Postoperative Physical Therapy Program Focused on Low Back Pain Can Improve Treatment Satisfaction after Minimally Invasive Lumbar Decompression
Patient satisfaction is crucial in pay-for-performance initiatives. To achieve further improvement in satisfaction, modifiable factors should be identified according to the surgery type. Using a prospective cohort, we compared the overall treatment satisfaction after microendoscopic lumbar decompres...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/19/5566 |
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| author | Hidetomi Terai Koji Tamai Kunikazu Kaneda Toshimitsu Omine Hiroshi Katsuda Nagakazu Shimada Yuto Kobayashi Hiroaki Nakamura |
| author_facet | Hidetomi Terai Koji Tamai Kunikazu Kaneda Toshimitsu Omine Hiroshi Katsuda Nagakazu Shimada Yuto Kobayashi Hiroaki Nakamura |
| author_sort | Hidetomi Terai |
| collection | DOAJ |
| description | Patient satisfaction is crucial in pay-for-performance initiatives. To achieve further improvement in satisfaction, modifiable factors should be identified according to the surgery type. Using a prospective cohort, we compared the overall treatment satisfaction after microendoscopic lumbar decompression between patients treated postoperatively with a conventional physical therapy (PT) program (control; n = 100) and those treated with a PT program focused on low back pain (LBP) improvement (test; n = 100). Both programs included 40 min outpatient sessions, once per week for 3 months postoperatively. Adequate compliance was achieved in 92 and 84 patients in the control and test cohorts, respectively. There were no significant differences in background factors; however, the patient-reported pain score at 3 months postoperatively was significantly better, and treatment satisfaction was significantly higher in the test than in the control cohort (−0.02 ± 0.02 vs. −0.03 ± 0.03, <i>p</i> = 0.029; 70.2% vs. 55.4%, <i>p</i> = 0.045, respectively). In the multivariate logistic regression analysis, patients treated with the LBP program tended to be more satisfied than those treated with the conventional program, independent of age, sex, and diagnosis (adjusted odds ratio = 2.34, <i>p</i> = 0.012). Postoperative management with the LBP program could reduce pain more effectively and aid spine surgeons in achieving higher overall satisfaction after minimally invasive lumbar decompression, without additional pharmacological therapy. |
| first_indexed | 2024-03-09T21:35:26Z |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T21:35:26Z |
| publishDate | 2022-09-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-799a6459c497414a8fcb3464ad9c37b72023-11-23T20:45:03ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011119556610.3390/jcm11195566Postoperative Physical Therapy Program Focused on Low Back Pain Can Improve Treatment Satisfaction after Minimally Invasive Lumbar DecompressionHidetomi Terai0Koji Tamai1Kunikazu Kaneda2Toshimitsu Omine3Hiroshi Katsuda4Nagakazu Shimada5Yuto Kobayashi6Hiroaki Nakamura7Department of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka 545-8585, JapanDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka 545-8585, JapanDepartment of Orthopaedic Surgery, Shimada Hospital, Osaka 583-0875, JapanGraduate School of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka 583-8555, JapanDepartment of Orthopaedic Surgery, Shimada Hospital, Osaka 583-0875, JapanDepartment of Orthopaedic Surgery, Shimada Hospital, Osaka 583-0875, JapanDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka 545-8585, JapanDepartment of Orthopaedic Surgery, Osaka Metropolitan University Graduate School of Medicine, Osaka 545-8585, JapanPatient satisfaction is crucial in pay-for-performance initiatives. To achieve further improvement in satisfaction, modifiable factors should be identified according to the surgery type. Using a prospective cohort, we compared the overall treatment satisfaction after microendoscopic lumbar decompression between patients treated postoperatively with a conventional physical therapy (PT) program (control; n = 100) and those treated with a PT program focused on low back pain (LBP) improvement (test; n = 100). Both programs included 40 min outpatient sessions, once per week for 3 months postoperatively. Adequate compliance was achieved in 92 and 84 patients in the control and test cohorts, respectively. There were no significant differences in background factors; however, the patient-reported pain score at 3 months postoperatively was significantly better, and treatment satisfaction was significantly higher in the test than in the control cohort (−0.02 ± 0.02 vs. −0.03 ± 0.03, <i>p</i> = 0.029; 70.2% vs. 55.4%, <i>p</i> = 0.045, respectively). In the multivariate logistic regression analysis, patients treated with the LBP program tended to be more satisfied than those treated with the conventional program, independent of age, sex, and diagnosis (adjusted odds ratio = 2.34, <i>p</i> = 0.012). Postoperative management with the LBP program could reduce pain more effectively and aid spine surgeons in achieving higher overall satisfaction after minimally invasive lumbar decompression, without additional pharmacological therapy.https://www.mdpi.com/2077-0383/11/19/5566patient satisfactionminimally invasive surgical proceduresdecompressionphysical therapylow back pain |
| spellingShingle | Hidetomi Terai Koji Tamai Kunikazu Kaneda Toshimitsu Omine Hiroshi Katsuda Nagakazu Shimada Yuto Kobayashi Hiroaki Nakamura Postoperative Physical Therapy Program Focused on Low Back Pain Can Improve Treatment Satisfaction after Minimally Invasive Lumbar Decompression Journal of Clinical Medicine patient satisfaction minimally invasive surgical procedures decompression physical therapy low back pain |
| title | Postoperative Physical Therapy Program Focused on Low Back Pain Can Improve Treatment Satisfaction after Minimally Invasive Lumbar Decompression |
| title_full | Postoperative Physical Therapy Program Focused on Low Back Pain Can Improve Treatment Satisfaction after Minimally Invasive Lumbar Decompression |
| title_fullStr | Postoperative Physical Therapy Program Focused on Low Back Pain Can Improve Treatment Satisfaction after Minimally Invasive Lumbar Decompression |
| title_full_unstemmed | Postoperative Physical Therapy Program Focused on Low Back Pain Can Improve Treatment Satisfaction after Minimally Invasive Lumbar Decompression |
| title_short | Postoperative Physical Therapy Program Focused on Low Back Pain Can Improve Treatment Satisfaction after Minimally Invasive Lumbar Decompression |
| title_sort | postoperative physical therapy program focused on low back pain can improve treatment satisfaction after minimally invasive lumbar decompression |
| topic | patient satisfaction minimally invasive surgical procedures decompression physical therapy low back pain |
| url | https://www.mdpi.com/2077-0383/11/19/5566 |
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