• Janssen Esther R C ERC Physiotherapy Program, Health Faculty, Zuyd University of Applied Sciences, Heerlen, The Netherlands., Scheijen Elle E M EEM Physiotherapy Program, Health Faculty, Zuyd University of Applied Sciences, Heerlen, The Netherlands., van Meeteren Nico L U NLU Department of Epidemiology and Research School Caphri, Maastricht University Medical Centre+, Maastricht, The Netherlands. , Rob A de Bie, Anton F Lenssen, Paul C Willems, and Thomas J Hoogeboom.
• Physiotherapy Program, Health Faculty, Zuyd University of Applied Sciences, Heerlen, The Netherlands.
• Eur Spine J. 2016 May 1; 25 (5): 1533-1541.

PurposeTo determine the content of current Dutch expert hospital physiotherapy practice for patients undergoing lumbar spinal fusion (LSF), to gain insight into expert-based clinical practice.MethodsAt each hospital where LSF is performed, one expert physiotherapist received an e-mailed questionnaire, about pre- and postoperative physiotherapy and discharge after LSF. The level of uniformity in goals and interventions was graded on a scale from no uniformity (50-60 %) to very strong uniformity (91-100 %).ResultsLSF was performed at 34 of the 67 contacted hospitals. From those 34 hospitals, 28 (82 %) expert physiotherapists completed the survey. Twenty-one percent of the respondents saw patients preoperatively, generally to provide information. Stated postoperative goals and administered interventions focused mainly on performing transfers safely and keeping the patient informed. Outcome measures were scarcely used. There was no uniformity regarding advice on the activities of daily living.ConclusionDutch perioperative expert physiotherapy for patients undergoing LSF is variable and lacks structural outcome assessment. Studies evaluating the effectiveness of best-practice physiotherapy are warranted.

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