Function After Anterior Cervical Discectomy and Fusion Surgery: Timing of Physical Therapy
Improving Surgical Outcomes With Early Physical Therapy After Anterior Cervical Discectomy and Fusion
Vanderbilt University Medical Center
76 participants
Feb 1, 2024
INTERVENTIONAL
Conditions
Summary
The goal of this two-group randomized clinical trial is to examine the effects of early postoperative PT compared to delayed postoperative PT for improving outcomes after hospital discharge for ACDF surgery. The main question this clinical trial aims to answer are: * Whether early PT participants will demonstrate greater improvements in outcomes compared to delayed PT participants. * Whether improvements in handgrip strength, cervical endurance, and cervical range of motion will be associated with improvements in outcomes. Participants will be randomized to one of two groups (early PT or delayed PT) and outcomes compared across groups.
Eligibility
Inclusion Criteria3
- Surgical treatment of a cervical degenerative condition using a 1- or 2-level ACDF procedure;
- English speaking due to feasibility of employing study personnel to deliver and assess the study intervention; and
- Age 18-75 years of age (individuals older than 75 are more likely to experience respiratory and nervous system complications and death following ACDF)
Exclusion Criteria10
- Surgery secondary to trauma, fracture, tumor, infection, or spinal deformity;
- Undergoing cervical corpectomy;
- Prior history of cervical spine surgery in last 5 years;
- Diagnosis or presence of osteoporosis;
- Diagnosis or presence of severe psychiatric disorder such as schizophrenia or bipolar disorder;
- Documented history of alcohol and/or drug abuse;
- Currently involved in litigation due to injury;
- Currently undergoing treatment for cancer;
- Patients not able to return for follow-up visits due to time and travel limitation or other reasons; and
- Unable to provide a stable telephone or physical address
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Interventions
Physical therapy delivered within the first three months after surgery.
Physical therapy delivered greater than 3 months after surgery.
Locations(4)
View Full Details on ClinicalTrials.gov
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NCT06202443