Abstract
Lumbar spinal stenosis is the most common reason for spine surgery in older adults, but the effects of prehabilitation on perioperative outcomes among these patients have not been investigated. This study aims to evaluate the effectiveness of a preoperative exercise-based intervention program compared with usual care on the improvement of clinical status, physical capacities and postoperative recovery of patients awaiting surgery for lumbar spinal stenosis. Sixty-eight participants were randomised to receive either a 6-week supervised exercise-based prehabilitation program or hospital usual care. The outcomes included both clinical and physical measures. Data collection occurred at post-intervention, and 6 weeks, 3- and 6-months post-surgery. Significant but small improvements were found in favour of the experimental group at the post-intervention assessment for pain intensity, lumbar spinal stenosis-related disability, lumbar strength in flexion, low back extensor muscles endurance, total ambulation time, and sit to stand performance. A significant difference in favor of the intervention group was found starting at the 3-month postoperative follow-up for low back-related disability. No adverse events were reported. Exercise-based prehabilitation did not improve short-term postoperative recovery in patients with lumbar spinal stenosis.
Highlights
Lumbar spinal stenosis is the most common reason for spine surgery in older adults, but the effects of prehabilitation on perioperative outcomes among these patients have not been investigated
There was no significant difference between the groups with respect to baseline characteristics except for age which was lower (p = 0.01) in the intervention group
The aim of the present study was to assess the effectiveness of an exercise-based prehabilitation program, compared to usual care, on improving preoperative capacities, and postoperative recovery in patients with lumbar spinal stenosis
Summary
Lumbar spinal stenosis is the most common reason for spine surgery in older adults, but the effects of prehabilitation on perioperative outcomes among these patients have not been investigated. This study aims to evaluate the effectiveness of a preoperative exercise-based intervention program compared with usual care on the improvement of clinical status, physical capacities and postoperative recovery of patients awaiting surgery for lumbar spinal stenosis. Sixty-eight participants were randomised to receive either a 6-week supervised exercise-based prehabilitation program or hospital usual care The outcomes included both clinical and physical measures. Exercise-based prehabilitation did not improve shortterm postoperative recovery in patients with lumbar spinal stenosis. Based on data from twelve interventions, the authors concluded that prehabilitation has no effect when compared to usual care in patients undergoing lumbar spinal surgery. (with unclear risk of bias) looked at e xercise[16], which was not enough to draw any conclusion regarding the effectiveness of exercise-based p rehabilitation[15]
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