Role Of Pre-Operative Physiotherapy In Reducing Chronicity In Post Lumbar Fusion Patients
Care Continuum
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2023
Reduce chronicity risk (Orebro score <40) for lumbar fusion patients from pre-op to 1 month post-op. Pre-operative physiotherapy sessions significantly lowered the chronicity risk for lumbar fusion patients, and this model can be.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Care Continuum, Quality Improvement, Workflow Redesign, Risk Management, Adverse Outcome Reduction, Rehabilitative Care
About this Content
Aims
Reduce chronicity risk (Orebro score <40) for lumbar fusion patients from pre-op to 1 month post-op.
Background
Pre-operative physiotherapy was not standardized, and patients who skipped it had higher Orebro scores, indicating a higher risk of chronicity.
Methods
Introduced pre-op physiotherapy with education materials and a checklist for outpatient physiotherapists to standardize care.
Results
Reduced the average Orebro score from 45.5 to 35.6 points (low risk); improved patient outcomes within 1 month post-op.
Conclusion
Pre-operative physiotherapy sessions significantly lowered the chronicity risk for lumbar fusion patients, and this model can be applied to other surgical patients.
Lessons Learnt
Structured physiotherapy and patient education significantly reduced chronicity risk; checklists aided in consistency.
Keywords
Pre-Operative Physiotherapy, Lumbar Fusion, Orebro Scoring, Chronicity, Patient Education
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health |
Applicable Specialty or Discipline | Physiotherapy |
Project Lead(s) | Kellyn Lee |
Project Member(s) | Amanda Ng Li’En |
Connect with this contributor!
Kellyn Lee - kellyn_lee@nuhs.edu.sg