Back Pain Outcomes Similar for Surgery, Cognitive Intervention

Long-term outcomes similar for patients treated with surgery or cognitive intervention and exercise

FRIDAY, Sept. 23 (HealthDay News) -- Patients with chronic low back pain (CLBP) and disc degeneration who undergo either surgery or cognitive intervention and exercise have similar results for trunk muscle strength, cross-sectional area, and density at a seven- to 11-year follow-up, according to a study published in the August issue of The Spine Journal.

Anne Froholdt, M.D., from the Oslo University Hospital in Norway, and colleagues compared the long-term effect of lumbar fusion with cognitive intervention and exercise on trunk muscle strength, cross-sectional area, density, and self-rated function in patients with CLBP and disc degeneration. Patients underwent either instrumented posterolateral fusion of one or both of the two lower lumbar levels, or a three-week cognitive intervention and exercise program. The back extension (E) and flexion (F) muscles and E/F ratio were measured, and the cross-sectional area and density of the back muscles at the L3-L4 segment were determined. A total of 55 patients were included in a follow-up ranging between seven and 11 years.

The investigators found no significant differences between the groups in terms of cross-sectional area, density, muscle strength, or self-rated function. Significantly increased trunk muscle extension was found in the cognitive intervention and exercise group. Both groups scored significantly better on trunk muscle function tests at long-term follow up. Self-rated function improved by nearly 56 percent, cross-sectional area decreased by 8.5 percent, and muscle density decreased by 27 percent on average.

"Gross muscle strength, cross-sectional area, and density above the lesion are not different between those who have had lumbar fusion or cognitive intervention and exercises at seven to 11 years," the authors write.

Full Text (subscription or payment may be required)

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events