PREPARE: presurgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial

Lindbäck, Yvonne; Tropp, Hans; Enthoven, Paul; Abbott, Allan; Öberg, Birgitta

doi:10.1016/j.spinee.2017.12.009

Cited by 103 publications

(175 citation statements)

References 45 publications

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“…Two independent reviewers assessed full‐text manuscripts of the remaining 42 articles for inclusion, excluding 30 full‐text articles that did not meet review inclusion criteria (Table S5). In total, 12 articles representing 10 unique studies met eligibility criteria (Abbott, Tyni‐Lenne, & Hedlund, ; Archer et al, ; Christensen, Laurberg, & Bunger, ; Ilves et al, ; Johansson, Linton, Bergkvist, Nilsson, & Cornefjord, ; Lindback, Tropp, Enthoven, Abbott, & Oberg, ; Monticone et al, ; Ostelo, Vet, Berfelo, et al, ; Ostelo, Vet, Vlaeyen, et al, ; Saw, Kruger‐Jakins, Edries, & Parker, ; Wibault et al, ). For the purposes of this review, results from related studies by Ostelo, Vet, Berfelo, et al (), Ostelo, Vet, Vlaeyen, et al (), and Wibault et al () were consolidated as these data were from the same sample and included different outcomes (Wibault et al, ) or outcomes measured at different time points (Ostelo, Vet, Berfelo, et al, ; Ostelo, Vet, Vlaeyen, et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies examined preoperative PIPT (Lindback et al, ; Saw et al, ), while the remaining eight studies included postoperative PIPT. PIPT delivery occurred via telephone in three postoperative studies (Archer et al, ; Ilves et al, ; Monticone et al, ) as opposed to in‐person intervention delivery.…”

Section: Resultsmentioning

confidence: 99%

“…The number of PIPT sessions ranged from 3 to 20, lasting from 20 to 120 min, and spanning a period ranging from 3 weeks to 12 months postoperatively or from 3 to 9 weeks preoperatively. Three studies included formal PIPT intervention training of physical therapists (Archer et al, ; Lindback et al, ; Wibault et al, ). A psychologist oversaw training in one study (Archer et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…The comparison group varied across studies. Preoperative or postoperative management under the discretion of a physician (e.g., usual medical care) was used as a comparison in three studies (Lindback et al, ; Saw et al, ; Wibault et al, ). One study included postoperative physician advice to stay active as a comparator (Monticone et al, ).…”

Section: Resultsmentioning

confidence: 99%

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Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Coronado

Patel

McKernan

et al. 2019

J Appl Biobehavioral Res

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Purpose: To summarize evidence on preoperative and postoperative psychologically informed physical therapy (PIPT) for improving outcomes after degenerative spine, hip, or knee surgery. Methods: Four electronic databases were searched.Randomized trials were included if they examined the efficacy of a preoperative or postoperative intervention involving the delivery of psychologically based strategies by a physical therapist for improving function/disability, pain, quality of life, or psychological factors. Outcomes at 12 months or longer were considered long-term.Results: Twelve articles representing 10 unique studies (total N = 1,127 patients, 636 (56.4%) females) in lumbar (n = 7) or cervical spine surgery (n = 1), total knee arthroplasty (n = 1), and total knee/hip arthroplasty (n = 1) were included. The most common PIPT components were coping skills training, psychoeducation, and positive reinforcement. Greater improvements following PIPT were reported in 5 (56%) studies for function/disability, 6 (60%) for pain, 5 (71%) for quality of life, and 7 (70%) for psychological factors. Of these, greater long-term benefit was reported

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Coronado

Patel

McKernan

et al. 2019

J Appl Biobehavioral Res

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“…A trial protocol was registered on ClinicalTrials.gov (NCT02454400) and published in BMC Musculoskeletal Disorders (96). The study is named "PREPARE".…”

Section: Studymentioning

confidence: 99%

Pre-surgery physiotherapy and pain thresholds in patients with degenerative lumbar spine disorders

Lindbäck¹

2018

Linköping University Medical Dissertations

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Prehabilitation for Patients Undergoing Orthopedic Surgery

et al. 2023

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ImportancePrehabilitation programs for patients undergoing orthopedic surgery have been gaining popularity in recent years. However, the current literature has produced varying results.ObjectiveTo evaluate whether prehabilitation is associated with improved preoperative and postoperative outcomes compared with usual care for patients undergoing orthopedic surgery.Data SourcesBibliographic databases (MEDLINE, CINAHL [Cumulative Index to Nursing and Allied Health Literature], AMED [Allied and Complementary Medicine], Embase, PEDRO [Physiotherapy Evidence Database], and Cochrane Central Register of Controlled Trials) were searched for published trials, and the Institute for Scientific Information Web of Science, System for Information on Grey Literature in Europe, and European clinical trials registry were searched for unpublished trials from January 1, 2000, to June 30, 2022.Study SelectionRandomized clinical trials (RCTs) comparing prehabilitation with standard care for any orthopedic surgical procedure were included.Data Extraction and SynthesisTwo independent reviewers screened trials. Data were pooled using a random-effects model. Recommendations were determined using the Grading of Recommendations Assessment, Development and Evaluation system and the study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline.Main Outcomes and MeasuresPain, function, muscle strength, and health-related quality of life (HRQOL).ResultsForty-eight unique trials involving 3570 unique participants (2196 women [61.5%]; mean [SD] age, 64.1 [9.1] years) were analyzed. Preoperatively, moderate-certainty evidence favoring prehabilitation was reported for patients undergoing total knee replacement (TKR) for function (standardized mean difference [SMD], −0.70 [95% CI, −1.08 to −0.32]) and muscle strength and flexion (SMD, 1.00 [95% CI, 0.23-1.77]) and for patients undergoing total hip replacement (THR) for HRQOL on the 36-item Short Form Health Survey (weighted mean difference [WMD], 7.35 [95% CI, 3.15-11.54]) and muscle strength and abduction (SMD, 1.03 [95% CI, 0.03-2.02]). High-certainty evidence was reported for patients undergoing lumbar surgery for back pain (WMD, –8.20 [95% CI, −8.85 to −7.55]) and moderate-certainty evidence for HRQOL (SMD, 0.46 [95% CI, 0.13-0.78]). Postoperatively, moderate-certainty evidence favoring prehabilitation was reported for function at 6 weeks in patients undergoing TKR (SMD, −0.51 [95% CI, −0.85 to −0.17]) and at 6 months in those undergoing lumbar surgery (SMD, −2.35 [95% CI, −3.92 to −0.79]). Other differences in outcomes favoring prehabilitation were of low to very low quality of evidence.Conclusions and RelevanceIn this systematic review and meta-analysis of RCTs, moderate-certainty evidence supported prehabilitation over usual care in improving preoperative function and strength in TKR and HRQOL and muscle strength in THR, high-certainty evidence in reducing back pain, and moderate-certainty evidence in improving HRQOL in lumbar surgery. Postoperatively, moderate-certainty evidence supported prehabilitation for function following TKR at 6 weeks and lumbar surgery at 6 months. Prehabilitation showed promising results for other outcomes, although high risk of bias and heterogeneity affected overall quality of evidence. Additional RCTs with a low risk of bias investigating preoperative and postoperative outcomes for all orthopedic surgical procedures are required.

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PREPARE: presurgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial

Cited by 103 publications

References 45 publications

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Pre-surgery physiotherapy and pain thresholds in patients with degenerative lumbar spine disorders

Prehabilitation for Patients Undergoing Orthopedic Surgery

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