Journal
SCIENTIFIC REPORTS
Volume 11, Issue 1, Pages -Publisher
NATURE PORTFOLIO
DOI: 10.1038/s41598-021-90537-4
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Funding
- Chaire de recherche internationale en sante neuromusculosquelettique
- Centre integre universitaire de sante et de services sociaux de la Mauricie-et-du-Centre-du-Quebec (CIUSSSMCQ)
- Universite du Quebec a Trois-Rivieres
- Institut de recherche Robert-Sauve en sante et en securite du travail (IRSST)
- Fonds de recherche du Quebec-Sante (FRQS)
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The study found that a preoperative exercise-based intervention program could help improve pain intensity and physical capacities for patients with lumbar spinal stenosis, but did not significantly enhance short-term postoperative recovery.
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.
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