Welcome to this month's issue of Spinal Columns. How patient recovery is measured after surgery and how specific exercise programs are put into practice are two areas of ongoing study. This edition presents work from Alison Rushton that examines the association between physical measures of functioning, including spinopelvic alignment, and patient-reported outcomes after total hip arthroplasty. We also look at a study from Christina Ziebart detailing the implementation of a small group physiotherapy program for people at risk of falls with compromised bone mineral density, which recorded both participant feedback and physical results.

As total hip arthroplasty becomes more frequent, questions remain about how physical measurements relate to patient-reported recovery and low back pain. To investigate this, researchers conducted a systematic review of studies that assessed the associations between these different types of post-surgery measures.

Adults with osteoporosis or at risk of developing it often face barriers when seeking exercise programs designed to improve strength and balance. This study implemented a six-week, twice-weekly group physiotherapy program in an outpatient clinic for these adults, involving exercises that targeted whole body strength and balance.