{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:14:41Z","timestamp":1791598481517,"version":"4.3.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Consigned Research Fund of Wakayama Prefecture","award":["Nos. B-21006 and B-22014"],"award-info":[{"award-number":["Nos. B-21006 and B-22014"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the long-term effects of a structured, home-based, video-guided exercise programme on disability, health-related quality of life, fear of movement, and depressive symptoms after lumbar spine surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Quasi-randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single university-affiliated spine centre in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>One hundred ninety-six patients (mean age 70 years, 62% male) who underwent posterior decompression surgery for lumbar disc herniation or spinal canal stenosis. Of these, 168 patients (84 per group) completed the 24-month follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>\n                      Participants were assigned by hospital registration number to a video-guided exercise group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009103) or a control group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200993). The intervention group performed a 15-min daily home exercise routine for 2 years. The control group received standard post-operative care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Primary outcomes were disability (Oswestry disability index), fear of movement (Tampa Scale for Kinesiophobia), and Physical Function and General Health (36-Item Short Form Survey). Secondary outcomes included depressive symptoms (Zung Self-Rating Depression Scale) and pain (10-cm Visual Analogue Scale). Assessments occurred pre-operatively and at 1, 3, 6, 12, and 24 months. Longitudinal analysis used mixed-effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention group had significantly lower disability and fear of movement scores throughout (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Physical Function and General Health were higher, and depressive symptoms were significantly lower at 1, 6, and 12 months. Pain did not differ at 12 or 24 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A home-based video-guided exercise programme improved long-term physical and psychological outcomes after lumbar spine surgery. This low-cost, scalable method may enhance standard rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251414025","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T12:47:38Z","timestamp":1769172458000},"page":"784-797","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Home-based video-guided exercise programme enhances functional and psychological recovery after lumbar spine surgery: A quasi-randomized controlled trial"],"prefix":"10.1177","volume":"40","author":[{"given":"Ryoko","family":"Nishiyama","sequence":"first","affiliation":[{"name":"Wakayama Medical University"},{"name":"Department of Nursing, Wakayama Medical University Hospital, Wakayama City, Wakayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9064-0284","authenticated-orcid":false,"given":"Hiroshi","family":"Hashizume","sequence":"additional","affiliation":[{"name":"Wakayama Medical University"},{"name":"Wakayama Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihito","family":"Minamide","sequence":"additional","affiliation":[{"name":"Wakayama Medical University"},{"name":"Kansai Medical University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0574-029X","authenticated-orcid":false,"given":"Shizumasa","family":"Murata","sequence":"additional","affiliation":[{"name":"Wakayama Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munehito","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Sumiya Orthopaedic Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Yamada","sequence":"additional","affiliation":[{"name":"Wakayama Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)66966-0"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199811010-00019"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00024720-200210000-00010"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-005-0044-1"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000083317.62258.E6"},{"key":"e_1_3_2_7_2","article-title":"Rehabilitation after lumbar disc surgery","volume":"2014","author":"Oosterhuis T","year":"2014","unstructured":"Oosterhuis T, Costa LO, Maher CG, et al. 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