Early Postoperative Home Exercise Program After Cervical Spine Surgery



Status:Completed
Conditions:Orthopedic
Therapuetic Areas:Orthopedics / Podiatry
Healthy:No
Age Range:21 - Any
Updated:2/14/2019
Start Date:March 2016
End Date:July 2018

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A Randomized Trial of an Early Postoperative Home Exercise Program Versus Usual Care After Anterior Cervical Discectomy and Fusion Surgery

The overall objective of this two-group randomized controlled trial is to gather preliminary
evidence on the efficacy and safety of early postoperative exercise for improving disability,
pain, and general physical health in patients after anterior cervical discectomy and fusion
(ACDF) surgery. Our central hypothesis is that an early home exercise program (HEP) performed
within the first six weeks after surgery will decrease disability and pain and improve
general health, through increases in physical activity and self-efficacy and reductions in
fear of movement. The results of our randomized trial will advance research on postoperative
management for patients with cervical spine surgery and provide evidence in line with a
value-based healthcare approach for optimizing outcomes.


Inclusion Criteria:

1. Surgical treatment of a cervical degenerative condition (cervical stenosis,
spondylosis, degenerative spondylolisthesis, disc herniation) using anterior cervical
discectomy and fusion procedure;

2. English speaking due to feasibility of employing study personnel to deliver and assess
the study intervention; and

3. Age older than 21 years (younger individuals do not typically have a cervical
degenerative condition)

Exclusion Criteria:

1. Patients having surgery secondary to trauma, fracture, tumor, infection, or spinal
deformity;

2. Patients undergoing cervical corpectomy;

3. Diagnosis or presence of severe psychiatric disorder such as schizophrenia or other
psychotic disorder, including but not limited to Brief Psychotic disorder and
Delusional disorder;

4. Documented history of alcohol and/or drug abuse;

5. Patients having surgery under a workman's compensation claim; and

6. Unable to provide a stable telephone or physical address
We found this trial at
1
site
1211 Medical Center Dr
Nashville, Tennessee 37232
(615) 322-5000
Principal Investigator: Kristin R Archer, PhD, DPT
Vanderbilt Univ Med Ctr Vanderbilt University Medical Center (VUMC) is a comprehensive healthcare facility dedicated...
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mi
from
Nashville, TN
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