Research Article

Effects of a Rehabilitation Program Combined with Pain Management That Targets Pain Perception and Activity Avoidance in Older Patients with Acute Vertebral Compression Fracture: a Randomised Controlled Trial

Table 1

Usual rehabilitation program and pain management program.

Usual rehabilitation program (for the intervention and control groups)

Mild rehabilitation at the bedside (first week after admission)(i) Bed mobility exercise and teaching the way to reduce spinal pain during movement
(ii) Nonweight-bearing exercises of the upper and lower extremities were performed on the bed without bracing

Rehabilitation after mobilisation (second week after admission)(i) After mild rehabilitation at the bedside, gait exercise, muscle strength training, balance exercise, and ADL exercise to prevent falls and allow a return home were performed

Education (from first to second week)(i) About the mechanism of VCFs and acute pain due to VCFs, conservative treatment and management of VCFs, and multifaceted pain

Pain management program (for the intervention group)

Aim(i) To improve patients’ daily behavior by increasing their daily activities despite pain, rather than focusing on eliminating pain

Goal setting(i) Rehabilitation goals were set based on shared decision-making, involving patients and physical therapists

Physical activity approaches(i) Pedometers (Yamax digiwalker SW-200; Yamasa Tokei Keiki Co., Ltd., Tokyo, Japan) and diaries were used
(ii) Patients were asked to wear the pedometer when awake and record their daily pain intensity, step counts, and behaviour in a diary
(iii) Step targets were increased by 5% every week if there was no worsening pain or no increase in fatigue
(iv) Step targets were not increased if patients complained of worsening pain or increased fatigue