Self-rehabilitation At Home After LumbaR Arthrodesis (SAHARA)

NCT ID: NCT06129682

Last Updated: 2025-03-19

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

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-18

Study Completion Date

2028-10-31

Brief Summary

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Lumbar arthrodesis is more and more common in general population. Patients need early reeducation after surgery but do not always have access to a physiotherapist.

The investigators aim to study the benefits of self-rehabilitation at home after lumbar arthrodesis, showing amelioration in lumbar pain and in quality of life for concerned patients. For this, the investigators designed a randomized-controlled study to test if self-rehabilitation at home right after surgery is superior than rehabilitation done by a physiotherapist 4 to 6 weeks after surgery (standard treatment for our patients).

Detailed Description

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Due to population aging, lumbar arthrodesis is becoming more frequent in general population. At the same time, those patients need early rehabilitation, even if they do not experiment any motor disability after surgery : it has been showed that early rehabilitation improves lumbar pain thanks to muscle strengthening.

The design of the study is prospective,monocentric, controlled and randomized. This study compares progressive self-rehabilitation at home after lumbar arthrodesis, explained to the patient by a physiotherapist during his or her stay at the hospital and started right after surgery, versus rehabilitation done by a physiotherapist 4 to 6 weeks after surgery (standard treatment).

The primary outcome is decrease of lumbar pain at 6 weeks and 3 months after surgery. The secondary outcomes are improvement of functional abilities and improvement of pelvis and limbs ranges of motion.

Patients of both groups will be followed by surgeon and physiotherapist at 6 weeks and 3 months.

Conditions

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Spondylolisthesis, Lumbar Region

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Standard of care

Group Type NO_INTERVENTION

No interventions assigned to this group

Self rehabilitation at home

Group Type EXPERIMENTAL

Self rehabilitation at home

Intervention Type OTHER

6 week program of exercise at home of gradual intensity and duration

Interventions

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Self rehabilitation at home

6 week program of exercise at home of gradual intensity and duration

Intervention Type OTHER

Eligibility Criteria

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Exclusion Criteria

* Surgery for posterolateral lumbar arthrodesis, from a degenerative etiology, from 1 to 3 lumbar levels (one level means one inter-somatic space)
* Surgery indication after optimal medical treatment, including appropriate pain medicine, and fail of medical treatment for reducing lumbar pain and/or nerve root pain and/or limp
* Return home possible after surgery
* After signing consent during pre-operative visit with the surgeon


* People under 18 years-old
* Pregnant or breast-feeding women
* Psychiatric and/or neurodegenerative comorbidity
* Motor deficiency of the limbs before and/or after surgery
* Iliac extension of arthrodesis
* Any postoperative complication lengthening stay at hospital
* Medical contraindication for early rehabilitation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marc Khalifé, MD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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AP-HP - Hôpital Européen Georges-Pompidou Paris, France

Paris, Île-de-France Region, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Breno MELO, PhD

Role: CONTACT

(0)140271988 ext. 33

Youcef Sekour

Role: CONTACT

Facility Contacts

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Marc Khalifé, MD

Role: primary

Anaïs Venard, MD

Role: backup

Other Identifiers

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2023-A00652-43

Identifier Type: OTHER

Identifier Source: secondary_id

APHP230526

Identifier Type: -

Identifier Source: org_study_id

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