{"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":1789044410257,"version":"build-2803163510"},"reference-count":60,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T00:00:00Z","timestamp":1715817600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Swedish Research Council","doi-asserted-by":"publisher","award":["2015-02511"],"award-info":[{"award-number":["2015-02511"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Eurospine Research","award":["TFR, 8-2014, 8-2014"],"award-info":[{"award-number":["TFR, 8-2014, 8-2014"]}]},{"name":"AFA Research","award":["120216"],"award-info":[{"award-number":["120216"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Long-term follow-ups of prehabilitation programs for lumbar spine surgery are lacking, and more comprehensive evaluations are needed. In the current study, we evaluated the long-term effects of a prehabilitation program compared with conventional care in relation to lumbar fusion surgery in patients with degenerative disc disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients (n = 118) receiving lumbar fusion surgery were included in a multicenter randomized controlled trial, involving 1 university hospital and 2 spine clinics. The intervention was a person-centered prehabilitation program based on cognitive-behavioral physical therapy that targeted psychological presurgical risk factors, physical activity, and overall health. The control group received conventional preoperative care. Patient-reported outcome measures (PROMs) included assessments at 8 time-points: low back disability (primary outcome), back pain intensity, leg pain intensity, pain catastrophizing, fear of movement, anxiety and depressive mood, health-related quality of life, and patient-specific functioning. Physical activity and physical capacity were assessed at 5 time points. Linear mixed models were used to analyze the effects of the intervention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were no significant differences between groups at the 12- and 24-month follow-ups for any outcome, except for the One Leg Stand test 1 year following surgery, in favor of the control group. There were significant improvements for both groups, from baseline to the 12- and 24-month follow-ups for all physical capacity test and patient-reported outcome measures, except for leg pain and self-efficacy for exercise.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>No long-term effects were found for the prehabilitation program compared to conventional care. Physical activity did not improve over time, despite significantly improved self-reported functioning and physical capacity measurements.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>These findings have implications for the current understanding of the long-term effects of prehabilitation and suggest that future research should focus on programs promoting physical activity both before and after lumbar spine surgery to decrease the risk of long-term adverse health outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzae069","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T21:10:27Z","timestamp":1715807427000},"source":"Crossref","is-referenced-by-count":9,"title":["Long-Term Follow-Up of a Person-Centered Prehabilitation Program Based on Cognitive-Behavioral Physical Therapy for Patients Scheduled for Lumbar Fusion"],"prefix":"10.1093","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6585-9516","authenticated-orcid":false,"given":"Mike K","family":"Kemani","sequence":"first","affiliation":[{"name":"Sophiahemmet University Back in Motion Research Group, Department of Health Promoting Science, , Stockholm,","place":["Sweden"]},{"name":"Stress Research Institute, Department of Psychology, Stockholm University , Stockholm,","place":["Sweden"]},{"name":"Karolinska University Hospital Department of Health Professionals, Theme Women\u2019s Health and Allied Health Professionals, , Solna,","place":["Sweden"]},{"name":"Department of Clinical Neuroscience , , Stockholm,","place":["Sweden"]},{"name":"Karolinska Institutet , , Stockholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikard","family":"Hanafi","sequence":"additional","affiliation":[{"name":"Sophiahemmet University Back in Motion Research Group, Department of Health Promoting Science, , Stockholm,","place":["Sweden"]},{"name":"Karolinska University Hospital Department of Health Professionals, Theme Women\u2019s Health and Allied Health Professionals, , Solna,","place":["Sweden"]},{"name":"Vrije Universiteit Brussel, Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Brussels,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Brisby","sequence":"additional","affiliation":[{"name":"University of Gothenburg Department of Orthopaedics, Institute of the Clinical Sciences at Sahlgrenska Academy, , Gothenburg,","place":["Sweden"]},{"name":"Sahlgrenska University Hospital Department of Orthopaedics, , Gothenburg,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4616-265X","authenticated-orcid":false,"given":"Hanna","family":"Lotzke","sequence":"additional","affiliation":[{"name":"Back in Motion Research Group, Department of Rehabilitation, \u00c4ngelholm Hospital , \u00c4ngelholm,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mari","family":"Lundberg","sequence":"additional","affiliation":[{"name":"Sophiahemmet University Back in Motion Research Group, Department of Health Promoting Science, , Stockholm,","place":["Sweden"]},{"name":"Vrije Universiteit Brussel, Pain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education & Physiotherapy, Brussels,","place":["Belgium"]},{"name":"Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg , Gothenburg,","place":["Sweden"]},{"name":"University 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