This study (or at least the abstract of the surgery) does not try to touch on the issue of how successful surgery was or wether the subjects had positive signs of neural tension either pre or post op. Therefore it would not suggest for someone treating a failed surgical procedure or someone who still had evidence of neural tension post op would not benefit from these treatments.
For all this abstract says all of the subjects could be back to pre morbid levels of activity with no pain, in a patient who had that level of recovery would anyone bother with ANT mobilisation? Alternatively such a small number of surgeries resulted in a patient who would benefit from ANT mobilisations that is not statistically significant.
Basically what I am sayin is:
Does anyone have the full article, and does it state anything about the pre mobilisation-post op patients? (Did they have pain, disability, or ANT)
Should a similar study be repeated with an inclusion criteria of post op patients with ANT, and then see if ANT mobilisations help?
Thanks in advance,
John
>A recent clinical trial by Scrimshaw and Maher looked at whether the
>addition of neural mobilization to standard postoperative care improved
>the outcome of lumbar spinal surgery & found that it did not provide an
>additional benefit to standard care. (Randomized controlled trial of
>neural mobilization after spinal surgery; Spine 2001 Dec
>15;26(24):2647-52).
>
>A synopsis of the article is available on the PEDro website:
>http://ptwww.cchs.usyd.edu.au/pedro/
>
>Regards
>
>Mark Brown
>
>-----Original Message-----
>From: - for physiotherapists in education and practice
>[mailto:[log in to unmask]] On Behalf Of Anna
>Sent: Wednesday, 4 December 2002 7:59 AM
>To:
[log in to unmask]
>Subject: Re: Evidence base for post op spinal surgery
>
>Hello
>
>cleaning up my email files! did you get satisfaction on this?
>
>
>Cheers,
>
>Anna.
>
>
>Anna Lee
>Principal,
>Work Ready Industrial Athlete Centre
>
>Write to me at:
[log in to unmask]
>
>Visit me at: www.workready.com.au
>
>Snail mail:
>Suite 3, 82 Enmore Road,
>Newtown NSW 2042
>Australia
>
>Phone: (612) 95197436
>Fax: (612) 95197439
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>
>
>
>----- Original Message -----
>From: "Adrian Capp" <
[log in to unmask]>
>To: <
[log in to unmask]>
>Sent: Sunday, 28 April 2002 23:54
>Subject: Evidence base for post op spinal surgery
>
>
> > Have been looking in to evidence base for post op spinal surgery
> > exercises and infomation. Have not found too much specific literature.
> > Is anyone else looking in to this field or are currently using
>evidence
> > based information/exercises.
> >
> > Adrian
> >
