Teleexercise for geriatric patients with failed back surgery syndrome

IntroductionFailed back surgery syndrome (FBSS) is defined as back pain which either persists after attempted surgical intervention or originates after a spine surgery. There is a high risk of perioperative morbidity and a high likelihood of extensive revision surgery in geriatric patients with FBSS...

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Main Authors: Reza Alizadeh, Albert Thomas Anastasio, Ardalan Shariat, Mikhail Bethell, Gholamreza Hassanzadeh
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1140506/full
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author Reza Alizadeh
Albert Thomas Anastasio
Ardalan Shariat
Mikhail Bethell
Gholamreza Hassanzadeh
Gholamreza Hassanzadeh
Gholamreza Hassanzadeh
author_facet Reza Alizadeh
Albert Thomas Anastasio
Ardalan Shariat
Mikhail Bethell
Gholamreza Hassanzadeh
Gholamreza Hassanzadeh
Gholamreza Hassanzadeh
author_sort Reza Alizadeh
collection DOAJ
description IntroductionFailed back surgery syndrome (FBSS) is defined as back pain which either persists after attempted surgical intervention or originates after a spine surgery. There is a high risk of perioperative morbidity and a high likelihood of extensive revision surgery in geriatric patients with FBSS or post-laminectomy foraminal stenosis.MethodsThere is a need for less invasive methodologies for the treatment of FBSS, such as patient-tailored exercise training, with attention to the cost and special needs of the geriatric patients with FBSS. This commentary will provide some background regarding teleexercise (utilizing an internet-based platform for the provision of exercise-related care) for FBSS and will propose three exercises which are easy to administer over online-based platforms and can be the subject of future investigation.ResultsGiven the documented benefits of regular rehabilitative exercises for patients with FBSS, the high cost of face-to-face services, and the need for infection mitigation in the wake of the COVID-19 Pandemic, teleexercise may be a practical and cost-beneficial method of exercise delivery, especially for geriatric patients with limitations in mobility and access to care. It should be noted that, prescription of these exercises should be done after face-to-face evaluation by the physician and careful evaluation for any “red flag” symptoms.ConclusionIn this commentary, we will suggest three practical exercise training methodologies and discuss the benefits of teleexercise for geriatric patients with FBSS. Future research should aim to assess the efficacy of these exercises, especially when administered through telehealth platforms.
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spelling doaj.art-4907efdb255f4a4b895cfa7dc3611c162023-04-04T11:14:16ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.11405061140506Teleexercise for geriatric patients with failed back surgery syndromeReza Alizadeh0Albert Thomas Anastasio1Ardalan Shariat2Mikhail Bethell3Gholamreza Hassanzadeh4Gholamreza Hassanzadeh5Gholamreza Hassanzadeh6Department of Anesthesiology and Pain, AJA University of Medical Sciences, Tehran, IranDepartment of Orthopaedic Surgery, Duke University, Durham, NC, United StatesDepartment of Digital Health, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopaedic Surgery, Duke University, Durham, NC, United StatesDepartment of Digital Health, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Anatomy, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, IranIntroductionFailed back surgery syndrome (FBSS) is defined as back pain which either persists after attempted surgical intervention or originates after a spine surgery. There is a high risk of perioperative morbidity and a high likelihood of extensive revision surgery in geriatric patients with FBSS or post-laminectomy foraminal stenosis.MethodsThere is a need for less invasive methodologies for the treatment of FBSS, such as patient-tailored exercise training, with attention to the cost and special needs of the geriatric patients with FBSS. This commentary will provide some background regarding teleexercise (utilizing an internet-based platform for the provision of exercise-related care) for FBSS and will propose three exercises which are easy to administer over online-based platforms and can be the subject of future investigation.ResultsGiven the documented benefits of regular rehabilitative exercises for patients with FBSS, the high cost of face-to-face services, and the need for infection mitigation in the wake of the COVID-19 Pandemic, teleexercise may be a practical and cost-beneficial method of exercise delivery, especially for geriatric patients with limitations in mobility and access to care. It should be noted that, prescription of these exercises should be done after face-to-face evaluation by the physician and careful evaluation for any “red flag” symptoms.ConclusionIn this commentary, we will suggest three practical exercise training methodologies and discuss the benefits of teleexercise for geriatric patients with FBSS. Future research should aim to assess the efficacy of these exercises, especially when administered through telehealth platforms.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1140506/fullgeriatricfailed back surgery syndrometeleexerciselow back painoccupational therapy
spellingShingle Reza Alizadeh
Albert Thomas Anastasio
Ardalan Shariat
Mikhail Bethell
Gholamreza Hassanzadeh
Gholamreza Hassanzadeh
Gholamreza Hassanzadeh
Teleexercise for geriatric patients with failed back surgery syndrome
Frontiers in Public Health
geriatric
failed back surgery syndrome
teleexercise
low back pain
occupational therapy
title Teleexercise for geriatric patients with failed back surgery syndrome
title_full Teleexercise for geriatric patients with failed back surgery syndrome
title_fullStr Teleexercise for geriatric patients with failed back surgery syndrome
title_full_unstemmed Teleexercise for geriatric patients with failed back surgery syndrome
title_short Teleexercise for geriatric patients with failed back surgery syndrome
title_sort teleexercise for geriatric patients with failed back surgery syndrome
topic geriatric
failed back surgery syndrome
teleexercise
low back pain
occupational therapy
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1140506/full
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