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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
30
The early home exercise program is a 6-week program of home exercises with weekly phone calls to monitor progression and compliance.
Usual care involves standard postoperative management under the direction of the treating surgeon.
Vanderbilt University Medical Center
Nashville, Tennessee, United States
Neck Disability Index (NDI)
The NDI measures disease-specific disability for cervical spine patients.
Time frame: Up to 12 months after surgery
Numeric Rating Scale (NRS)
The NRS measures levels of neck and arm pain intensity.
Time frame: Up to 12 months after surgery
12-Item Short Form Health Survey (SF-12)
The SF-12 is a measure of general physical and mental health.
Time frame: Up to 12 months after surgery
Movement Accelerometry
Movement accelerometry measures general physical activity level.
Time frame: Up to 12 months after surgery
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