Introduction
Methods
Design and population
Survey
Data collection
Data analysis
50–60 % | 61–70 % | 71–80 % | 81–90 % | 91–100 % |
---|---|---|---|---|
No uniformity | Low uniformity | Moderate uniformity | Strong uniformity | Very strong uniformity |
Results
Characteristics |
N (%) | Mean (SD) | Median (IQR) |
---|---|---|---|
Type of hospital | |||
Academic hospital | 5 (18) | ||
General hospital | 21 (75) | ||
Specialised care centre | 2 (7) | ||
Care pathway implemented in hospital | |||
Yes | 2 (7) | ||
No | 26 (93) | ||
Physiotherapy according to protocol | |||
Yes | 23 (82) | ||
No | 5 (18) | ||
Number of LSF patients per year per hospital | |||
1–10 per year | 3 (11) | ||
11–25 per year | 8 (29) | ||
26–50 per year | 8 (29) | ||
>50 per year | 9 (32) | ||
Surgeon performing LSFa
| |||
Neurosurgeon | 16 (57) | ||
Orthopaedic surgeon | 23 (82) | ||
Trauma surgeon | 2 (7) | ||
Combined ortho/neuro surgeon | 1 (4) | ||
Experience with LSF rehabilitation (years) | 14.8 (8.4) | 15 (8–21) | |
Treatment duration per session (minutes) | 20 (5) | 20 (18-25) | |
Treatment frequency per patient | |||
Once a day | 14 (50) | ||
Twice a day | 10 (34) | ||
Three times a day | 0 (0) | ||
Once every two days | 0 (0) | ||
Depends on the patient | 4 (14) | ||
Length of hospital stay (days) | 3.8 (1.3) | 4 (3–5) |
Preoperative physiotherapy
Level of uniformity | Performeda
| Not performedb
| ||
---|---|---|---|---|
Goals/intentions | Intervention/therapy | Goals/intentions | Intervention/therapy | |
Very strong uniformity (91–100 %) | Informing about postoperative phase | – | Mobilise | Pulmonary-function exercises |
Blood circulation exercises | ||||
Strong uniformity (81–90 %) | – | Advice and information on postoperative PT | Teaching exercises | – |
Assessing living environment | ||||
Goal setting | ||||
Risk inventory through coping questionnaire | ||||
Moderate uniformity (71–80 %) | – | – | – | – |
Low uniformity (61–70 %) | Assessing functioning | Anamnesis | – | Physical examination |
Psychosocial assessment | ||||
Information concerning the surgery | ||||
Answering questions | ||||
No uniformity (50–60 %) | Measuring preoperative status | Provide instructions on postoperative transfers | – | – |
Postoperative inpatient physiotherapy
Level of uniformity | Performeda
| Not performedb
| ||
---|---|---|---|---|
Goals/intentions | Intervention/therapy | Goals/intentions | Intervention/therapy | |
Very strong uniformity (91–100 %) | Patient can function safely | Getting out of bed | Assess motoric reflex functions (b750) | Mobilizations of the muscles |
Patient can get out of bed (d420) | Walking | Managing | Mobilizations of the joints (b710) | |
Patient is informed on the rehab process | Climbing stairs | Using walking tools | Improve aerobic endurance (b455) | |
Walking (d450) | Assess pulmonary situation | Teach how to use a corset | ||
Patient attains an optimal gait pattern functions (b770) | Neurologic examination | Informing | ||
Gaining self-confidence (b126) | ||||
Functional training | ||||
Strong uniformity (81–90 %) | Patient can climb stairs (d4551) | Anamnesis | Performing measurements | Breathing exercises |
Patient can carry out transfers (d420) | Advice concerning functional activities and restrictions | Normalise muscle tonus (b735) | ||
Instructing and training transfers | Assess AC of the pelvis (s740) | |||
Answering questions | Assess AC of the lower extremities (s750) | |||
Instructing home exercises | Assess AC of the trunk (s760) | |||
Assess AC of additional structures irt movement (s770) | ||||
Implement hand and arm function (d445) | ||||
Using means of transportation (d470) | ||||
Washing oneself (d510) | ||||
Resume domestic tasks (d640) | ||||
Resume recreation and leisure (d920) | ||||
Usage of a corset | ||||
Moderate uniformity (71–80 %) | Patient can move around (d455) | Inform regarding the surgery | Improve muscle strength (b730) | Train muscle strength (b730) |
Inform regarding pain management | Improve muscle endurance (b740) | Train trunk stability (s7601) | ||
Handling stress and other mental requirements (d240) | ||||
Getting dressed (d540) | ||||
Looking after one’s health (d570) | ||||
Low uniformity (61–70 %) | Patient can maintain/change their body position (d415) | Improve propriocepsis (b260) | Teaching exercises to stimulate blood circulation | |
Improve exercise tolerance (b455) | ||||
Improve joint stability (b715) | ||||
Lifting and carrying objects (d430) | ||||
Toileting (d530) | ||||
No uniformity (50–60 %) | Therapist assesses the patient’s pain perception (b280) | Physical examination | Performing exercises (b455) | |
Assessment of ADL | Improve joint mobility (b710) | |||
Improve bone mobility (b720) | ||||
Sensations related to muscles and movement (b780) |
Activity | NA (%) | 1 wk (%) | 2 wk (%) | 3 wk (%) | 4 wk (%) | 5 wk (%) | 6 wk (%) | 7 wk (%) | 8 wk (%) | 3 mo (%) | 6 mo (%) | 12 mo |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Sitting | 2 (7) | 22 (79) | 0 | 0 | 1 (4) | 3 (11) | 0 | 0 | 0 | 0 | 0 | 0 |
Driving a car | 3 (11) | 2 (7) | 2 (7) | 1 (4) | 1 (4) | 16 (57) | 1 (4) | 2 (7) | 0 | 0 | 0 | 0 |
Making love | 22 (79) | 3 (11) | 0 | 0 | 0 | 3 (11) | 0 | 0 | 0 | 0 | 0 | 0 |
Resuming work | 9 (32) | 2 (7) | 1 (4) | 0 | 0 | 13 (46) | 0 | 3 (11) | 0 | 0 | 0 | 0 |
Resuming sports | 8 (29) | 1 (4) | 0 | 0 | 0 | 7 (7) | 1 (4) | 8 (29) | 1 (4) | 0 | 2 (7) | 0 |
Resuming contact sports | 12 (43) | 0 | 0 | 0 | 0 | 0 | 0 | 5 (18) | 5 (18) | 2 (7) | 4 (14) | 0 |
Jogging/running | 13 (46) | 0 | 0 | 0 | 0 | 1 (4) | 0 | 8 (29) | 3 (11) | 1 (4) | 2 (7) | 0 |
Training muscle strength | 8 (29) | 3 (11) | 0 | 0 | 0 | 7 (7) | 0 | 5 (18) | 2 (7) | 0 | 3 (11) | 0 |
Heavy lifting | 6 (21) | 1 (4) | 0 | 0 | 0 | 3 (11) | 0 | 8 (29) | 5 (18) | 1 (4) | 4 (14) | 0 |
Extreme lumbar movements | 13 (46) | 1 (4) | 0 | 0 | 0 | 1 (4) | 0 | 4 (14) | 3 (11) | 0 | 6 (21) | 0 |