{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:46:50Z","timestamp":1789044410981,"version":"build-2803163510"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T00:00:00Z","timestamp":1689897600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Center for Musculoskeletal Research at Vanderbilt University Medical Center"},{"name":"Academy of Orthopaedic Physical Therapy","award":["UL1TR000445"],"award-info":[{"award-number":["UL1TR000445"]}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Vanderbilt Clinical and Translational Research Scholars award","award":["KL2TR002245"],"award-info":[{"award-number":["KL2TR002245"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The purpose of this study was to examine the feasibility and acceptability of a wearable device and telehealth counseling physical activity intervention early after lumbar spine surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Sixteen patients were randomized to an 8-session physical activity intervention or to usual postoperative care after surgery. The intervention included a wearable device (ie, Fitbit) and telehealth counseling by a licensed physical therapist. The feasibility of study procedures was assessed through recruitment, randomization, retention, and participation rates. Acceptability was assessed through a satisfaction survey and median within-participant change in objective physical activity (steps per day and time spent in moderate-to-vigorous physical activity [MVPA]) and patient-reported outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 64 participants who were eligible, recruitment and randomization rates were 41 and 62%, respectively. Retention for objective physical activity and patient-reported outcomes was 94 and 100%, respectively, at 6-month follow-up. Seven (88%) participants in the intervention group completed all telehealth sessions, and 6 (75%) met step goals over the 8 sessions. All participants in the intervention group found the wearable device and telehealth counseling to be helpful and reported it much or somewhat more important than other postoperative services. Median within-participant change for steps per day improved from baseline (preoperative) to 6\u00a0months after surgery for both the intervention (1070) and usual care (679) groups, while MVPA only improved for the intervention group (2.2. minutes per day). Improvements in back and leg pain and disability were noted for both groups. No adverse events were reported in the study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Combining wearable technology and telehealth counseling is a feasible approach to promote the physical activity during the early postoperative period after spine surgery. Future randomized controlled trials are needed to investigate the efficacy of leveraging wearables and telehealth during postoperative rehabilitation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>This study has implications for the clinical dissemination of physical activity strategies in the rehabilitation setting.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzad096","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T21:04:34Z","timestamp":1689973474000},"source":"Crossref","is-referenced-by-count":23,"title":["Combining Wearable Technology and Telehealth Counseling for Rehabilitation After Lumbar Spine Surgery: Feasibility and Acceptability of a Physical Activity Intervention"],"prefix":"10.1093","volume":"104","author":[{"given":"Hiral","family":"Master","sequence":"first","affiliation":[{"name":"Vanderbilt Institute of Clinical & Translational Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"},{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rogelio A","family":"Coronado","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"},{"name":"Department of Physical Medicine and Rehabilitation, Osher Center for Integrative Health, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Whitaker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Block","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan W","family":"Vanston","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquelyn S","family":"Pennings","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"},{"name":"Department of Biostatistics, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishabh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Payton","family":"Robinette","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byron","family":"Stephens","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"},{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Abtahi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"},{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Schwarz","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin R","family":"Archer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Center for Musculoskeletal Research, Vanderbilt University Medical Center , Nashville, Tennessee , USA"},{"name":"Department of Physical Medicine and Rehabilitation, Osher Center for Integrative Health, Vanderbilt University Medical Center , Nashville, Tennessee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"key":"2024020813420503200_ref1","article-title":"Physical activity patterns of patients immediately after lumbar surgery","volume":"42","author":"Gilmore","year":"2019","journal-title":"Disabil Rehabil"},{"key":"2024020813420503200_ref2","doi-asserted-by":"crossref","first-page":"E241","DOI":"10.1097\/BRS.0000000000001757","article-title":"Healthy physical activity levels below recommended thresholds two years after lumbar spine surgery","volume":"42","author":"Mancuso","year":"2017","journal-title":"Spine (Phila Pa 1976)"},{"key":"2024020813420503200_ref3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.spinee.2017.08.262","article-title":"Objective measurement of function following lumbar spinal stenosis decompression reveals improved functional capacity with stagnant real-life physical activity","volume":"18","author":"Smuck","year":"2018","journal-title":"Spine J"},{"key":"2024020813420503200_ref4","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1186\/s12891-020-03816-y","article-title":"Early postoperative physical activity and function: a descriptive case series study of 53 patients after lumbar spine surgery","volume":"21","author":"Coronado","year":"2020","journal-title":"BMC Musculoskelet Disord"},{"key":"2024020813420503200_ref5","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1016\/j.amepre.2018.12.017","article-title":"One hour a week: moving to prevent disability in adults with lower extremity joint symptoms","volume":"56","author":"Dunlop","year":"2019","journal-title":"Am J Prev Med"},{"key":"2024020813420503200_ref6","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1001\/jama.2018.14854","article-title":"The physical activity guidelines for Americans","volume":"320","author":"Piercy","year":"2018","journal-title":"JAMA"},{"key":"2024020813420503200_ref7","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/1479-5868-8-80","article-title":"How many steps\/day are enough? For older adults and special populations","volume":"8","author":"Tudor-Locke","year":"2011","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2024020813420503200_ref8","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1002\/acr.22362","article-title":"Daily walking and the risk of incident functional limitation in knee osteoarthritis: an observational study","volume":"66","author":"White","year":"2014","journal-title":"Arthritis Care Res"},{"key":"2024020813420503200_ref9","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.1001\/jamainternmed.2019.0899","article-title":"Association of step volume and intensity with all-cause mortality in older women","volume":"17","author":"Lee","year":"2019","journal-title":"JAMA Intern Med"},{"key":"2024020813420503200_ref10","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1186\/s12891-019-2806-7","article-title":"Predictors of substantial improvement in physical function six months after lumbar surgery: is early post-operative walking important? A prospective cohort study","volume":"20","author":"Gilmore","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"key":"2024020813420503200_ref11","doi-asserted-by":"crossref","first-page":"1873","DOI":"10.1016\/j.apmr.2021.06.002","article-title":"How many steps per day during the early postoperative period are associated with patient-reported outcomes of disability, pain, and opioid use after lumbar spine surgery?","volume":"102","author":"Master","year":"2021","journal-title":"Arch Phys Med Rehabil"},{"key":"2024020813420503200_ref12","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1186\/s12891-021-04622-w","article-title":"Role of psychosocial factors on the effect of physical activity on physical function in patients after lumbar spine surgery","volume":"22","author":"Master","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"key":"2024020813420503200_ref13","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1080\/09638288.2018.1509140","article-title":"The validity of using activity monitors to detect step count after lumbar fusion surgery","volume":"42","author":"Gilmore","year":"2020","journal-title":"Disabil Rehabil"},{"key":"2024020813420503200_ref14","doi-asserted-by":"crossref","first-page":"e192","DOI":"10.2196\/jmir.3469","article-title":"Behavior change techniques implemented in electronic lifestyle activity monitors: a systematic content analysis","volume":"16","author":"Lyons","year":"2014","journal-title":"J Med Internet Res"},{"key":"2024020813420503200_ref15","doi-asserted-by":"crossref","first-page":"e068047","DOI":"10.1136\/bmj-2021-068047","article-title":"Effectiveness of physical activity monitors in adults: systematic review and meta-analysis","volume":"376","author":"Larsen","year":"2022","journal-title":"BMJ"},{"key":"2024020813420503200_ref16","doi-asserted-by":"crossref","first-page":"e0263562","DOI":"10.1371\/journal.pone.0263562","article-title":"Effects of physical activity interventions using wearables to improve objectively-measured and patient-reported outcomes in adults following orthopaedic surgical procedures: a systematic review","volume":"17","author":"Master","year":"2022","journal-title":"PLoS One"},{"key":"2024020813420503200_ref17","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1007\/s00586-020-06508-2","article-title":"Qualitative assessment of patients' perspectives and willingness to improve healthy lifestyle physical activity after lumbar surgery","volume":"30","author":"Mancuso","year":"2021","journal-title":"Eur Spine J"},{"key":"2024020813420503200_ref18","doi-asserted-by":"crossref","DOI":"10.1097\/BRS.0000000000004520","article-title":"A conceptual model for spine surgery recovery: a qualitative study of patients' expectations, experiences, and satisfaction","volume":"48","author":"Brintz","year":"2023","journal-title":"Spine"},{"key":"2024020813420503200_ref19","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1186\/1471-2474-15-231","article-title":"A systematic review of studies using pedometers as an intervention for musculoskeletal diseases","volume":"15","author":"Mansi","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"2024020813420503200_ref20","doi-asserted-by":"crossref","first-page":"e86","DOI":"10.2196\/mhealth.7863","article-title":"A community-based physical activity counselling program for people with knee osteoarthritis: feasibility and preliminary efficacy of the track-OA study","volume":"5","author":"Li","year":"2017","journal-title":"JMIR Mhealth Uhealth"},{"key":"2024020813420503200_ref21","first-page":"17","article-title":"Brief action planning to facilitate behavior change and support patient self-management","volume":"21","author":"Gutnick","year":"2014","journal-title":"J Clin Outcomes Manag"},{"key":"2024020813420503200_ref22","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.amepre.2009.02.002","article-title":"How we design feasibility studies","volume":"36","author":"Bowen","year":"2009","journal-title":"Am J Prev Med"},{"key":"2024020813420503200_ref23","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.jpain.2015.09.013","article-title":"Cognitive-behavioral-based physical therapy for patients with chronic pain undergoing lumbar spine surgery: a randomized controlled trial","volume":"17","author":"Archer","year":"2016","journal-title":"J Pain"},{"key":"2024020813420503200_ref24","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/BRS.0000000000003239","article-title":"Early self-directed home exercise program after anterior cervical discectomy fusion","volume":"45","author":"Coronado","year":"2020","journal-title":"Spine"},{"key":"2024020813420503200_ref25","volume-title":"Comparing Two Programs to Improve Disability, Pain, and Health Among Patients Who Have Had Back Surgery","author":"Archer","year":"2020"},{"key":"2024020813420503200_ref26","doi-asserted-by":"crossref","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris","year":"2019","journal-title":"J Biomed Inform"},{"key":"2024020813420503200_ref27","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"2024020813420503200_ref28","doi-asserted-by":"crossref","first-page":"g1687","DOI":"10.1136\/bmj.g1687","article-title":"Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide","volume":"348","author":"Hoffmann","year":"2014","journal-title":"BMJ"},{"key":"2024020813420503200_ref29","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1590\/bjpt-rbf.2014.0182","article-title":"The TIDieR checklist will benefit the physical therapy profession","volume":"20","author":"Yamato","year":"2016","journal-title":"Braz J Phys Ther"},{"key":"2024020813420503200_ref30","doi-asserted-by":"crossref","first-page":"S531","DOI":"10.1249\/01.mss.0000185657.86065.98","article-title":"Conducting accelerometer-based activity assessments in field-based research","volume":"37","author":"Trost","year":"2005","journal-title":"Med Sci Sports Exerc"},{"key":"2024020813420503200_ref31","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1093\/ptj\/86.8.1137","article-title":"Using activity monitors to measure physical activity in free-living conditions","volume":"86","author":"Berlin","year":"2006","journal-title":"Phys Ther"},{"key":"2024020813420503200_ref32","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1249\/mss.0b013e31815a51b3","article-title":"Physical activity in the United States measured by accelerometer","volume":"40","author":"Troiano","year":"2008","journal-title":"Med Sci Sports Exerc"},{"key":"2024020813420503200_ref33","doi-asserted-by":"crossref","first-page":"1724","DOI":"10.1002\/acr.20305","article-title":"Assessing physical activity in persons with knee osteoarthritis using accelerometers: data from the osteoarthritis initiative","volume":"62","author":"Song","year":"2010","journal-title":"Arthritis Care Res"},{"key":"2024020813420503200_ref34","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/1479-5868-8-62","article-title":"How many days of monitoring predict physical activity and sedentary behaviour in older adults?","volume":"8","author":"Hart","year":"2011","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2024020813420503200_ref35","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","article-title":"The Oswestry disability index","volume":"25","author":"Fairbank","year":"2000","journal-title":"Spine"},{"key":"2024020813420503200_ref36","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1136\/ard.37.4.378","article-title":"Studies with pain rating scales","volume":"37","author":"Downie","year":"1978","journal-title":"Ann Rheum Dis"},{"key":"2024020813420503200_ref37","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.pain.2005.07.004","article-title":"The measurement of postoperative pain: a comparison of intensity scales in younger and older surgical patients","volume":"117","author":"Gagliese","year":"2005","journal-title":"Pain"},{"key":"2024020813420503200_ref38","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.jpsychires.2010.10.008","article-title":"The role and interpretation of pilot studies in clinical research","volume":"45","author":"Leon","year":"2011","journal-title":"J Psychiatr Res"},{"key":"2024020813420503200_ref39","doi-asserted-by":"crossref","first-page":"e013537","DOI":"10.1136\/bmjopen-2016-013537","article-title":"Informing efficient randomised controlled trials: exploration of challenges in developing progression criteria for internal pilot studies","volume":"7","author":"Avery","year":"2017","journal-title":"BMJ Open"},{"key":"2024020813420503200_ref40","first-page":"U2897","article-title":"A single question reliably identifies physically inactive women in primary care","volume":"121","author":"Rose","year":"2008","journal-title":"N Z Med J"},{"key":"2024020813420503200_ref41","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1479-5868-8-24","article-title":"The impact of behavioural screening on intervention outcomes in a randomised, controlled multiple behaviour intervention trial","volume":"8","author":"Waters","year":"2011","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2024020813420503200_ref42","doi-asserted-by":"crossref","first-page":"E18","DOI":"10.5888\/pcd19.210343","article-title":"Comparison of wrist- and hip-worn activity monitors when meeting step guidelines","volume":"19","author":"Nelson","year":"2022","journal-title":"Prev Chronic Dis"},{"key":"2024020813420503200_ref43","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1001\/jama.2015.10962","article-title":"Pilot studies: a critical but potentially misused component of interventional research","volume":"314","author":"Kistin","year":"2015","journal-title":"JAMA"}],"container-title":["Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ptj\/advance-article-pdf\/doi\/10.1093\/ptj\/pzad096\/50929013\/pzad096.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ptj\/article-pdf\/104\/2\/pzad096\/56613017\/pzad096.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ptj\/article-pdf\/104\/2\/pzad096\/56613017\/pzad096.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T14:37:50Z","timestamp":1707403070000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ptj\/article\/doi\/10.1093\/ptj\/pzad096\/7227819"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,21]]},"references-count":43,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ptj\/pzad096","relation":{},"ISSN":["0031-9023","1538-6724"],"issn-type":[{"value":"0031-9023","type":"print"},{"value":"1538-6724","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,2,1]]},"published":{"date-parts":[[2023,7,21]]},"article-number":"pzad096"}}