Early Rehabilitation Program and Vitamin D Supplementation Improves Sensitivity of Balance and the Postural Control in Patients after Posterior Lumbar Interbody Fusion: A Randomized Trial

Nutrients

DamianJ. Flis¹  Ewelina Liedtke²  Anna Samoraj-Dereszkiewicz²  Katarzyna Krasowska²  Wojciech Skrobot²  Witold Libionka³  JanJ. Kaczor³  Wojciech Kloc⁴  Jakub Kortas⁵  KatarzynaP. Dzik⁵  Jedrzej Antosiewicz⁵ 

[1] Department of Bioenergetics and Nutrition, Faculty of Rehabilitation and Kinesiology, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland;Department of Kinesiology, Faculty of Rehabilitation and Kinesiology, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland;Department of Neurobiology of Muscle, Faculty of Rehabilitation and Kinesiology, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland;Department of Neurosurgery, Copernicus Hospital in Gdansk, 80-336 Gdansk, Poland;Faculty of Physical Education, Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland;

关键词: supplementation;    vitamin D;    rehabilitation exercise;    lumbar spinal fusion;    proprioception;   

DOI  :  10.3390/nu11092202

来源: DOAJ

【 摘 要 】

Background: The introduction of early rehabilitation exercise is the foundation of treatment post-Posterior lumbar interbody fusion (PLIF) surgery, and the search for additional sources of reinforcement physiotherapy seems to be very important. Methods: The patients were randomly divided into the vitamin D3 (n = 15; D3) supplemented group and received 3200 IU per day for five weeks before surgery and the placebo group (n = 18; Pl) received vegetable oil during the same time. The patients began the supervisor rehabilitation program four weeks after surgery. Results: The limits of stability (LOS) were significantly improved in the D3 group after 5 and 14 weeks (p < 0.05), while in the Pl group, progress was only observed after 14 weeks (p < 0.05). The LOS were also higher in the D3 group than in the Pl group after five weeks of supervised rehabilitation (p < 0.05). In the postural stability (PST) test, significant progress was observed in the D3 group after 14 weeks (p < 0.02). In addition, neither rehabilitation nor supplementation had significant effects on the risk of falls (RFT). Conclusions: Vitamin D supplementation seems to ameliorate the effects of an early postoperative rehabilitation program implemented four weeks after posterior lumbar interbody fusion. Early physiotherapy treatment after PLIF surgery combined with vitamin D supplementation appears to be a very important combination with regard to the patients’ recovery process.

【 授权许可】

Unknown