Three-year follow-up of a randomized controlled trial comparing preoperative neuroscience education for patients undergoing surgery for lumbar radiculopathy

Louw, Adriaan; Diener, Ina; Landers, Merrill R.; Zimney, Kory; Puentedura, Emilio J.

doi:10.21037/jss.2016.12.04

Cited by 45 publications

(60 citation statements)

References 52 publications

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“…Louw et al [11] evaluated an intervention with neuroscience education compared to a control-group. The intervention-group reported that they were better prepared, that surgery had met their expectations to a higher extend, and they utilised less health care, both at the 1-year [11] and 3-year follow-up [35].…”

Section: Discussionmentioning

confidence: 99%

PREPARE: presurgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial

et al. 2018

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Presurgery physiotherapy decreases pain, risk of avoidance behavior, and worsening of psychological well-being, and improves quality of life and physical activity levels before surgery compared with waiting-list controls. These results were maintained only for activity levelspost surgery. Still, presurgery selection, content, dosage of exercises, and importance of being active in a presurgery physiotherapy intervention is of interest to study further to improve long-term outcome.

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Section: Discussionmentioning

confidence: 99%

PREPARE: presurgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial

et al. 2018

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“…The authors suggested that the effect was related to a change in behaviour towards more self-management (66). This effect was sustained at the 3-year follow-up (66,70). The work reported here does not include analyses of healthcare use nor recurrence rate, but the 2-year follow-up will reveal whether the higher activity level is associated with fewer recurrences.…”

Section: Pre-surgery Physiotherapy -Patient-reported Outcome Measuresmentioning

confidence: 88%

“…The mean age of the participants was 50 years, and they had experienced pain for less than 90 days. The pain education did not improve function, nor reduce back or leg pain compared to the control group, but gave long-term effects: healthcare consumption 1 year and 3 years post-surgery was lower (66,70). The pain education was developed by Butler and Moseley and is well-known as "Explain Pain".…”

Section: Pain Biology Education With a Cognitive Behavioural Approachmentioning

confidence: 99%

“…This might be facilitated by the use of a biopsychosocial model, which broadens the biomedical explanation of the diagnosis in the communication with the patient. It is generally recommended when providing healthcare that a broad perspective is used (7), and this improves pain cognition and decreases healthcare consumption when used in pain management (66,70,71).…”

Section: Somatosensory Functionmentioning

confidence: 99%

“…It might be more effective to introduce the intervention earlier and in this way target a broader LBP population, since exercise and education can influence fear of movement, attitudes and beliefs about the condition (66,70,151). Exercise has positive effects over the complete life span, and pain due to a musculoskeletal disorder may reduce the possibility to be active.…”

Section: Pre-surgery Physiotherapy -Patient-reported Outcome Measuresmentioning

confidence: 99%

See 2 more Smart Citations

Pre-surgery physiotherapy and pain thresholds in patients with degenerative lumbar spine disorders

Lindbäck¹

2018

Linköping University Medical Dissertations

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Prehabilitation for spine surgery: A scoping review

Eubanks

Carlesso

Sundaram

et al. 2023

PM&R

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We aimed to identify and describe the current interventions used in preoperative programs (“prehabilitation”) for spine surgery. Knowledge gaps in approaches, feasibility, timing, patient experience, clinical outcomes, and health care costs were explored while describing their potential benefits on physical and psychological outcomes. An electronic search was conducted from January 2004 to February 2022 in Ovid Medline, Embase, EBSCO CINAHL, the Cochrane Database of Systematic Reviews, and PEDro to identify studies in English evaluating adults enrolled in prehabilitation before undergoing elective spine surgeries. Studies were uploaded into DistillerSR for systematic screening after removing duplicates. Four reviewers screened nested references for inclusion based on titles and abstracts, followed by their full‐text review. Two reviewers subsequently extracted data and summarized the results. The results were reported using Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews guidelines. Studies were rated for quality using National Health and Medical Research Council criteria. Out of 18,879 potential studies, a total of 23 studies (0.12%) met the eligibility criteria and were included in this scoping review. The prehabilitation programs included general education (n = 6, 26%), exercise (n = 6, 26%), cognitive behavioral therapy (n = 3, 13%), pain neuroscience education (n = 3, 13%), health behavior counseling (n = 3, 13%), and mindfulness (n = 2, 9%). Additional studies are needed to identify optimal patient characteristics, intervention dosage, and whether multimodal approaches using a combination of physical and psychological strategies lead to more favorable outcomes. Although studies on prehabilitation for spine surgery are limited, they seem to demonstrate that prehabilitation programs are feasible, reduce medical expenditures, and improve patients' postoperative pain, disability, self‐efficacy, psychological behaviors, and satisfaction with surgical outcomes. The available literature suggests there is an opportunity to improve patient experience, clinical outcomes and reduce medical costs with the use of prehabilitation in spine surgery.

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Three-year follow-up of a randomized controlled trial comparing preoperative neuroscience education for patients undergoing surgery for lumbar radiculopathy

Abstract: Adding a single PNE session prior to surgery for lumbar radiculopathy results in significant healthcare savings over 3 years. Educating such patients about normal responses to lumbar surgery (LS) in a neuroscience framework may result in lasting behavior changes following surgery.

Cited by 45 publications

References 52 publications

PREPARE: presurgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial

PREPARE: presurgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial

Pre-surgery physiotherapy and pain thresholds in patients with degenerative lumbar spine disorders

Prehabilitation for spine surgery: A scoping review

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