Evidence map›Paper›PMID 41922494›Full record

SynthesisScientific reports2026

Objectively measured physical activity following lumbar decompression surgery: systematic review and meta-analysis.

Sree Kanakala, Alisha Mahmud, Iihan Ali, Hassan Tahir, Riese Patel, Milos Brkljac, Tim Lindsay

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Sree KanakalaSchool of Medicine, Imperial College London, London, UK. sree.kanakala21@imperial.ac.uk.
Alisha MahmudSchool of Medicine, Imperial College London, London, UK.
Iihan AliSchool of Medicine, Imperial College London, London, UK.
Hassan TahirSchool of Medicine, Imperial College London, London, UK.
Riese PatelFaculty of Medicine, University of Birmingham, Birmingham, UK.
Milos BrkljacMSk Lab, Imperial College London, London, UK.
Tim LindsayMSk Lab, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lumbar decompression surgery reliably improves pain and disability in lumbar disc herniation and spinal stenosis, but whether these symptomatic gains translate into greater free-living physical activity (PA) remains unclear. This systematic review and meta-analysis evaluates postoperative changes in objectively measured PA, and its association with patient-reported outcome measures (PROMs). PubMed, MEDLINE, EMBASE and Scopus databases were searched to identify studies reporting objectively measured PA after lumbar decompression, including laminectomy, laminotomy, foraminotomy and discectomy. Ten studies (n = 549) met inclusion criteria, with six (n = 199) included in a random-effects meta-analysis of standardised mean change (SMC) in PA volume at 3 and 6 months. Meta-analysis demonstrated small, non-significant improvements in PA volume at 3 months (SMC 0.26; 95% CI -0.16, 0.69) and 6 months (SMC 0.25; 95% CI -0.13, 0.63). PA volume followed a consistent pattern: an early postoperative decline, followed by recovery to pre-operative levels by 3–4 months. There were limited behavioural shifts towards higher activity intensities. Correlations between PA and PROMs were weak and inconsistent. Objectively measured PA shows limited and heterogeneous recovery after lumbar decompression despite marked symptomatic improvement. Further work should standardise PA measurement and evaluate behavioural interventions to support postoperative activity.

Indexed as

Decompression, SurgicalExerciseIntervertebral Disc DisplacementLumbar VertebraeSpinal StenosisHumansLaminectomyPatient Reported Outcome MeasuresAccelerometerLumbar decompressionPhysical activitySpine surgeryStep count

Identifiers

PMID41922494
PMCPMC13180964

What OpenQuestion holds

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Registered trials

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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.