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Beneficial Effects of Preoperative Exercise on the Outcomes of Lumbar Fusion Spinal Surgery

Authors :
Denise C. Lawrence
Amanallah Montazeripouragha
Eugene K. Wai
Darren M. Roffey
Kim M. Phan
Philippe Phan
Alexandra Stratton
Stephen Kingwell
Greg McIntosh
Alex Soroceanu
Edward Abraham
Christopher S. Bailey
Sean Christie
Jerome Paquet
Andrew Glennie
Andrew Nataraj
Hamilton Hall
Charles Fisher
Y. Raja Rampersaud
Kenneth Thomas
Neil Manson
Michael Johnson
Mohammad Zarrabian
Source :
Physiotherapy Canada. 75:22-28
Publication Year :
2023
Publisher :
University of Toronto Press Inc. (UTPress), 2023.

Abstract

Purpose: To determine whether there was an association between self-reported preoperative exercise and postoperative outcomes after lumbar fusion spinal surgery. Method: We performed a retrospective multivariable analysis of the prospective Canadian Spine Outcomes and Research Network (CSORN) database of 2,203 patients who had elective single-level lumbar fusion spinal surgeries. We compared adverse events and hospital length of stay between patients who reported regular exercise (twice or more per week) prior to surgery (“Regular Exercise”) to those exercising infrequently (once or less per week) (“Infrequent Exercise”) or those who did no exercise (“No Exercise”). For all final analyses, we compared the Regular Exercise group to the combined Infrequent Exercise or No Exercise group. Results: After making adjustments for known confounding factors, we demonstrated that patients in the Regular Exercise group had fewer adverse events (adjusted odds ratio 0.72; 95% CI: 0.57, 0.91; p = 0.006) and significantly shorter lengths of stay (adjusted mean 2.2 vs. 2.5 d, p = 0.029) than the combined Infrequent Exercise or No Exercise group. Conclusions: Patients who exercised regularly twice or more per week prior to surgery had fewer postoperative adverse events and significantly shorter hospital lengths of stay compared to patients that exercised infrequently or did no exercise. Further study is required to determine effectiveness of a targeted prehabilitation programme.

Details

ISSN :
17088313 and 03000508
Volume :
75
Database :
OpenAIRE
Journal :
Physiotherapy Canada
Accession number :
edsair.doi...........674f00ca78bc58235e06eb1ce087c9d0
Full Text :
https://doi.org/10.3138/ptc-2021-0030