PMID- 37039881
OWN - NLM
STAT- MEDLINE
DCOM- 20230605
LR  - 20230606
IS  - 1432-0932 (Electronic)
IS  - 0940-6719 (Linking)
VI  - 32
IP  - 6
DP  - 2023 Jun
TI  - Novel assessment of physiotherapy outcomes in adults with structural spinal 
      disorders.
PG  - 1887-1894
LID - 10.1007/s00586-023-07696-3 [doi]
AB  - PURPOSE: The aim is to investigate whether a simple prone posture assessment test 
      (P-test) at baseline can be predict the effectiveness of at least 3 months of 
      physiotherapy for adults with structural spinal disorders. METHODS: Seventy-six 
      adults (age 71.0 +/- 7.1 years) with structural spinal disorders who visited our 
      outpatient clinic and underwent physiotherapy, which included muscle strength and 
      range of motion training was provided once a week for a minimum of 3 months, and 
      where the load was adjusted individually by the physiotherapist. The P-test is 
      performed with the subject lying on the bed in a prone position and is positive 
      if no low back pain is seen and the abdomen touches the bed. The Oswestry 
      Disability Index (ODI) was used to assess disability. The minimum clinically 
      important difference (MCID) was set at 10% improvement of the ODI score. Logistic 
      regression analysis was performed to investigate the association between baseline 
      P-test and achievement of ODI-MCID. RESULTS: The study population characteristics 
      were: Sagittal vertical axis 138.1 +/- 73.2 mm; Pelvic tilt, 36.9 +/- 9.8 degrees; 
      Pelvic incidence minus lumbar lordosis, 45.3 +/- 22.1 degrees; and maximum coronal 
      Cobb angle, 21.3 +/- 19.7 degrees. Logistic regression analysis showed that being 
      positive on the P-test was associated with the achievement of ODI-MCID (Odds 
      ratio, 8.381; 95% confidence interval, 2.487-35.257). CONCLUSIONS: This study 
      found that our developed P-test was a useful predictor of achieving the ODI-MCID 
      in a cohort of adults with structural spinal disorders receiving at least 
      3 months of physiotherapy.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Sato, Keita
AU  - Sato K
AD  - Departments of Rehabilitation/Orthopaedic and Spinal Surgery, Aizu Medical 
      Center, Fukushima Medical University, 21-2, Tanisawa-Aza-Maeda, Kawahigashi, 
      Aizuwakamatsu, Fukushima, 969-3492, Japan. keita-s@fmu.ac.jp.
FAU - Ito, Toshikazu
AU  - Ito T
AD  - Departments of Rehabilitation/Orthopaedic and Spinal Surgery, Aizu Medical 
      Center, Fukushima Medical University, 21-2, Tanisawa-Aza-Maeda, Kawahigashi, 
      Aizuwakamatsu, Fukushima, 969-3492, Japan.
AD  - Hokkaido Chitose College of Rehabilitation, Chitose, Hokkaido, Japan.
FAU - Endo, Tatsuya
AU  - Endo T
AD  - Departments of Rehabilitation/Orthopaedic and Spinal Surgery, Aizu Medical 
      Center, Fukushima Medical University, 21-2, Tanisawa-Aza-Maeda, Kawahigashi, 
      Aizuwakamatsu, Fukushima, 969-3492, Japan.
FAU - Miura, Takuya
AU  - Miura T
AD  - Departments of Rehabilitation/Orthopaedic and Spinal Surgery, Aizu Medical 
      Center, Fukushima Medical University, 21-2, Tanisawa-Aza-Maeda, Kawahigashi, 
      Aizuwakamatsu, Fukushima, 969-3492, Japan.
FAU - Iwabuchi, Masumi
AU  - Iwabuchi M
AD  - Departments of Rehabilitation/Orthopaedic and Spinal Surgery, Aizu Medical 
      Center, Fukushima Medical University, 21-2, Tanisawa-Aza-Maeda, Kawahigashi, 
      Aizuwakamatsu, Fukushima, 969-3492, Japan.
FAU - Shirado, Osamu
AU  - Shirado O
AD  - Departments of Rehabilitation/Orthopaedic and Spinal Surgery, Aizu Medical 
      Center, Fukushima Medical University, 21-2, Tanisawa-Aza-Maeda, Kawahigashi, 
      Aizuwakamatsu, Fukushima, 969-3492, Japan.
LA  - eng
PT  - Journal Article
DEP - 20230411
PL  - Germany
TA  - Eur Spine J
JT  - European spine journal : official publication of the European Spine Society, the 
      European Spinal Deformity Society, and the European Section of the Cervical Spine 
      Research Society
JID - 9301980
SB  - IM
MH  - Humans
MH  - Adult
MH  - Infant, Newborn
MH  - Treatment Outcome
MH  - Quality of Life
MH  - *Lordosis
MH  - *Low Back Pain/therapy
MH  - Posture
MH  - Retrospective Studies
MH  - *Spinal Fusion
OTO - NOTNLM
OT  - Conservative treatment
OT  - Disability evaluation
OT  - Physical therapy
OT  - Spinal disorders
OT  - Spine
EDAT- 2023/04/12 06:00
MHDA- 2023/06/05 06:42
CRDT- 2023/04/11 11:16
PHST- 2022/09/20 00:00 [received]
PHST- 2023/03/30 00:00 [accepted]
PHST- 2023/02/25 00:00 [revised]
PHST- 2023/06/05 06:42 [medline]
PHST- 2023/04/12 06:00 [pubmed]
PHST- 2023/04/11 11:16 [entrez]
AID - 10.1007/s00586-023-07696-3 [pii]
AID - 10.1007/s00586-023-07696-3 [doi]
PST - ppublish
SO  - Eur Spine J. 2023 Jun;32(6):1887-1894. doi: 10.1007/s00586-023-07696-3. Epub 2023 
      Apr 11.