Monitoring the initial recovery after fusion surgery using activity trackers in adolescent idiopathic scoliosis: going in the lumbar spine decreases the daily step count.
Accelerometer
Adolescent Idiopathic Scoliosis
Functional recovery
Spinal fusion surgery
Journal
Spine deformity
ISSN: 2212-1358
Titre abrégé: Spine Deform
Pays: England
ID NLM: 101603979
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
08
11
2022
accepted:
04
03
2023
medline:
14
6
2023
pubmed:
1
4
2023
entrez:
31
3
2023
Statut:
ppublish
Résumé
Although the functional outcome (e.g. the return to daily activities) plays an important role in the evaluation of treatment success for the paediatric patient, clinicians currently cannot make accurate and objective predictions regarding the very early (≤ 6 weeks) functional outcome and its recovery over time. The purpose of the present study is to objectively measure initial postoperative physical activity levels and examine the relationship with patient characteristics, fusion levels and pain. Step count (SC) was obtained pre- (Pre-Op) and postoperatively (Post-3W: 3 weeks after surgery; Post-6W: 6 weeks after surgery) using an accelerometer. Patients were grouped based on LIV (thoracic (T-group) and lumbar (L-group)) and fusion length (FL ≤ 10 levels = SF-group and FL ≥ 11 levels = LF-group). Differences in the daily SC between groups (LIV and FL) and the three timepoints was investigated using a two-way ANOVA. The SC was significantly lower at both Post-3W (p < 0.001) and Post-6W (p < 0.001) compared to the preoperative SC, and significantly (p < 0.001) increased from Post-3W to Post-6W (Pre-Op = 13,049 ± 3214 steps/day; Post-3W = 6486 ± 2925 steps/day; Post-6W = 8723 ± 3020 steps/day). At both post-op timepoints the T-group had a higher SC compared to the L-group. A fusion surgery with the LIV at L2 or below has a negative impact on the very early postoperative activity levels. The initial functional outcome level of AIS patients was not related to the presently collected patient characteristics. This suggests that objective activity trackers provide novel information and could have an added value in very early rehabilitation programs.
Identifiants
pubmed: 37000346
doi: 10.1007/s43390-023-00677-y
pii: 10.1007/s43390-023-00677-y
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
927-932Informations de copyright
© 2023. The Author(s), under exclusive licence to Scoliosis Research Society.
Références
Miller NH (1999) Cause and natural history of adolescent idiopathic scoliosis. Disord Pediatr Adolesc spine 30:343–352. https://doi.org/10.1016/S0030-5898(05)70091-2
doi: 10.1016/S0030-5898(05)70091-2
Moe J, Kettleson D (1970) Idiopathic scoliosis: analysis of curve patterns and the preliminary results of Milwaukee-brace treatment in one hundred sixty-nine patients. J Bone Jt Surg 52:1509–1533
doi: 10.2106/00004623-197052080-00001
Lonner BS, Ren Y, Cahill PJ et al (2016) Evolution of surgery for adolescent idiopathic scoliosis over 20 years: have outcomes improved? Spine J 16:S242. https://doi.org/10.1016/j.spinee.2016.07.153
doi: 10.1016/j.spinee.2016.07.153
Ohashi M, Bastrom T, Marks M et al (2020) The benefits of sparing lumbar motion segments in spinal fusion for adolescent idiopathic scoliosis are evident at 10 years postoperatively. Spine (Phila Pa 1976) 45:422–763
doi: 10.1097/BRS.0000000000003373
Lehman RA, Kang DG, Lenke LG et al (2015) Return to sports after surgery to correct adolescent idiopathic scoliosis: a survey of the spinal deformity study group. Spine J 15:951–958. https://doi.org/10.1016/j.spinee.2013.06.035
doi: 10.1016/j.spinee.2013.06.035
pubmed: 24099682
Sarwahi V, Wendolowski S, Gecelter R et al (2018) When do patients return to physical activities and athletics after scoliosis surgery? Spine (Phila Pa 1976) 43:167–171. https://doi.org/10.1097/BRS.0000000000002284
doi: 10.1097/BRS.0000000000002284
pubmed: 28604495
Ghomrawi HM, Baumann LM, Kwon S et al (2018) Using accelerometers to characterize recovery after surgery in children. J Pediatr Surg 53:1600–1605. https://doi.org/10.1016/J.JPEDSURG.2017.09.016
doi: 10.1016/J.JPEDSURG.2017.09.016
pubmed: 29092769
Ceroni D, Martin X, Lamah L et al (2012) Recovery of physical activity levels in adolescents after lower limb fractures: a longitudinal, accelerometry-based activity monitor study. BMC Musculoskelet Disord 13:1–8. https://doi.org/10.1186/1471-2474-13-131/TABLES/4
doi: 10.1186/1471-2474-13-131/TABLES/4
Beeckman M, Hughes SJ, Goubert L (2018) Postoperative Recovery after Spinal Fusion Surgery (PR-SF): a prospective study in adolescents with idiopathic scoliosis and their parents. Ghent University Bibliogr. https://biblio.ugent.be/
Beeckman M, Hughes S, Van Der Kaap-Deeder J et al (2021) Risk and resilience predictors of recovery after spinal fusion surgery in adolescents. Clin J Pain. https://doi.org/10.1097/AJP.0000000000000971
doi: 10.1097/AJP.0000000000000971
pubmed: 34419974
Claar RL, Walker L (2005) Functional assessment of pediatric pain patients: psychometric properties of the functional disability inventory. Pain 121:77–84. https://doi.org/10.1016/j.pain.2005.12.002
doi: 10.1016/j.pain.2005.12.002
Varni JW, Burwinkle TM, Seid M (2005) The PedsQL™ as a pediatric patient-reported outcome: reliability and validity of the PedsQL™ measurement model in 25,000 children. Expert Rev Pharmacoeconomics Outcomes Res 5:705–719. https://doi.org/10.1586/14737167.5.6.705
doi: 10.1586/14737167.5.6.705
Crombez G, Bijttebier P, Eccleston C et al (2003) The child version of the pain catastrophizing scale (PCS-C): a preliminary validation. Pain 104:639–646. https://doi.org/10.1016/S0304-3959(03)00121-0
doi: 10.1016/S0304-3959(03)00121-0
pubmed: 12927636
Rockette-Wagner B, Storti KL, Edelstein S et al (2017) Measuring physical activity and sedentary behavior in youth with type 2 diabetes. Child Obes 13:72–77. https://doi.org/10.1089/CHI.2015.0151
doi: 10.1089/CHI.2015.0151
pubmed: 26859798
pmcid: 5278814
Rabbitts J, Zhou C, Groenewald C et al (2015) Trajectories of postsurgical pain in children: risk factors and impact of late pain recovery on long-term health outcomes after major surgery. Pain 156:2383–2389. https://doi.org/10.1097/j.pain.0000000000000281
doi: 10.1097/j.pain.0000000000000281
pubmed: 26381701
pmcid: 4607609
Da Silva MP, Fontana FE, Callahan E et al (2014) Step-count guidelines for children and adolescents: a systematic review. J Phys Act Health 12:1184–1191. https://doi.org/10.1123/JPAH.2014-0202
doi: 10.1123/JPAH.2014-0202
pubmed: 25271673
Colley RC, Janssen I, Tremblay MS (2012) Daily step target to measure adherence to physical activity guidelines in children. Med Sci Sports Exerc 44:977–982. https://doi.org/10.1249/MSS.0B013E31823F23B1
doi: 10.1249/MSS.0B013E31823F23B1
pubmed: 22051570
Tarrant RC, OLoughlin PF, Lynch S et al (2014) Timing and predictors of return to short-term functional activity in adolescent idiopathic scoliosis after posterior spinal fusion. Spine (Phila Pa 1976) 39:1471–1478. https://doi.org/10.1097/BRS.0000000000000452
doi: 10.1097/BRS.0000000000000452
pubmed: 24875955
Case MA, Burwick HA, Volpp KG, Patel MS (2015) Accuracy of smartphone applications and wearable devices for tracking physical activity data. JAMA 313:625–626. https://doi.org/10.1001/JAMA.2014.17841
doi: 10.1001/JAMA.2014.17841
pubmed: 25668268