Neural mobilization or myofascial and stabilization exercises after lumbar spinal fusion

Takeaway

  • Addition of neural mobilization (NM) or myofascial release (MFR) to stabilization exercises (SE) for rehabilitation in patients treated with lumbar spine fusion (LSF) improved pain and disability outcomes after one month of treatment and after one month of follow-up.

Why this matters

  • LSF is used to decrease disability and pain in people with chronic low back pain when conservative treatment fails. However, LSF has detrimental effects on spine kinematics, load transfer, range of motion and trunk muscle strength and endurance.

  • Postoperative rehabilitation is a key determinant of patient outcomes.

  • NM, MFR is known to improve pain and disability in patients with back pain but their effects post-LSF was uncertain.