{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:40:10Z","timestamp":1777466410578,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>No previous studies have investigated the relationship between body perception disturbance (BPD) and functional outcomes in patients who underwent lumbar spinal surgery. This study prospectively investigated temporal changes in BPD and its relationship with postoperative pain and disability in patients who underwent surgery for lumbar spinal stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective observational study, a total of ninety patients who underwent lumbar spinal surgery at our institution between September 2023 and July 2024 were included. BPD, pain intensity, and disability were assessed by using Fremantle Back Awareness Questionnaire, Visual Analog Scale, and Oswestry Disabilty Index at three time points: preoperatively, at discharge, and 3 months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The results showed a significant decrease in BPD from the preoperative period to 3 months postoperatively (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). However, no significant association was observed between BPD and the postoperative pain intensity or disability. Furthermore, high preoperative BPD levels had no significant impact on postoperative outcomes at 3 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results of this study suggest that BPD significantly improves postoperatively, and that the effects of preoperative BPD on pain and disability are limited. Further studies with extended follow-up periods and the consideration of psychosocial factors are needed to fully understand the long-term effects of BPD on postoperative outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127251357045","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T11:58:49Z","timestamp":1752062329000},"page":"178-186","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of body perception disturbance on pain and disability in patients with lumbar spinal surgery for lumbar spinal stenosis - longitudinal changes during 3 months postoperatively: A prospective study"],"prefix":"10.1177","volume":"39","author":[{"given":"Yoshito","family":"Kurashima","sequence":"first","affiliation":[{"name":"Department of Rehabilitation, Hakuhokai Tokyo Spine Hospital, Tokyo, Japan"},{"name":"Department of Physical Therapy Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Hakuhokai Tokyo Spine Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaisei","family":"Kiriyama","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Hakuhokai Tokyo Spine Hospital, Tokyo, Japan"},{"name":"Graduate School of Health Science, Juntendo University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoji","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Hakuhokai Tokyo Spine Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Ogihara","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hakuhokai Tokyo Spine Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryota","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Yomiuri Clinic, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taro","family":"Toraiwa","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Adachi Keiyu Orthopedic, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hironobu","family":"Kuruma","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-013-0455-5"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.338"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyx298"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-021-06754-y"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1374-1"},{"key":"e_1_3_3_7_2","unstructured":"International Association for the Study of Pain. 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