Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocol
ABSTRACTBackground Symptomatic lumbar spinal stenosis (SLSS) is the most common diagnosis associated with spine surgery for those over the age of 55 years. There is a lack of quality research on the effectiveness of prehabilitation on pain, function, and quality of life in patients undergoing surger...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | Canadian Journal of Pain |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/24740527.2022.2137009 |
| _version_ | 1797788620197724160 |
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| author | Nora Bakaa Douglas P. Gross Lisa C. Carlesso Joy MacDermid Kenneth Thomas Florence Slomp Alison Rushton Maxi Miciak Rob Smeets Raja Rampersaud Andrew Nataraj Brian Drew Pahuta Markian Daipayan Guha Aleks Cenic Luciana Macedo |
| author_facet | Nora Bakaa Douglas P. Gross Lisa C. Carlesso Joy MacDermid Kenneth Thomas Florence Slomp Alison Rushton Maxi Miciak Rob Smeets Raja Rampersaud Andrew Nataraj Brian Drew Pahuta Markian Daipayan Guha Aleks Cenic Luciana Macedo |
| author_sort | Nora Bakaa |
| collection | DOAJ |
| description | ABSTRACTBackground Symptomatic lumbar spinal stenosis (SLSS) is the most common diagnosis associated with spine surgery for those over the age of 55 years. There is a lack of quality research on the effectiveness of prehabilitation on pain, function, and quality of life in patients undergoing surgery for SLSS. This pilot randomized controlled trial (RCT) will evaluate the feasibility of an eHealth prehabilitation program for individuals undergoing SLSS surgery, and an embedded longitudinal qualitative study explores the perioperative patient experience and recovery trajectory.Methods Participants (n = 60) undergoing spine surgery for LSS will be randomized into the 8-week electronic health (eHealth) prehabilitation program or minimal intervention. The prehabilitation program will be delivered virtually using synchronous (one-on-one) and asynchronous (independent) sessions by an experienced clinician, consisting of motivational interviewing, exercise (graded activity), education, peer support groups, and a 6-week booster session. Participants in the minimal care group will receive usual care and will have access to educational videos. Primary outcomes will include (1) recruitment, (2) patient adherence, (3) acceptability of program content, (4) acceptability and compliance with study questionnaires, and (5) attrition. Outcomes will be assessed at baseline, after the intervention, and 3 and 12 months postoperatively. We will conduct semistructured interviews alongside the RCT with 12 to 15 participants.Discussion The proposed project will include the feasibility testing of an eHealth LSS prehabilitation program with potential to improve surgical outcomes. Results of this study will provide the foundation for future fully powered multicenter RCTs.Trial Registration clinicaltrials.gov NCT05073081 |
| first_indexed | 2024-03-13T01:39:08Z |
| format | Article |
| id | doaj.art-bbe32585a867447da5edd1b3577d3bb8 |
| institution | Directory Open Access Journal |
| issn | 2474-0527 |
| language | English |
| last_indexed | 2024-03-13T01:39:08Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Canadian Journal of Pain |
| spelling | doaj.art-bbe32585a867447da5edd1b3577d3bb82023-07-03T17:02:03ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272022-12-016410.1080/24740527.2022.2137009Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocolNora Bakaa0Douglas P. Gross1Lisa C. Carlesso2Joy MacDermid3Kenneth Thomas4Florence Slomp5Alison Rushton6Maxi Miciak7Rob Smeets8Raja Rampersaud9Andrew Nataraj10Brian Drew11Pahuta Markian12Daipayan Guha13Aleks Cenic14Luciana Macedo15School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, CanadaFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, CanadaSchool of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, CanadaSchool of Physical Therapy, Western University, London, Ontario, CanadaSurgery and Clinical Neurosciences, University of Calgary, Calgary, Alberta, CanadaFaculty of Medicine, University of Alberta, Edmonton, Alberta, CanadaSchool of Physical Therapy, Western University, London, Ontario, CanadaFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, CanadaMaastricht, the Netherlands and CIR Revalidatie, Maastricht University, Eindhoven, The NetherlandsToronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, CanadaDepartment of Surgery, McMaster University, Hamilton, Ontario, CanadaDepartment of Surgery, McMaster University, Hamilton, Ontario, CanadaDepartment of Surgery, McMaster University, Hamilton, Ontario, CanadaDepartment of Surgery, McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, CanadaABSTRACTBackground Symptomatic lumbar spinal stenosis (SLSS) is the most common diagnosis associated with spine surgery for those over the age of 55 years. There is a lack of quality research on the effectiveness of prehabilitation on pain, function, and quality of life in patients undergoing surgery for SLSS. This pilot randomized controlled trial (RCT) will evaluate the feasibility of an eHealth prehabilitation program for individuals undergoing SLSS surgery, and an embedded longitudinal qualitative study explores the perioperative patient experience and recovery trajectory.Methods Participants (n = 60) undergoing spine surgery for LSS will be randomized into the 8-week electronic health (eHealth) prehabilitation program or minimal intervention. The prehabilitation program will be delivered virtually using synchronous (one-on-one) and asynchronous (independent) sessions by an experienced clinician, consisting of motivational interviewing, exercise (graded activity), education, peer support groups, and a 6-week booster session. Participants in the minimal care group will receive usual care and will have access to educational videos. Primary outcomes will include (1) recruitment, (2) patient adherence, (3) acceptability of program content, (4) acceptability and compliance with study questionnaires, and (5) attrition. Outcomes will be assessed at baseline, after the intervention, and 3 and 12 months postoperatively. We will conduct semistructured interviews alongside the RCT with 12 to 15 participants.Discussion The proposed project will include the feasibility testing of an eHealth LSS prehabilitation program with potential to improve surgical outcomes. Results of this study will provide the foundation for future fully powered multicenter RCTs.Trial Registration clinicaltrials.gov NCT05073081https://www.tandfonline.com/doi/10.1080/24740527.2022.2137009lumbar spinal stenosisprehabilitationexercisegraded activitylumbar spine surgery |
| spellingShingle | Nora Bakaa Douglas P. Gross Lisa C. Carlesso Joy MacDermid Kenneth Thomas Florence Slomp Alison Rushton Maxi Miciak Rob Smeets Raja Rampersaud Andrew Nataraj Brian Drew Pahuta Markian Daipayan Guha Aleks Cenic Luciana Macedo Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocol Canadian Journal of Pain lumbar spinal stenosis prehabilitation exercise graded activity lumbar spine surgery |
| title | Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocol |
| title_full | Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocol |
| title_fullStr | Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocol |
| title_full_unstemmed | Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocol |
| title_short | Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocol |
| title_sort | presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis a pilot randomized controlled trial protocol |
| topic | lumbar spinal stenosis prehabilitation exercise graded activity lumbar spine surgery |
| url | https://www.tandfonline.com/doi/10.1080/24740527.2022.2137009 |
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