Evidence map›Paper›PMID 37000346›Full record

ArticleSpine deformity2023

Monitoring the initial recovery after fusion surgery using activity trackers in adolescent idiopathic scoliosis: going in the lumbar spine decreases the daily step count.

Thijs Ackermans, Sebastiaan Schelfaut, Melanie Beeckman, Jozef Michielsen, Pierre Moens, Liesbet Goubert, Frank Plasschaert

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In one paragraph

Article in Spine deformity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Thijs Ackermans *Department of Development and Regeneration, Institute for Orthopaedic Research and Training (IORT), KU Leuven, Herestraat 49, 3000, Leuven, Belgium. thijs.ackermans@kuleuven.be.ORCID http://orcid.org/0000-0002-6977-1001
Sebastiaan Schelfaut *Division of Orthopaedics, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Melanie BeeckmanDepartment of Movement and Sports Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium.
Jozef MichielsenDepartment of Orthopedics, Antwerp University Hospital, Drie Eikenstraat 655, 2650, Edegem, Belgium.
Pierre MoensDivision of Orthopaedics, University Hospitals Leuven, Herestraat 49, 3000, Leuven, Belgium.
Liesbet GoubertDepartment of Experimental-Clinical and Health Psychology, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium.
Frank PlasschaertDepartment of Orthopedics and Traumatology, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Ghent University Hospital · BEKU Leuven · BEAntwerp University Hospital · BEGhent University · BERega Institute for Medical Research · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough 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.

methodsStep 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.

resultsThe 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.

conclusionA 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.

Indexed as

Fitness TrackersRecovery of FunctionScoliosisSpinal FusionAdolescentChildHumansKyphosisRadiographyThoracic VertebraeAccelerometerAdolescent Idiopathic ScoliosisFunctional recoverySpinal fusion surgery

Identifiers

PMID37000346
OpenAlexW4362458492

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.