Improving Surgical Outcomes With Early PT After ACDF

Description

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.

Conditions

Cervical Spine Degeneration, ACDF Surgery

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Study Overview

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Study Details

Study overview

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.

Improving Surgical Outcomes With Early Physical Therapy After Anterior Cervical Discectomy and Fusion

Improving Surgical Outcomes With Early PT After ACDF

Condition
Cervical Spine Degeneration
Intervention / Treatment

-

Contacts and Locations

Nashville

Vanderbilt University Medical Center, Nashville, Tennessee, United States, 37203

Fort Sam Houston

Booke Army Medical Center, Fort Sam Houston, Texas, United States, 78234

Tacoma

Madigan Army Medical Center, Tacoma, Washington, United States, 98431

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * 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)
  • * 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

Ages Eligible for Study

18 Years to 75 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Vanderbilt University Medical Center,

Kristin Archer, PhD, PRINCIPAL_INVESTIGATOR, Vanderbilt University Medical Center

Study Record Dates

2027-07-31