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Related Concept Videos

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  2. Research Domains
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  6. Experiences Of Recovery And Rehabilitation From Surgery To Treat Neurogenic Claudication. A Qualitative Study.
  1. Home
  2. Research Domains
  3. Language, Communication And Culture
  4. Cultural Studies
  5. Postcolonial Studies
  6. Experiences Of Recovery And Rehabilitation From Surgery To Treat Neurogenic Claudication. A Qualitative Study.

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Experiences of recovery and rehabilitation from surgery to treat neurogenic claudication. A qualitative study.

Suzanne McIlroy1,2, Lisa Brighton2, John Weinman3

  • 1Physiotherapy Department, Kings College Hospital, London, UK.

Disability and Rehabilitation
|December 23, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Patients undergoing surgery for neurogenic claudication often have mismatched expectations regarding recovery. Tailored rehabilitation is crucial to manage these expectations and improve surgical outcomes.

Keywords:
Lumbar spinal stenosisexpectationsneurogenic claudicationqualitative research

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Area of Science:

  • Neurosurgery
  • Rehabilitation Medicine
  • Patient Experience Research

Background:

  • Neurogenic claudication significantly impacts quality of life, often necessitating surgical intervention.
  • Patient expectations surrounding surgery and recovery are critical but often unaddressed factors in rehabilitation.

Purpose of the Study:

  • To explore patient experiences, expectations, and rehabilitation preferences following surgery for neurogenic claudication.
  • To understand patient beliefs about surgery and recovery to inform tailored rehabilitation strategies.

Main Methods:

  • Semi-structured interviews with 16 post-surgery patients (mean age 70).
  • Analysis using reflexive thematic analysis and the Integrative Model of Expectations.
  • Interpretation through five constructs: treatment, timeline, behaviour, outcome, and generalised expectations.
rehabilitation
surgery
walking

Main Results:

  • Three themes emerged: understanding recovery via a biomedical model, expectation-recovery mismatch, and the need for tailored rehabilitation.
  • Patients found recovery unexpectedly burdensome and desired personalized, supervised rehabilitation 2-6 weeks post-surgery.
  • Preferences varied, with some favoring one-to-one or group sessions, and some suggesting pre-operative rehabilitation.

Conclusions:

  • Patient expectations significantly influence satisfaction with care and outcomes.
  • Rehabilitation should reframe unrealistic expectations, educate on the biopsychosocial model of pain, and empower patients.
  • Personalized rehabilitation is essential for neurogenic claudication patients to manage expectations and optimize recovery.