The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative Study
Objectives: To improve our understanding of patients’ perspectives regarding: (1) the decision-making and prehabilitation before lumbar spinal stenosis (LSS) surgery and (2) their postoperative experiences. Design: Qualitative research with semi-structured interviews. Setting: General community. Par...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109522000556 |
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| author | Alan K.H. Lam, MSc Olivia H.Y. Fung, MPhil Crystal Kwan, PhD Jason P.Y. Cheung, MBBS, MMedSc, MS, PDipMDPath, MD, MEd, FHKAM (ortho), FRCSEd (ortho), FHKCOS Keith D.K. Luk, MBBS, FRCS,MCh Orth, FRACS, FHKCOS, FHKAM (Orthopaedic Surgery) Alice Y.Y. Chiu, DSc Martin Descarreaux, PhD Grace P.Y. Szeto, PhD Arnold Y.L. Wong, PhD |
| author_facet | Alan K.H. Lam, MSc Olivia H.Y. Fung, MPhil Crystal Kwan, PhD Jason P.Y. Cheung, MBBS, MMedSc, MS, PDipMDPath, MD, MEd, FHKAM (ortho), FRCSEd (ortho), FHKCOS Keith D.K. Luk, MBBS, FRCS,MCh Orth, FRACS, FHKCOS, FHKAM (Orthopaedic Surgery) Alice Y.Y. Chiu, DSc Martin Descarreaux, PhD Grace P.Y. Szeto, PhD Arnold Y.L. Wong, PhD |
| author_sort | Alan K.H. Lam, MSc |
| collection | DOAJ |
| description | Objectives: To improve our understanding of patients’ perspectives regarding: (1) the decision-making and prehabilitation before lumbar spinal stenosis (LSS) surgery and (2) their postoperative experiences. Design: Qualitative research with semi-structured interviews. Setting: General community. Participants: Individuals who received (N=10) and who did not receive (N=15) prehabilitation before LSS surgery were recruited at the 6-month postoperative follow-up (8 females; average age: 67.7±6.7 years) by purposive sampling. Additionally, 1 participant invited her daughter to accompany her in an interview. Interventions: Not applicable. Main Outcome Measures: Concerns and experiences of patients with LSS regarding prehabilitation and recovery after spine surgery. Results: Thematic analysis was conducted to identify 4 themes inductively: (1) sources of information about LSS surgery; (2) factors affecting the surgical decision-making; (3) attitudes toward prehabilitation; and (4) postoperative recovery. All participants desired to have more preoperative education to inform their surgical decision-making. There were mixed opinions regarding the perceived benefits of prehabilitation because some individuals hesitated to participate in prehabilitation because of their symptoms, or the cost or time of traveling. Many participants expected some or even complete relief of LSS-related symptoms after surgery. However, not all participants experienced the expected postoperative improvements. Some participants only experienced temporary symptomatic relief, while others experienced new postoperative symptoms. Patients generally found that postoperative exercises taught by physiotherapists were useful although their compliance decreased over time. Conclusions: Our study highlights the need for better preoperative LSS education. Because face-to-face prehabilitation or postoperative rehabilitation may not be feasible for all patients, future studies should explore whether online-based prehabilitation or postoperative rehabilitation may benefit certain patient subgroups. |
| first_indexed | 2024-04-11T13:31:08Z |
| format | Article |
| id | doaj.art-7839d7ff166849c98a66b1587cddd904 |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-04-11T13:31:08Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-7839d7ff166849c98a66b1587cddd9042022-12-22T04:21:49ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952022-12-0144100227The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative StudyAlan K.H. Lam, MSc0Olivia H.Y. Fung, MPhil1Crystal Kwan, PhD2Jason P.Y. Cheung, MBBS, MMedSc, MS, PDipMDPath, MD, MEd, FHKAM (ortho), FRCSEd (ortho), FHKCOS3Keith D.K. Luk, MBBS, FRCS,MCh Orth, FRACS, FHKCOS, FHKAM (Orthopaedic Surgery)4Alice Y.Y. Chiu, DSc5Martin Descarreaux, PhD6Grace P.Y. Szeto, PhD7Arnold Y.L. Wong, PhD8Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China; Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Hong Kong SAR, ChinaDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, ChinaDepartment of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, ChinaDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, ChinaDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, ChinaDepartment of Physiotherapy, Duchess of Kent Children's Hospital, Hong Kong SAR, ChinaDepartment of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, CanadaSchool of Medical and Health Sciences, Tung Wah College, Hong Kong SAR, ChinaDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China; Corresponding author Arnold Y.L. Wong, PhD, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, SAR, China.Objectives: To improve our understanding of patients’ perspectives regarding: (1) the decision-making and prehabilitation before lumbar spinal stenosis (LSS) surgery and (2) their postoperative experiences. Design: Qualitative research with semi-structured interviews. Setting: General community. Participants: Individuals who received (N=10) and who did not receive (N=15) prehabilitation before LSS surgery were recruited at the 6-month postoperative follow-up (8 females; average age: 67.7±6.7 years) by purposive sampling. Additionally, 1 participant invited her daughter to accompany her in an interview. Interventions: Not applicable. Main Outcome Measures: Concerns and experiences of patients with LSS regarding prehabilitation and recovery after spine surgery. Results: Thematic analysis was conducted to identify 4 themes inductively: (1) sources of information about LSS surgery; (2) factors affecting the surgical decision-making; (3) attitudes toward prehabilitation; and (4) postoperative recovery. All participants desired to have more preoperative education to inform their surgical decision-making. There were mixed opinions regarding the perceived benefits of prehabilitation because some individuals hesitated to participate in prehabilitation because of their symptoms, or the cost or time of traveling. Many participants expected some or even complete relief of LSS-related symptoms after surgery. However, not all participants experienced the expected postoperative improvements. Some participants only experienced temporary symptomatic relief, while others experienced new postoperative symptoms. Patients generally found that postoperative exercises taught by physiotherapists were useful although their compliance decreased over time. Conclusions: Our study highlights the need for better preoperative LSS education. Because face-to-face prehabilitation or postoperative rehabilitation may not be feasible for all patients, future studies should explore whether online-based prehabilitation or postoperative rehabilitation may benefit certain patient subgroups.http://www.sciencedirect.com/science/article/pii/S2590109522000556Back painLow back painPhysical therapy modalitiesPreoperative exerciseQualitative researchRehabilitation |
| spellingShingle | Alan K.H. Lam, MSc Olivia H.Y. Fung, MPhil Crystal Kwan, PhD Jason P.Y. Cheung, MBBS, MMedSc, MS, PDipMDPath, MD, MEd, FHKAM (ortho), FRCSEd (ortho), FHKCOS Keith D.K. Luk, MBBS, FRCS,MCh Orth, FRACS, FHKCOS, FHKAM (Orthopaedic Surgery) Alice Y.Y. Chiu, DSc Martin Descarreaux, PhD Grace P.Y. Szeto, PhD Arnold Y.L. Wong, PhD The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative Study Archives of Rehabilitation Research and Clinical Translation Back pain Low back pain Physical therapy modalities Preoperative exercise Qualitative research Rehabilitation |
| title | The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative Study |
| title_full | The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative Study |
| title_fullStr | The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative Study |
| title_full_unstemmed | The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative Study |
| title_short | The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative Study |
| title_sort | concerns and experiences of patients with lumbar spinal stenosis regarding prehabilitation and recovery after spine surgery a qualitative study |
| topic | Back pain Low back pain Physical therapy modalities Preoperative exercise Qualitative research Rehabilitation |
| url | http://www.sciencedirect.com/science/article/pii/S2590109522000556 |
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