Article

OBJECTIVE: To review peer-reviewed literature relating to postoperative
physiotherapy for degenerative cervical myelopathy (DCM), to determine efficacy
in improving clinical outcome and recovery. DATA SOURCES: MEDLINE, EMBASE,
CENTRAL, PEDro, ISRCTN registry, WHO ICTRP and Clinicaltrials.gov . References
and citations of relevant articles were searched. METHODS:
A systematic search
was conducted in accordance with Preferred Reporting Items for Systematic Reviews
and Meta-Analyses (PRISMA) guidelines (PROSPERO CRD42016039511) from the origins
of the databases till 15 February 2018. Included were all studies investigating
physiotherapy as an intervention after surgical treatment of DCM to determine
effect on clinical outcome and recovery. Study quality was determined using the
Grades of Recommendation, Assessment, Development and Evaluation guidelines.
RESULTS: In all, 300 records were identified through tailored systematic
searches, after removing duplicates. After screening, only one investigated
postoperative rehabilitation using physiotherapy for DCM; however, this was
retrospective with no controls. This study suggested that rehabilitation
including physiotherapy improved postoperative recovery. There are currently two
registered trials investigating the use of postoperative physiotherapy for DCM.
CONCLUSIONS: The literature provides insufficient evidence to make any evidence-based recommendations regarding postoperative physiotherapy use in DCM.

Langue : ANGLAIS