Summary of the best evidence for early postoperative ambulation in patients with lumbar degenerative diseases
WEI Jiani
HUANG Chanyu
YANG Sisi
HUANG Qiuhong
PAN Ximei
YING Yanping
Abstract：Objective To systematically search literature and summarize the relevant evidence for early postoperative ambulation in patients with lumbar degenerative diseases(LDD),providing a basis for evidence-based clinical practice.Methods The relevant literature on early postoperative ambulation of the LDD patients from January 2015 to March 2025 was systematically searched,and the quality evaluation,evidence extraction,and grading of the included literature were conducted.Results A total of 12 papers were included,including 3 papers on guidelines,5 papers on expert consensus,2 papers on systematic review,and 2 papers on randomized controlled trials.The best evidence could be summarized as 7 dimensions,including prehabilitation,pain management,gastrointestinal and nutritional management,sleep management,assessment before ambulation,activities for ambulation,and safety management for ambulation,totaling 24 pieces of evidence.Conclusion The best evidence summarized in this study provides an evidence-based basis for standardizing early ambulation in LDD patients after the operation.When applying the evidence in clinical practice,it is necessary to comprehensively assess the patients' physical condition in light of the actual situation and formulate a personalized plan for early postoperative ambulation.
Keywords：Lumbar degenerative diseases(LDD)Early ambulationEnhanced recovery after surgery(ERAS)Summary of evidence
Publication Date：2026-02-28
Online Publishing Date：2026-03-31(First online date of this platform, not the publication date of the document)
Pages：6( 223-228 )