Evidence map›Paper›PMID 36545515›Full record

ArticleArchives of rehabilitation research and clinical translation2022

The Concerns and Experiences of Patients With Lumbar Spinal Stenosis Regarding Prehabilitation and Recovery After Spine Surgery: A Qualitative Study.

Alan K H Lam, Olivia H Y Fung, Crystal Kwan, Jason P Y Cheung, Keith D K Luk, Alice Y Y Chiu, Martin Descarreaux, Grace P Y Szeto, Arnold Y L Wong

Open access · goldAbstract read
In one paragraph

Article in Archives of rehabilitation research and clinical translation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. What moves patients to participate in prehabilitation before major surgery? A mixed methods systematic review.The international journal of behavioral nutrition and physical activity · 2023
    Pooled it
  2. Article
  3. Consensus on clinical outcome measures for lumbar spinal stenosis: recommendations from the ISSLS lumbar spinal stenosis taskforce.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 · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Patients' experience on waiting for spinal arthrodesis: a qualitative study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Observational
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Alan K H LamDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Olivia H Y FungDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Crystal KwanDepartment of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Jason P Y CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.
Keith D K LukDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.
Alice Y Y ChiuDepartment of Physiotherapy, Duchess of Kent Children's Hospital, Hong Kong SAR, China.
Martin DescarreauxDepartment of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.
Grace P Y SzetoSchool of Medical and Health Sciences, Tung Wah College, Hong Kong SAR, China.
Arnold Y L WongDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Hong Kong Polytechnic University · HKUniversity of Hong Kong · HKDuchess of Kent Children's Hospital · CNTung Wah College · CNUniversité du Québec à Trois-Rivières · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Back painLow back painPhysical therapy modalitiesPreoperative exerciseQualitative researchRehabilitationSpinal stenosis

Identifiers

PMID36545515
PMCPMC9761253
OpenAlexW4292967634

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.