@article{0227767dd04249aeb8459f18092d56a7,
title = "Presurgical rehabilitation program for patients with symptomatic lumbar spinal stenosis: A pilot randomized controlled trial protocol",
abstract = "Background Symptomatic lumbar spinal stenosis (SLSS) is the most common diagnosis associated with spine surgery for those over the age of 55 years. There is a lack of quality research on the effectiveness of prehabilitation on pain, function, and quality of life in patients undergoing surgery for SLSS. This pilot randomized controlled trial (RCT) will evaluate the feasibility of an eHealth prehabilitation program for individuals undergoing SLSS surgery, and an embedded longitudinal qualitative study explores the perioperative patient experience and recovery trajectory. Methods Participants (n = 60) undergoing spine surgery for LSS will be randomized into the 8-week electronic health (eHealth) prehabilitation program or minimal intervention. The prehabilitation program will be delivered virtually using synchronous (one-on-one) and asynchronous (independent) sessions by an experienced clinician, consisting of motivational interviewing, exercise (graded activity), education, peer support groups, and a 6-week booster session. Participants in the minimal care group will receive usual care and will have access to educational videos. Primary outcomes will include (1) recruitment, (2) patient adherence, (3) acceptability of program content, (4) acceptability and compliance with study questionnaires, and (5) attrition. Outcomes will be assessed at baseline, after the intervention, and 3 and 12 months postoperatively. We will conduct semistructured interviews alongside the RCT with 12 to 15 participants. Discussion The proposed project will include the feasibility testing of an eHealth LSS prehabilitation program with potential to improve surgical outcomes. Results of this study will provide the foundation for future fully powered multicenter RCTs.",
keywords = "lumbar spinal stenosis, prehabilitation, exercise, graded activity, lumbar spine surgery, PAIN CATASTROPHIZING SCALE, PSYCHOMETRIC PROPERTIES, CLINICAL-TRIALS, TAMPA SCALE, VALIDITY, SURGERY, QUESTIONNAIRE, WALKING, HEALTH, OSTEOARTHRITIS",
author = "N. Bakaa and D.P. Gross and L.C. Carlesso and J. MacDermid and K. Thomas and F. Slomp and A. Rushton and M. Miciak and R. Smeets and R. Rampersaud and A. Nataraj and B. Drew and P. Markian and D. Guha and A. Cenic and L. Macedo",
note = "Funding Information: Nora Bakaa received funding from the Michael DeGroote Institute for Pain Research and Care (IPRC), the Canadian Institute of Health Research (CIHR) Doctoral Award, and the Canadian Chiropractic Research Foundation. Douglas P. Gross is an Editor-in-Chief of the Journal of Occupational Rehabilitation. He is chief investigator or co-investigator on multiple previous and current research grants from government research agencies in Canada (e.g., CIHR Alberta Innovates, Alberta Labour and Immigration) and the Netherlands (e.g., TechForFuture Centre of Expertise HTSM Oost). His research has also received funding from philanthropy and quasi-governmental agencies (e.g., Alberta Spine Foundation, Workers{\textquoteright} Compensation Board of Alberta, Workers{\textquoteright} Compensation Board of Manitoba, WorkSafeBC) and charities linked to professional body membership (e.g., Physiotherapy Foundation of Canada, Canadian Occupational Therapy Foundation). Additionally, he has received research grants from industry (Medtronic). His travel expenses have been covered when he has been an invited speaker at conferences and he has received honoraria for talks and reviewing grants and theses (no honoraria or travel expenses from pharmaceutical or device companies). Lisa Carlesso reports funding from the McMaster Institute for Research on Aging (MIRA), IPRC, Alberta Spine Foundation, the Arthritis Society STARS grant, as well as honoraria from EPG Health and the Canadian Orthopaedic Foundation. She also serves on the editorial board of the Pain Medicine Journal. Joy MacDermid{\textquoteright}s research is funded by CIHR. She receives royalties from Slack Inc. for co-editing a textbook and honoraria from Elsevier for serving as Editor-in-Chief of the Journal of Hand Therapy. Maxi Miciak is an Associate Editor with the journal Physiotherapy Canada. She has worked as a research impact consultant for charities and nonprofit organizations in Canada (e.g., Multiple Sclerosis Society of Canada, Canadian Health Services and Policy Research Alliance, Alberta Strategy for Patient Oriented Research SUPPORT Unit, Alberta Bone and Joint Health Strategic Clinical Network). She is co-investigator on previous and current research grants from the Canadian Institutes for Health Research, a government research agency in Canada. Her research has also received funding from philanthropy and quasi-governmental agencies (e.g., Alberta Spine Foundation, Canadian MSK Rehab Research Network, WorkSafeBC, Kule Institute for Advanced Study). Additionally, she has received travel expenses and/or honoria as an invited speaker (e.g., Institute of Musculoskeletal Health and Arthritis, Canadian Institutes of Health Research, Physio Austria, M{\"u}nster University of Applied Sciences). Luciana Macedo is an associate editor for BMC Musculoskeletal Disorders. She has grants from CIHR, the Canadian Musculoskeletal Rehab Network, MIRA, and the Chronic Pain Centre for Excellence for Canadian Veterans. Kenneth Thomas, Florence Slomp, Alison Rushton, Rob Smeets, Raja Rampersaud, Andrew Nataraj, Brian Drew, Pahuta Markian, Daipayan Guha, and Aleks Cenic report no conflicts of interest. Publisher Copyright: {\textcopyright} 2022 The Author(s). Published with license by Taylor & Francis Group, LLC.",
year = "2022",
month = dec,
day = "22",
doi = "10.1080/24740527.2022.2137009",
language = "English",
volume = "6",
journal = "Canadian Journal of Pain",
issn = "2474-0527",
publisher = "Taylor and Francis",
number = "4",
}