in ROM (p = 0.035). Baseline NDI (β = 0.66), HAQ (β = 0.14), and ROM scores (β = −0.17) explained 63.7% of the variance in NDI after rehabilitation. Both patient groups showed different outcomes. The findings of this study indicate that the unique needs of patients may require different therapeutic interventions and highlight the importance of using multidimensional outcome measures when implementing a multimodal rehabilitation approach.
format Online
Article
Text
id pubmed-9917686
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99176862023-02-11 Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study Missmann, Martin Grote, Vincent Riedl, David Grenier, Jean-Pascal Fischer, Michael J. J Clin Med Article The present study aimed to compare changes during inpatient rehabilitation between conservatively and surgically treated patients. A total of n = 162 patients with cervical spine complaints were included in the study (n = 107 conservatively treated, n = 55 after surgery). Patients completed disease-specific (NDI) and generic (NPRS, EQ-5D-5L, HAQ) patient reported outcome measures (PROMs) before and after rehabilitation. In addition, the range of motion (ROM) in the transversal plane of the cervical spine was measured. Changes and correlations between PROMs and ROM values during rehabilitation were assessed. The influence of moderating factors on NDI outcomes was examined. Significant improvements with large effect sizes were found in PROMs and ROM (all p < 0.001). The conservatively treated patients showed significantly greater NDI improvements than operated patients (p = 0.050), but a greater proportion of poor performance in ROM (p = 0.035). Baseline NDI (β = 0.66), HAQ (β = 0.14), and ROM scores (β = −0.17) explained 63.7% of the variance in NDI after rehabilitation. Both patient groups showed different outcomes. The findings of this study indicate that the unique needs of patients may require different therapeutic interventions and highlight the importance of using multidimensional outcome measures when implementing a multimodal rehabilitation approach. MDPI 2023-01-28 /pmc/articles/PMC9917686/ /pubmed/36769651 http://dx.doi.org/10.3390/jcm12031004 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Missmann, Martin
Grote, Vincent
Riedl, David
Grenier, Jean-Pascal
Fischer, Michael J.
Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study
title Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study
title_full Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study
title_fullStr Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study
title_full_unstemmed Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study
title_short Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study
title_sort controversial outcomes in neck rehabilitation between surgically and conservatively treated patients—results of an observational study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917686/
https://www.ncbi.nlm.nih.gov/pubmed/36769651
http://dx.doi.org/10.3390/jcm12031004
work_keys_str_mv AT missmannmartin controversialoutcomesinneckrehabilitationbetweensurgicallyandconservativelytreatedpatientsresultsofanobservationalstudy
AT grotevincent controversialoutcomesinneckrehabilitationbetweensurgicallyandconservativelytreatedpatientsresultsofanobservationalstudy
AT riedldavid controversialoutcomesinneckrehabilitationbetweensurgicallyandconservativelytreatedpatientsresultsofanobservationalstudy
AT grenierjeanpascal controversialoutcomesinneckrehabilitationbetweensurgicallyandconservativelytreatedpatientsresultsofanobservationalstudy
AT fischermichaelj controversialoutcomesinneckrehabilitationbetweensurgicallyandconservativelytreatedpatientsresultsofanobservationalstudy