Another perspective on lumber spinal stenosis treatment: Should exercise be added to pre-surgical treatment?

Pre-surgery exercise in lumbar spinal stenosis

Authors

Keywords:

Balance, Disability, Exercise, Lumbar spinal stenosis

Abstract

Background/Aim: Lumbar spinal stenosis (LSS) is a disease that affects the quality of life of elderly individuals. Most patients undergoing surgery for lumbar spinal stenosis try physical therapy before opting to undergo surgery. The effect of pre-surgical exercise treatment is unclear. This study aimed to examine the effect of pre-surgical exercise treatment on functionality, quality of life, and balance.

Methods: Patients between the ages of 40 and 70 who were scheduled for surgery based on a diagnosis of LSS were included in this cross-sectional study. The patients were randomly divided into two groups for which exercise therapy was added to the first group before the surgery, and the control group followed in the normal process. Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Beck Depression and Anxiety Inventory (BDI and BAI, respectively), Berg Balance Scale (BBS), static and dynamic balance measurements holding hands on and off on the balance device (SBHON, DBHON, DBHOFF) and the SF-36 quality of life scale tests were administered pre-operatively and eight weeks post-operatively, and the results were compared between the two groups that did and did not exercise before surgery.

Results: Post-operative SBHON values were found to be significantly lower in the exercise group compared to the other group (P < 0.001). While no differences between pre- and post-operative BBS, DBHON, and DBHOFF values in the non-exercising group were detected, a favorable significant difference in the exercising group was found (all P < 0.001).

Conclusion: The addition of pre-surgical exercise therapy to patients can lead to improvements in the success of surgery and contribute to the functionality of patients with LSS diagnosis.

Downloads

Download data is not yet available.

References

Sobottke R, Aghayev E, Röder C, Eysel P, Delank SK, Zweig T. Predictors of surgical, general and follow-up complications in lumbar spinal stenosis relative to patient age as emerged from the Spine Tango Registry. Eur Spine J. 2021;21(3):411-7. doi: 10.1007/s00586-011-2016-y. DOI: https://doi.org/10.1007/s00586-011-2016-y

Fanuele JC, Birkmeyer NJ, Abdu WA, Tosteson TD, Weinstein JN. The impact of spinal problems on the health status of patients: have we underestimated the effect? Spine. 2000;25(12):1509-14. doi:10.1097/00007632-200006150-00009 DOI: https://doi.org/10.1097/00007632-200006150-00009

Postacchini F. Surgical management of lumbar spinal stenosis. Spine. 1999;24(10):1054-7. doi: 10.1097/00007632-199905150-00020. DOI: https://doi.org/10.1097/00007632-199905150-00020

Haig AJ, Tomkins CC. Diagnosis and management of lumbar spinal stenosis. JAMA. 2010;303(1):71-2. doi: 10.1001/jama.2009.1946. DOI: https://doi.org/10.1001/jama.2009.1946

Zaina F, Tomkins-Lane C, Carragee E, Negrini S. Surgical versus non-surgical treatment for lumbar spinal stenosis. Cochrane Database Syst Rev. 2016;2016(1):CD010264. doi: 10.1002/14651858.CD010264.pub2. DOI: https://doi.org/10.1002/14651858.CD010264.pub2

Marchand AA, Houle M, O’Shaughnessy J, Chaltillon CE, Cantin V, Descarreaux M. Effectiveness of an exercise-based prehabilitation program for patients awaiting surgery for lumbar spinal stenosis: a randomized clinical trial. Sci Rep. 2021;11(1):11080. doi: 10.1038/s41598-021-90537-4. DOI: https://doi.org/10.1038/s41598-021-90537-4

Yakut E, Düger T, Oksüz C, Yörükan S, Ureten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine 2004;29(5):581-5. doi: 10.1097/01.brs.0000113869.13209.03. DOI: https://doi.org/10.1097/01.BRS.0000113869.13209.03

Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa form-36’nın Türkçe versiyonunun güvenirliği ve geçerliği. İlaç ve Tedavi Dergisi. 1999;12(2):102-6.

Hisli N. Beck Depresyon Envanterinin Geçerliliği Üzerine Bir Çalışma. Psikoloji Dergisi. 1989;22(6):118-26.

Durak A, Palabıyıkoğlu R. Beck Umutsuzluk ölçeği geçerlilik çalışması. Kriz Dergisi. 1993;2(2):311-319. DOI: https://doi.org/10.1501/0000831

Nielsen PR, Jorgensen LD, Dahl B, Pederson T, Tonnesen H. Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial. Clin Rehabil. 2010;24(2):137-48. doi: 10.1177/0269215509347432. DOI: https://doi.org/10.1177/0269215509347432

Janssen ERC, Punt IM, Clemens MJ, Staal JB, Hoogeboom TJ, Willems PC. Current prerehabilitation programs do not improve the postoperative outcomes of patients scheduled for lumbar spine surgery: A systematic review with meta-analyses. J Orthop Sports Phys Ther. 2021;51(3):103-14. doi: 10.2519/jospt.2021.9748. DOI: https://doi.org/10.2519/jospt.2021.9748

Marchand AA, Suitner M, O'Shaughnessy J, Châtillon CE, Cantin V, Descarreaux M. Effects os prehabilitation program on patients’ recovery following spinal stenosis surgery: Study protocol for randomized controlled trial. Trials. 2015;16:483. doi: 10.1186/s13063-015-1009-2. DOI: https://doi.org/10.1186/s13063-015-1009-2

Iversen MD, Kale MK, Sulliven JT Jr. Pilot case control study of postural sway and balance performance in aging adults with degenerative lumbar spinal stenosis. J Geriatr Phys Ther. 2009;32(1):15-21. doi: 10.1519/00139143-200932010-00004. DOI: https://doi.org/10.1519/00139143-200932010-00004

Katz JN, Dalgas M, Stucki G, Katz NP, Bayley J, Fossel AH, et al. Degenerative lumbar spinal stenosis. Diagnostic value of the history and physical examination. Arthritis Rheum. 1995;38(9):1236-41. doi: 10.1002/art.1780380910. DOI: https://doi.org/10.1002/art.1780380910

Mohsinaly Y, Boissiere L, Maillot C, Pesenti S, Huec JCL. Treatment of lumbar canal stenosis in patients with compensated sagittal balance. Orthop Traumatol Surg Res. 2021;107(7):102861. doi: 10.1016/j.otsr.2021.102861. DOI: https://doi.org/10.1016/j.otsr.2021.102861

Shin EK, Kim CH, Chung CK, Choi Y, Yim D, Jung W, et al. Sagittal imbalance in patients with lumbar spinal stenosis and outcomes after simple decompression surgery. Spine J. 2017;17(2):175-82. doi: 10.1016/j.spinee.2016.08.023. DOI: https://doi.org/10.1016/j.spinee.2016.08.023

Downloads

Published

2022-11-25

Issue

Section

Research Article

How to Cite

1.
TUNÇKALE T, Sarıfakıoğlu B, Kavasoğlu D, Ustaömer K. Another perspective on lumber spinal stenosis treatment: Should exercise be added to pre-surgical treatment? Pre-surgery exercise in lumbar spinal stenosis. J Surg Med [Internet]. 2022 Nov. 25 [cited 2024 Jun. 19];6(11):918-21. Available from: https://jsurgmed.com/article/view/7570