ReviewCureus2018
The Effectiveness of Prehabilitation (Prehab) in Both Functional and Economic Outcomes Following Spinal Surgery: A Systematic Review.
Review in Cureus, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Cost-effectiveness of prehabilitation prior to elective surgery: a systematic review of economic evaluations.BMC medicine · 2023Pooled it
- The influence of cognitive behavioral therapy on lumbar spine surgery outcomes: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Pooled it
- Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components.BMC anesthesiology · 2021Pooled it
- A Person-Centred Prehabilitation Program based on Cognitive Behavioural Physical Therapy for patients scheduled for Lumbar Fusion surgery: A mediation analysis to assess fear of movement (kinesiophobia), self-efficacy and catastrophizing as mediators of health outcomes.European journal of pain (London, England) · 2022Trial
- Effectiveness of an exercise-based prehabilitation program for patients awaiting surgery for lumbar spinal stenosis: a randomized clinical trial.Scientific reports · 2021Trial
- Evidence-based practice of enhanced recovery after surgery in spinal surgery: Comprehensive insights into perioperative care and outcome improvement.The Journal of international medical research · 2026Review
- Prehabilitation for lumbar spinal stenosis: understanding mechanisms and contexts for enhanced engagement-a realist review.Age and ageing · 2025Review
- Preoperative Surgical Planning and Intraoperative Considerations for the Treatment of Adult Spinal Deformity Surgery.Global spine journal · 2025Article
- Supervised prehabilitation in patients scheduled for spinal surgery - a scoping review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Assessing the effects of prehabilitation protocols on post-operative outcomes in adult cervical deformity surgery: does early optimization lead to optimal clinical outcomes?Spine deformity · 2024Article
- Spondylolisthesis and mismatch deformity affect outcomes after total knee arthroplasty.Journal of orthopaedic surgery and research · 2023Article
- Beneficial Effects of Preoperative Exercise on the Outcomes of Lumbar Fusion Spinal Surgery.Physiotherapy Canada. Physiotherapie Canada · 2023Article
- Article
- 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 · 2022Article
- Article
- Physical therapy of patients undergoing first-time lumbar discectomy: a survey of current UK practice.BMC musculoskeletal disorders · 2022Article
- Variations in LOS and its main determinants overtime at an academic spinal care center from 2006-2019.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Costs and utility of post-discharge acute inpatient rehabilitation following adult spinal deformity surgery.Spine deformity · 2021Article
- Preoperative Cognitive Impairment as a Perioperative Risk Factor in Patients Undergoing Total Knee Arthroplasty.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- VAST Clinical Trial: Safely Supplementing Tissue Lost to Degenerative Disc Disease.International journal of spine surgery · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Rehabilitation prior to orthopedic surgery (prehab) has been studied with more frequency and studies have shown reduced costs and improved functional outcomes among patients who have undergone total hip arthroplasty (THA) and total knee arthroplasty (TKA). This literature review is to determine whether prehab improves functional outcomes and reduces costs following spinal surgery. PubMed, CINHAL via EBSCO and EMBASE via Ovid were searched with publication date restrictions from May 2006 to May 2016 for the terms 'physical therapy', 'physiotherapy', 'prehabilitation' or 'prehab', 'spine' or 'spinal', and 'preoperative' or 'pre-op'. The search yielded 737 eligible articles which were screened by two independent reviewers. Randomized controlled trials (RCT) with adults who participated in preoperative exercise interventions as part of a prehab or preoperative exercise program for spinal surgery versus standard care were included. Methodology and results of the studies were critically appraised in conformity with PRISMA guidelines. Three RCTs were included, all of which analyzed outcomes of prehab following lumbar spinal surgery. Two of the articles were of high quality and three were of low quality. None of the studies demonstrated a statistically significant difference in pain scores or disability questionnaires in the intervention groups postoperatively, however, no negative effects were reported either. With neuroscience education, patient's reported feeling prepared for surgery and expressed positive outlook regarding the intervention. Two of the studies found perioperative intervention reduced the total cost of healthcare spending associated with spinal surgery. Due to the heterogeneity of the outcome measures, a meta-analysis was not possible. There is lack of significant evidence looking at functional outcomes using physical therapy prior to spinal surgery. Prehab should continue to be researched prior to spinal surgery to determine effectiveness in patient outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.