Evaluation and Timing in an ERAS-like Structured Rehabilitation Program After Lumbar Spine Surgery

NCT ID: NCT05937997

Last Updated: 2023-07-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

245 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-29

Study Completion Date

2016-11-21

Brief Summary

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The goal of this clinical trial is to investigate the safety of early inpatient rehabilitation after lumbar spine surgery.

Participants are assigned to therapy groups C (low) - A (high) intensity and receive standardized multimodal rehabilitation for 3 weeks. Groups are compared in terms of safety, disability impairment as well as pain. Timing of rehabilitation is considered.

Detailed Description

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Purpose Literature on early rehabilitation after lumbar spine surgery trends towards a structurized program beginning in the post-acute phase, but publications are rare. Therefore, this study was conducted to investigate the safety of early rehabilitation according to ERASĀ® principles after different lumbar spine surgeries with regard to training intensity and timing of rehabilitation.

Methods Study design was prospective, non-randomized, and multicentric (3 inpatient rehabilitation facilities in Germany). Based on the senior rehabilitation physician's assessment for patient's physical capacity, patients were assigned to therapy groups C - A (low - high intensity). For statistical analysis patients were also grouped in 3 different time intervals depending on days past surgery until rehabilitation start and. Safety (recurrence rates), disability (Oswestry Disability Index (ODI)), and pain (Visual Analogue Scale (VAS)), were measured at the beginning and at the end of rehabilitation stay. Scores were compared between 3 therapy groups and 3 time intervals for within- and between-group differences. Analgesics and back orthesis use was assessed and analysed as well.

Conditions

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Lumbar Pain Syndrome

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

3 therapy groups receiving different intensity of training
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A high intensity

Physiotherapy with high intensity and no restrictions

Group Type ACTIVE_COMPARATOR

high intensity physiotherapy

Intervention Type PROCEDURE

high intensity exercises for 3 weeks inpatient rehabilitation

Group B moderate intensity

Physiotherapy with medium intensity and some restrictions

Group Type ACTIVE_COMPARATOR

moderate intensity physiotherapy

Intervention Type PROCEDURE

moderate intensity exercises for 3 weeks inpatient rehabilitation

Group C low intensity

Physiotherapy with low intensity and many restrictions

Group Type ACTIVE_COMPARATOR

low intensity physiotherapy

Intervention Type PROCEDURE

low intensity exercises for 3 weeks inpatient rehabilitation

Interventions

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high intensity physiotherapy

high intensity exercises for 3 weeks inpatient rehabilitation

Intervention Type PROCEDURE

moderate intensity physiotherapy

moderate intensity exercises for 3 weeks inpatient rehabilitation

Intervention Type PROCEDURE

low intensity physiotherapy

low intensity exercises for 3 weeks inpatient rehabilitation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* all patients admitted to inpatient rehabilitation facility after lumbar spine surgery

Exclusion Criteria

* non-German speakers
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Johannes Gutenberg University Mainz

OTHER

Sponsor Role collaborator

Median

OTHER

Sponsor Role lead

Responsible Party

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Johannes Schroeter

Dr. med. Johannes Schroeter

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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MEDIAN Clinics

Wiesbaden, , Germany

Site Status

Countries

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Germany

References

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Schroter J, Lechterbeck M, Hartmann F, Gercek E. [Structured rehabilitation after lumbar spine surgery : subacute treatment phase]. Orthopade. 2014 Dec;43(12):1089-95. doi: 10.1007/s00132-014-3051-2. German.

Reference Type RESULT
PMID: 25413281 (View on PubMed)

Other Identifiers

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WS2017

Identifier Type: -

Identifier Source: org_study_id

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