Les travaux des Professeurs Marchand et Descarreaux montrent que les patientes et les patients atteints de sténose spinale lombaire qui participent à un programme de préadaptation améliorent leurs capacités physiques et fonctionnelles.
goal
Prehabilitation, an approach based on the idea that the time before a surgery is important for the acquisition and maintenance of new healthy lifestyle habits, aims to reduce the stress caused by surgery and to accelerate the recovery of the functional capacity. Lumbar spinal stenosis is the leading cause of spine surgery in people over the age of 65. In Canada, the median waiting time to undergo a surgery for lumbar spinal stenosis is 140 days, following the first encounter with a surgical specialist and 349 days after referral from a general practitioner. Thus, these limitation periods combined with generally a poor physical condition and a slow progression of the medical condition make these people with lumbar spinal stenosis ideal candidates for prehabilitation. The objective of this study was to evaluate the effects of an exercise-based prehabilitation program in people living with lumbar spinal stenosis.
methodology
Professors Marchand, Descarreaux and their colleagues conducted a clinical trial in which 68 people were randomly assigned to either the rehabilitation program or the usual care offered at the hospital. The program included supervised exercise for six weeks. Physical and clinical tests were performed a few times after the surgery.
main findings
Their study was published in Scientific Reports and found that the participants who underwent the preoperative exercise program improved their physical and functional abilities before surgery. These same participants, compared to the control group, also had a lower level of disability three months after surgery.
take home message
Thus, prehabilitiation seems to be an effective and safe approache in the context of spine surgery to reduce the deconditioning associated with surgery.
Access to the full article 1, 2, 3 and 4
