{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:06:30Z","timestamp":1753891590839,"version":"3.41.2"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study sought to evaluate the impact of integrating rehabilitation gymnastics with compression therapy on postoperative recovery outcomes in elderly patients undergoing surgery for lumbar spinal stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients aged \u226565\u202fyears hospitalized for lumbar spinal stenosis between July 2016 and July 2018 were included. Eighty-four patients receiving postoperative rehabilitation gymnastics and compression therapy were assigned to the intervention group, while 84 matched controls received standard care alone. Both groups underwent routine postoperative management. Clinical outcomes were assessed at 2\u202fweeks, 1\u202fmonth, and 3\u202fmonths post-surgery using measures including lower-extremity deep venous thrombosis (DVT) incidence, visual analog scale (VAS) pain scores, Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA) scores, and patient satisfaction rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The intervention group demonstrated significantly reduced DVT incidence, lower VAS and ODI scores, and higher JOA scores and satisfaction rates at 2\u202fweeks and 1\u202fmonth post-surgery compared to controls (all <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.05). By the third month, however, no statistically significant differences were observed between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Combining rehabilitation gymnastics with compression therapy enhances early postoperative recovery and functional outcomes in elderly lumbar spinal stenosis patients, though these benefits diminish by 3 months. These findings highlight the short-term efficacy of integrated rehabilitation strategies in accelerating postoperative healing.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2025.1584965","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T05:14:15Z","timestamp":1747631655000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The treatment effect of rehabilitation gymnastics on postoperative rehabilitation in elderly patients with lumbar spinal stenosis"],"prefix":"10.3389","volume":"12","author":[{"given":"Yushan","family":"Guo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xianghui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingtao","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1097\/01.brs.0000158954.68522.2a","article-title":"Long-term outcomes of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation: 10 year results from the Maine lumbar spine study","volume":"30","author":"Atlas","year":"2005","journal-title":"Spine"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1331","DOI":"10.1007\/s00586-011-1781-y","article-title":"Postoperative rehabilitation does not improve functional outcome in lumbar spinal stenosis: a prospective study with 2-year postoperative follow-up","volume":"20","author":"Aalto","year":"2011","journal-title":"Eur Spine J"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1007\/s00586-022-07439-w","article-title":"Incidence and risk factors of lumbar plexus injury in patients undergoing oblique lumbar interbody fusion surgery","volume":"32","author":"Huo","year":"2023","journal-title":"Eur Spine J"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1094","DOI":"10.1097\/BRS.0b013e3181a105fc","article-title":"Surgery for low back pain: a review of the evidence for an American pain society clinical practice guideline","volume":"2009","author":"Chou","year":"1976","journal-title":"Spine"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1741","DOI":"10.1007\/s00586-023-07664-x","article-title":"Asymmetric distribution of Modic changes in patients with lumbar disc herniation","volume":"32","author":"Li","year":"2023","journal-title":"Eur Spine J"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1441","DOI":"10.1097\/01.brs.0000166503.37969.8a","article-title":"United States trends in lumbar fusion surgery for degenerative conditions","volume":"30","author":"Deyo","year":"1976","journal-title":"Spine"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1001\/jama.2010.338","article-title":"Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults","volume":"303","author":"Deyo","year":"2010","journal-title":"JAMA"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2693","DOI":"10.1007\/s00586-012-2381-1","article-title":"A decade\u2019s experience in lumbar spine surgery in Belgium: sickness fund beneficiaries, 2000-2009","volume":"21","author":"Du Bois","year":"2012","journal-title":"Eur Spine J"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2020\/1065202","article-title":"Clinical rehabilitation effect of postoperative lower-limb training on the patients undergoing OLIF surgery: a retrospective study","volume":"2020","author":"Wang","year":"2020","journal-title":"Pain Res Manag"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"S176","DOI":"10.1007\/s00586-003-0611-2","article-title":"The conservative surgical treatment of lumbar spinal stenosis in the elderly","volume":"12","author":"Gunzburg","year":"2003","journal-title":"Eur Spine J"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"2312","DOI":"10.1097\/01.brs.0000182315.88558.9c","article-title":"Surgery for degenerative lumbar spondylosis: an updated Cochrane review","volume":"30","author":"Gibson","year":"2005","journal-title":"Spine"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1999","DOI":"10.1007\/s00586-024-08150-8","article-title":"The effect of diabetes mellitus on lumbar disc degeneration: an MRI-based study","volume":"33","author":"Tian","year":"2024","journal-title":"Eur Spine J"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1007\/s00586-016-4789-5","article-title":"Quality of life and disability: can they be improved by active postoperative rehabilitation after spinal fusion surgery in patients with spondylolisthesis? A randomised controlled trial with 12-month follow-up","volume":"26","author":"Ilves","year":"2017","journal-title":"Eur Spine J"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1007\/s00586-003-0544-9","article-title":"Spinal stenosis surgery in Sweden 1987-1999","volume":"12","author":"Jansson","year":"2003","journal-title":"Eur Spine J"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1711","DOI":"10.1097\/BRS.0b013e318214e3e6","article-title":"ISSLS prize winner: function after spinal treatment, exercise, and rehabilitation (FASTER): a factorial randomized trial to determine whether the functional outcome of spinal surgery can be improved","volume":"36","author":"McGregor","year":"2011","journal-title":"Spine"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1465","DOI":"10.1097\/00007632-200207010-00018","article-title":"The evaluation of the surgical management of nerve root compression in patients with low back pain: part 1: the assessment of outcome","volume":"27","author":"McGregor","year":"1976","journal-title":"Spine"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/01.brs.0000251014.81875.6d","article-title":"Surgical or nonoperative treatment for lumbar spinal stenosis? A randomized controlled trial","volume":"32","author":"Malmivaara","year":"1976","journal-title":"Spine"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/S0304-3959(98)00209-7","article-title":"Predictors of early improvement in low back pain amongst consulters to general practice: the influence of pre-morbid and episode-related factors","volume":"80","author":"Macfarlane","year":"1999","journal-title":"Pain"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"2069","DOI":"10.2106\/00004623-200609000-00023","article-title":"Radiculopathy and the herniated lumbar disc. Controversies regarding pathophysiology and management","volume":"88","author":"Rhee","year":"2006","journal-title":"J Bone Joint Surg"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1080\/000164701317323327","article-title":"The Swedish National Register for lumbar spine surgery: Swedish society for spinal surgery","volume":"72","author":"Stromqvist","year":"2001","journal-title":"Acta Orthop Scand"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/00007632-199201000-00001","article-title":"Surgery for lumbar spinal stenosis. Attempted meta-analysis of the literature","volume":"17","author":"Turner","year":"1976","journal-title":"Spine"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1056\/NEJMoa0707136","article-title":"Surgical versus nonsurgical therapy for lumbar spinal stenosis","volume":"358","author":"Weinstein","year":"2008","journal-title":"N Engl J Med"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1154","DOI":"10.1007\/s11999-008-0194-7","article-title":"Do patient expectations of spinal surgery relate to functional outcome?","volume":"466","author":"Yee","year":"2008","journal-title":"Clin Orthop Relat Res"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1584965\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T05:14:17Z","timestamp":1747631657000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1584965\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,19]]},"references-count":23,"alternative-id":["10.3389\/fmed.2025.1584965"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1584965","relation":{},"ISSN":["2296-858X"],"issn-type":[{"type":"electronic","value":"2296-858X"}],"subject":[],"published":{"date-parts":[[2025,5,19]]},"article-number":"1584965"}}