Preoperative spinal education for lumbar spinal stenosis: A feasibility study.
PM R
; 2024 Apr 05.
Article
in En
| MEDLINE
| ID: mdl-38578142
ABSTRACT
INTRODUCTION:
Lumbar spinal stenosis (LSS) is a leading cause of chronic musculoskeletal pain among older adults. A common and costly intervention for the treatment of LSS is lumbar decompression with or without fusion (LSS surgery), which has mixed outcomes among patients. Prehabilitation is a strategy designed to optimize the consistency of positive surgical outcomes and promote patient self-efficacy, while attempting to mitigate postoperative complications. No efforts have investigated the prehabilitation strategies specifically for patients undergoing LSS surgery.OBJECTIVE:
To determine the feasibility of delivery and acceptability by participants of a novel prehabilitation intervention for patients undergoing LSS surgery.DESIGN:
Feasibility study.SETTING:
Outpatient orthopedic clinic at an academic medical center.PARTICIPANTS:
Patients at least 50 years of age, who were scheduled for LSS surgery between October 2020 and October 2021. INTERVENTION PreOperative Spinal Education for Lumbar Spinal Stenosis (POSE-LSS), is a novel multimodal, education-focused, time-efficient prehabilitation program for patients undergoing LSS surgery. Participants received the following (1) Educational booklet and video; (2) In-person physical therapy (PT) session; and (3) Telemedicine visit with a physiatrist. MAIN OUTCOME MEASURE(S) The primary outcomes of interest were feasibility and acceptability of intervention by participants. Key potential surgical outcomes were length of stay and discharge disposition.RESULTS:
POSE-LSS was completed by all eligible participants enrolled (n = 15) indicating feasibility and acceptability. Potential effectiveness measures including length of stay and discharge disposition were positively associated with the POSE-LSS intervention.CONCLUSIONS:
This study demonstrates that a novel prehabilitation intervention is feasible, acceptable, and appears positively associated with important short-term measures of postoperative recovery that may impact the trajectory of patient care following LSS surgery.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
PM R
Journal subject:
MEDICINA FISICA
/
REABILITACAO
/
TRAUMATOLOGIA
Year:
2024
Document type:
Article
Affiliation country:
United States