This systematic review has identified inconclusive very
low-quality evidence35 for the effectiveness of physiotherapy
management following lumbar spinal fusion.
Best practice for physiotherapy management is, therefore,
unclear. There is no identified potential benefit for
improving pain. However, the limited comparability of
outcome measures and retrieval of only two trials reflects
a lack of published research in this area. This gap
requires urgent consideration, in a properly powered
clinical trial with attention to quality and, in particular,
to ensuring a low risk of bias. Inclusion of other
outcomes that are important to the WHO’s classification
15 is important, particularly occupational outcomes