Preoperative spinal education for lumbar spinal stenosis: A feasibility study. PM R 2024 Sep;16(9):992-1000
Date
04/05/2024Pubmed ID
38578142DOI
10.1002/pmrj.13140Scopus ID
2-s2.0-85190257324 (requires institutional sign-in at Scopus site)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.
Author List
Eubanks JE, Cupler ZA, Gliedt JA, Bejarano G, Skolasky RL, Smeets RJEM, Schneider MJAuthor
Jordan Gliedt DC Associate Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedDecompression, Surgical
Feasibility Studies
Female
Humans
Lumbar Vertebrae
Male
Middle Aged
Patient Education as Topic
Preoperative Care
Spinal Stenosis
