Function After Anterior Cervical Discectomy and Fusion Surgery: Timing of Physical Therapy

Conditions

• ACDF Surgery
• Cervical Spine Degeneration

Eligibility Criteria

Sex

ALL

Age

18 Years - 75 Years

Healthy Volunteers

Not accepted

Interventions

• Early PT — OTHER
  Physical therapy delivered within the first three months after surgery.
• Delayed PT — OTHER
  Physical therapy delivered greater than 3 months after surgery.

Study Details

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.

Key Dates

Start date

Feb 1, 2024

Status verified

Aug 2025

Primary completion

Dec 31, 2026

Completion

Jul 31, 2027

Study Design

Enrollment

76 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Arms

• Experimental: Early Physical Therapy (PT)
  PT will be delivered two times a week for 8 weeks by a licensed physical therapist. Participants will start PT approximately 2 weeks after hospital discharge
• Active Comparator: Delayed Physical Therapy (PT)
  PT will be delivered two times a week for 8 weeks by a licensed physical therapist. Participants will start PT approximately 3 months after hospital discharge.

Primary Outcome Measure

Disability [ Time Frame: 6 and 12 months after hospital discharge ]

Central Contacts

• Amanda Priest
  615-421-8336
  [email protected]

Locations (4)

Find similar trials in Honolulu, HI

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• Post-operative Outcomes of Anterior Cervical Discectomy and Fusion Surgery With and Without Drain Placement
  Not Yet Recruiting · University of Nebraska · Omaha, Nebraska