{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T09:00:59Z","timestamp":1775206859241,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Lumbar spinal stenosis (LSS) is a leading cause of chronic musculoskeletal pain among older adults. A common and costly intervention for the treatment of LSS is lumbar decompression with or without fusion (LSS surgery), which has mixed outcomes among patients. Prehabilitation is a strategy designed to optimize the consistency of positive surgical outcomes and promote patient self\u2010efficacy, while attempting to mitigate postoperative complications. No efforts have investigated the prehabilitation strategies specifically for patients undergoing LSS surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the feasibility of delivery and acceptability by participants of a novel prehabilitation intervention for patients undergoing LSS surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Feasibility study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Outpatient orthopedic clinic at an academic medical center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Patients at least 50\u2009years of age, who were scheduled for LSS surgery between October 2020 and October 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>PreOperative Spinal Education for Lumbar Spinal Stenosis (POSE\u2010LSS), is a novel multimodal, education\u2010focused, time\u2010efficient prehabilitation program for patients undergoing LSS surgery. Participants received the following: (1) Educational booklet and video; (2) In\u2010person physical therapy (PT) session; and (3) Telemedicine visit with a physiatrist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s)<\/jats:title><jats:p>The primary outcomes of interest were feasibility and acceptability of intervention by participants. Key potential surgical outcomes were length of stay and discharge disposition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>POSE\u2010LSS was completed by all eligible participants enrolled (<jats:italic>n<\/jats:italic>\u2009=\u200915) indicating feasibility and acceptability. Potential effectiveness measures including length of stay and discharge disposition were positively associated with the POSE\u2010LSS intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates that a novel prehabilitation intervention is feasible, acceptable, and appears positively associated with important short\u2010term measures of postoperative recovery that may impact the trajectory of patient care following LSS surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13140","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T13:14:47Z","timestamp":1712322887000},"page":"992-1000","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Preoperative spinal education for lumbar spinal stenosis: A feasibility study"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2108-0524","authenticated-orcid":false,"given":"James E.","family":"Eubanks","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine, Division of Physical Medicine and Rehabilitation Medical University of South Carolina (MUSC)  Charleston South Carolina USA"},{"name":"Department of Physical Medicine and Rehabilitation University of Pittsburgh Medical Center (UPMC)  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary A.","family":"Cupler","sequence":"additional","affiliation":[{"name":"Physical Medicine &amp; Rehabilitative Services, Butler VA Health Care System  Butler Pennsylvania USA"},{"name":"Institute for Clinical Research Education University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9344-4537","authenticated-orcid":false,"given":"Jordan A.","family":"Gliedt","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Medical College of Wisconsin  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geronimo","family":"Bejarano","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy, and Practice Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard L.","family":"Skolasky","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery and Physical Medicine &amp; Rehabilitation, Surgical Outcomes Research Center Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob J. 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