How many physical therapy sessions are required to reach a good outcome in symptomatic lumbar spondylolisthesis?: A retrospective study

Silvano Ferrari; Jorge Hugo Villafañe; Pedro Berjano; Carla Vanti; Marco Monticone

doi:10.1016/j.jbmt.2016.10.006

How many physical therapy sessions are required to reach a good outcome in symptomatic lumbar spondylolisthesis? A retrospective study

Silvano Ferrari, Jorge Hugo Villafañe, Pedro Berjano, Carla Vanti, Marco Monticone

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: There is a lack of conclusive information about the optimal dosage of physical therapy treatments in Spondylolisthesis (SPL) patients.

PURPOSE: The present study attempted to evaluate the comparative effectiveness of two different doses in reaching similar clinical outcomes.

METHODS: A retrospective cohort study of 64 consecutive patients admitted for physical therapy with symptomatic lumbar grade I SPL (42 ± 15years, 57% female) was conducted. At the end of the treatment, all participants were retrospectively assigned to one of two groups, receiving either 5-8 or 9-12 sessions (experimental or control group, respectively) of physical therapy treatments. The Prone Bridge Test (PBT) and the Supine Bridge Test (SBT) were used to measure muscular endurance.

RESULTS: The area under the ROC curve for the PBT was 0.64 (95% CI 0.45-0.83) and for the SBT was 0.57 (95% CI 0.33-0.80). The optimal cutoff points were 25.5s for the PBT and 55.0s for the SBT. Logistic regression revealed that PBT (OR = 1.062) was associated with SPL. The final regression model explained 77.4% (R2 = 0.341; p = 0.024) of the variability.

CONCLUSIONS: In this sample, the number of sessions required to achieve satisfactory outcomes ranged from 5 to 12. The clinical results of the subjects in the 5-8 sessions group were similar to the 9-12 sessions group. Individual's coping mechanisms could be considered in future studies to understand which patients will require more therapeutic sessions.

Original language	English
Pages (from-to)	18-23
Number of pages	6
Journal	Journal of Bodywork and Movement Therapies
Volume	22
Issue number	1
DOIs	https://doi.org/10.1016/j.jbmt.2016.10.006
Publication status	Published - Jan 2018

Access to Document

10.1016/j.jbmt.2016.10.006

Cite this

@article{1d4f0812e90447f88c34203b09580a96,

title = "How many physical therapy sessions are required to reach a good outcome in symptomatic lumbar spondylolisthesis?: A retrospective study",

abstract = "BACKGROUND: There is a lack of conclusive information about the optimal dosage of physical therapy treatments in Spondylolisthesis (SPL) patients.PURPOSE: The present study attempted to evaluate the comparative effectiveness of two different doses in reaching similar clinical outcomes.METHODS: A retrospective cohort study of 64 consecutive patients admitted for physical therapy with symptomatic lumbar grade I SPL (42 ± 15years, 57% female) was conducted. At the end of the treatment, all participants were retrospectively assigned to one of two groups, receiving either 5-8 or 9-12 sessions (experimental or control group, respectively) of physical therapy treatments. The Prone Bridge Test (PBT) and the Supine Bridge Test (SBT) were used to measure muscular endurance.RESULTS: The area under the ROC curve for the PBT was 0.64 (95% CI 0.45-0.83) and for the SBT was 0.57 (95% CI 0.33-0.80). The optimal cutoff points were 25.5s for the PBT and 55.0s for the SBT. Logistic regression revealed that PBT (OR = 1.062) was associated with SPL. The final regression model explained 77.4% (R2 = 0.341; p = 0.024) of the variability.CONCLUSIONS: In this sample, the number of sessions required to achieve satisfactory outcomes ranged from 5 to 12. The clinical results of the subjects in the 5-8 sessions group were similar to the 9-12 sessions group. Individual's coping mechanisms could be considered in future studies to understand which patients will require more therapeutic sessions.",

author = "Silvano Ferrari and Villafa{\~n}e, {Jorge Hugo} and Pedro Berjano and Carla Vanti and Marco Monticone",

year = "2018",

month = jan,

doi = "10.1016/j.jbmt.2016.10.006",

language = "English",

volume = "22",

pages = "18--23",

journal = "Journal of Bodywork and Movement Therapies",

issn = "1360-8592",

publisher = "Churchill Livingstone",

number = "1",

}

TY - JOUR

T1 - How many physical therapy sessions are required to reach a good outcome in symptomatic lumbar spondylolisthesis?

T2 - A retrospective study

AU - Ferrari, Silvano

AU - Villafañe, Jorge Hugo

AU - Berjano, Pedro

AU - Vanti, Carla

AU - Monticone, Marco

PY - 2018/1

Y1 - 2018/1

N2 - BACKGROUND: There is a lack of conclusive information about the optimal dosage of physical therapy treatments in Spondylolisthesis (SPL) patients.PURPOSE: The present study attempted to evaluate the comparative effectiveness of two different doses in reaching similar clinical outcomes.METHODS: A retrospective cohort study of 64 consecutive patients admitted for physical therapy with symptomatic lumbar grade I SPL (42 ± 15years, 57% female) was conducted. At the end of the treatment, all participants were retrospectively assigned to one of two groups, receiving either 5-8 or 9-12 sessions (experimental or control group, respectively) of physical therapy treatments. The Prone Bridge Test (PBT) and the Supine Bridge Test (SBT) were used to measure muscular endurance.RESULTS: The area under the ROC curve for the PBT was 0.64 (95% CI 0.45-0.83) and for the SBT was 0.57 (95% CI 0.33-0.80). The optimal cutoff points were 25.5s for the PBT and 55.0s for the SBT. Logistic regression revealed that PBT (OR = 1.062) was associated with SPL. The final regression model explained 77.4% (R2 = 0.341; p = 0.024) of the variability.CONCLUSIONS: In this sample, the number of sessions required to achieve satisfactory outcomes ranged from 5 to 12. The clinical results of the subjects in the 5-8 sessions group were similar to the 9-12 sessions group. Individual's coping mechanisms could be considered in future studies to understand which patients will require more therapeutic sessions.

AB - BACKGROUND: There is a lack of conclusive information about the optimal dosage of physical therapy treatments in Spondylolisthesis (SPL) patients.PURPOSE: The present study attempted to evaluate the comparative effectiveness of two different doses in reaching similar clinical outcomes.METHODS: A retrospective cohort study of 64 consecutive patients admitted for physical therapy with symptomatic lumbar grade I SPL (42 ± 15years, 57% female) was conducted. At the end of the treatment, all participants were retrospectively assigned to one of two groups, receiving either 5-8 or 9-12 sessions (experimental or control group, respectively) of physical therapy treatments. The Prone Bridge Test (PBT) and the Supine Bridge Test (SBT) were used to measure muscular endurance.RESULTS: The area under the ROC curve for the PBT was 0.64 (95% CI 0.45-0.83) and for the SBT was 0.57 (95% CI 0.33-0.80). The optimal cutoff points were 25.5s for the PBT and 55.0s for the SBT. Logistic regression revealed that PBT (OR = 1.062) was associated with SPL. The final regression model explained 77.4% (R2 = 0.341; p = 0.024) of the variability.CONCLUSIONS: In this sample, the number of sessions required to achieve satisfactory outcomes ranged from 5 to 12. The clinical results of the subjects in the 5-8 sessions group were similar to the 9-12 sessions group. Individual's coping mechanisms could be considered in future studies to understand which patients will require more therapeutic sessions.

U2 - 10.1016/j.jbmt.2016.10.006

DO - 10.1016/j.jbmt.2016.10.006

M3 - Article

C2 - 29332744

VL - 22

SP - 18

EP - 23

JO - Journal of Bodywork and Movement Therapies

JF - Journal of Bodywork and Movement Therapies

SN - 1360-8592

IS - 1

ER -

How many physical therapy sessions are required to reach a good outcome in symptomatic lumbar spondylolisthesis? A retrospective study

Abstract

Access to Document

Fingerprint

Cite this