Evidence map›Paper›PMID 38753831›Full record

Trial reportPhysical therapy2024

Long-Term Follow-Up of a Person-Centered Prehabilitation Program Based on Cognitive-Behavioral Physical Therapy for Patients Scheduled for Lumbar Fusion.

Mike K Kemani, Rikard Hanafi, Helena Brisby, Hanna Lotzke, Mari Lundberg

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Physical therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Lifestyle perceptions following multimodal prehabilitation in patients undergoing cancer surgery: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  4. Review
  5. 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

5 authors.

Mike K KemaniBack in Motion Research Group, Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.ORCID 0000-0002-6585-9516
Rikard HanafiBack in Motion Research Group, Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.
Helena BrisbyDepartment of Orthopaedics, Institute of the Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Hanna LotzkeBack in Motion Research Group, Department of Rehabilitation, Ängelholm Hospital, Ängelholm, Sweden.ORCID 0000-0002-4616-265X
Mari LundbergBack in Motion Research Group, Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.

Funding

AFA Research 120216Swedish Research Council 2015-02511The Eurospine Research TFR, 8-2014, 8-2014
6 · The paper itself

Abstract

objectiveLong-term follow-ups of prehabilitation programs for lumbar spine surgery are lacking, and more comprehensive evaluations are needed. In the current study, we evaluated the long-term effects of a prehabilitation program compared with conventional care in relation to lumbar fusion surgery in patients with degenerative disc disease.

methodsPatients (n = 118) receiving lumbar fusion surgery were included in a multicenter randomized controlled trial, involving 1 university hospital and 2 spine clinics. The intervention was a person-centered prehabilitation program based on cognitive-behavioral physical therapy that targeted psychological presurgical risk factors, physical activity, and overall health. The control group received conventional preoperative care. Patient-reported outcome measures (PROMs) included assessments at 8 time-points: low back disability (primary outcome), back pain intensity, leg pain intensity, pain catastrophizing, fear of movement, anxiety and depressive mood, health-related quality of life, and patient-specific functioning. Physical activity and physical capacity were assessed at 5 time points. Linear mixed models were used to analyze the effects of the intervention.

resultsThere were no significant differences between groups at the 12- and 24-month follow-ups for any outcome, except for the One Leg Stand test 1 year following surgery, in favor of the control group. There were significant improvements for both groups, from baseline to the 12- and 24-month follow-ups for all physical capacity test and patient-reported outcome measures, except for leg pain and self-efficacy for exercise.

conclusionNo long-term effects were found for the prehabilitation program compared to conventional care. Physical activity did not improve over time, despite significantly improved self-reported functioning and physical capacity measurements. IMPACT: These findings have implications for the current understanding of the long-term effects of prehabilitation and suggest that future research should focus on programs promoting physical activity both before and after lumbar spine surgery to decrease the risk of long-term adverse health outcomes.

Indexed as

Cognitive Behavioral TherapyLumbar VertebraePatient Reported Outcome MeasuresPreoperative ExerciseSpinal FusionAdultDisability EvaluationFemaleFollow-Up StudiesHumansIntervertebral Disc DegenerationLow Back PainMaleMiddle AgedPain MeasurementPatient-Centered CareCognitive Behavioral ApproachLumbar Fusion SurgeryPerson-Centered CarePrehabilitation

Identifiers

PMID38753831
PMCPMC11913609

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.