What If Multimodal Prehabilitation for Spinal Surgery Was Better Specified? 1913

Tuesday, October 28, 2025

8:00 AM - 9:00 AM

Location: ROOM: Conference Room 4F >>> DIRECTIONS Fourth Floor >>> From the Main Elevator Bank, proceed left. Room 4F is to the left beyond the Pullman Boardroom.

Corresponding Presenter(s)

Gareth D. Jones, PhD

Clinical Lead Physiotherapist
Guy's & St. Thomas' NHS Foundation Trust
London, England, United Kingdom

Slides Slides

Presenter(s)

James E. Eubanks, MD, MS

Assistant Professor
Medical University of South Carolina (MUSC)
Mount Pleasant, South Carolina, United States

Non-Presenting Contributor(s)

RE

Rebecca Edwards, n/a

Clinical Specialist Physiotherapist and Rehabilitation Coordinator Trauma Orthopaedics
Guy’s and St Thomas’ NHS Foundation Trust
London, United Kingdom

In this session we will describe how prehabilitation has developed in spinal surgery and introduce the premise that specifying prehabilitation interventions using a common language is preferable at the clinical, research, and educational level. We will introduce the RTSS framework including why including a mechanism of action (MOA) when stating treatment theory is beneficial. We will then discuss elements of uni- and multi-modal prehabilitation, and its specification, for spinal surgery using two published examples we have been involved in. While we explain key concepts, some previous knowledge of the RTSS in clinical practice will be useful.

Learning Objectives:

Upon completion, participant will be able to reflect on the prehab approaches used in elective spinal surgery presented and be better equipped to plan relevant prehabilitation approaches in their local contexts, or be able to compare existing approaches to established ones elsewhere
Upon completion, participant will be able to synthesize knowledge in the application of the RTSS for prehabilitation clinical practice, and why it is important in designing studies, or reanalyzing previous experimental studies
Upon completion, participant will be able to reflect on specifying interventions using the RTSS and will have an increased knowledge about how to modulate prehabilitation interventions in response to evaluation outcomes