Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study

Wada, Takashi; Tanishima, Shinji; Kitsuda, Yuki; Osaki, Mari; Nagashima, Hideki; Noma, Hisashi; Hagino, Hiroshi

doi:10.1186/s12891-022-06086-y

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…Changes in post-operative pain after lumbar spine surgery are associated with gait speed. Gait velocity is useful in the assessment of post-operative pain and disability after lumbar spine surgery [70]. The MCID of walk velocity after ASD surgery is 0.1 m/s [71].…”

Section: Walk Velocity (Figure 4)mentioning

confidence: 99%

Evaluation and Rehabilitation after Adult Lumbar Spine Surgery

Sakaguchi,

Gunjotikar,

Tanaka

et al. 2024

JCM

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Purpose: With an increase in the proportion of elderly patients, the global burden of spinal disease is on the rise. This is gradually expected to increase the number of surgical procedures all over the world in the near future. As we know, rehabilitation following spine surgery is critical for optimal recovery. However, the current literature lacks consensus regarding the appropriate post-operative rehabilitation protocol. The purpose of this review is to evaluate the optimal protocol for rehabilitation after lumbar spine surgery in adults. Materials and Methods: The goals of rehabilitation after lumbar spine surgery are to improve physical and psychosocial function and may include multiple modalities such as physical therapy, cognitive behavioral therapy, specialized instruments, and instructions to be followed during activities of daily living. In recent years, not only are a greater number of spine surgeries being performed, but various different techniques of lumbar spine surgery and spinal fusion have also emerged. (1) Our review summarizes post-operative rehabilitation under the following headings—1. Historical aspects, 2. Subjective functional outcomes, and (3) Actual rehabilitation measures, including balance. Results: Physical therapy programs need to be patient-specific and surgery-specific, such that they consider patient-reported outcome measures and take into consideration the technique of spinal fusion used and the muscle groups involved in these surgeries. By doing so, it is possible to assess the level of functional impairment and then specifically target the strengthening of those muscle groups affected by surgery whilst also improving impaired balance and allowing a return to daily activities. Conclusions: Rehabilitation is a multi-faceted journey to restore mobility, function, and quality of life. The current rehabilitation practice focuses on muscle strengthening, but the importance of spinal balance is less elaborated. We thus equally emphasize muscle strengthening and balance improvement post-lumbar spine surgery.

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Section: Walk Velocity (Figure 4)mentioning

confidence: 99%

Evaluation and Rehabilitation after Adult Lumbar Spine Surgery

Sakaguchi,

Gunjotikar,

Tanaka

et al. 2024

JCM

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“…Changes in postoperative pain after lumbar spine surgery are associated with gait speed. Gait speed is therefore a necessary assessment for the management of pain and disability in patients after lumbar spine surgery [64]. MCID of walk velocity after ASD surgery is 0.1m/S [65].…”

Section: Walk Velocity (Figure 6)mentioning

confidence: 99%

Evaluation and Rehabilitation After Adult Lumbar Spine Surgery

Sakaguchi,

Gunjotikar,

Tanaka

et al. 2024

Preprint

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With an increase in proportion of elderly patients, the global burden of spinal disease is on the rise. Likewise, there has been an increasing trend in the number of spine surgeries being performed worldwide. As we know, rehabilitation following spine surgery is critical for optimal recovery. However, current literature lacks consensus regarding the appropriate post operative rehabilitation protocol. The goals of rehabilitation after lumbar spine surgery are to improve physical and psychosocial function and may include multiple modalities such as physical therapy, cognitive behavioral therapy, specialized instruments, and instruction to be followed during activities of daily living. In recent years, not only are a greater number of spine surgeries being performed, various different techniques of lumbar spine surgery and spinal fusion have emerged. Physical therapy programs need to be curated after assessing the functional status of the patient by using various patient reported outcome measures and taking into consideration the technique of spinal fusion used and the muscle groups involved in these surgeries. By doing so it is possible to assess the level of functional impairment and then specifically target strengthening of those muscle groups affected by surgery whilst also improving impaired balance and allowing return to activities of daily living. We reviewed available literature pertaining to the history of spinal rehabilitation, the popular patient reported outcome measures used and different rehabilitation methods with the purpose of summarizing the current guidelines for postoperative rehabilitation after spine surgery and to introduce the rehabilitation after lumbar surgeries that we provide at our hospital.

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“…The extent of the rehabilitation is also a point of controversy because it is difficult to generalize a specific period due to the great variability among patients such as patients’ ages, other orthopedic problems, more psychological barriers (greater fear avoidance and/or depression), greater disability and preoperative deconditioning, different ability to exercise safely and independently, this means, these patients may need a closer rehabilitation monitoring and a more personalized rehabilitation program adjusted to their evolution, without a specific duration ( 2 , 5 , 55 ). Further investigation is necessary to better study the influence that each of these variables has on patient recovery and to evaluate its long-term effects on outcomes ( 5 ).…”

Section: Lumbar Spinementioning

confidence: 99%

Rehabilitation after cervical and lumbar spine surgery

et al. 2023

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The total number of spine surgeries is increasing, with a variable percentage of patients remaining symptomatic and functionally impaired after surgery. Rehabilitation has been widely recommended, although its effects remain unclear due to lack of research on this matter. The aim of this comprehensive review is to resume the most recent evidence regarding postoperative rehabilitation after spine surgery and make recommendations. The effectiveness of cervical spine surgery on the outcomes is moderate to good, so most physiatrists and surgeons agree that patients benefit from a structured postoperative rehabilitation protocol and despite best timing to start rehabilitation is still unknown, most programs start 4–6 weeks after surgery. Lumbar disc surgery has shown success rates between 78% and 95% after 2 years of follow-up. Postoperative rehabilitation is widely recommended, although its absolute indication has not yet been proven. Patients should be educated to start their own postoperative rehabilitation immediately after surgery until they enroll on a rehabilitation program usually 4–6 weeks post-intervention. The rate of lumbar interbody fusion surgery is increasing, particularly in patients over 60 years, although studies report that 25–45% of patients remain symptomatic. Despite no standardized rehabilitation program has been defined, patients benefit from a cognitive-behavioral physical therapy starting immediately after surgery with psychological intervention, patient education and gradual mobilization. Formal spine rehabilitation should begin at 2–3 months postoperatively. Rehabilitation has benefits on the recovery of patients after spine surgery, but further investigation is needed to achieve a standardized rehabilitation approach.

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Walking speed is associated with postoperative pain catastrophizing in patients with lumbar spinal stenosis: a prospective observational study

Cited by 4 publications

References 24 publications

Evaluation and Rehabilitation after Adult Lumbar Spine Surgery

Evaluation and Rehabilitation after Adult Lumbar Spine Surgery

Evaluation and Rehabilitation After Adult Lumbar Spine Surgery

Rehabilitation after cervical and lumbar spine surgery

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