Prehabilitation for Scoliosis
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores whether a program called prehabilitation can better prepare individuals for spine surgery. Prehabilitation includes exercises, nutrition counseling, and stress management support to enhance fitness and mental readiness before the operation. The trial compares this approach to standard care, where participants maintain their usual habits. It suits those planning spinal deformity surgery who can begin the program at least 12 weeks prior and understand English instructions. Participants should exhibit a certain level of frailty that impacts their daily life. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could improve surgical outcomes for future patients.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this prehabilitation program is safe for adults undergoing spinal deformity surgery?
Research shows that prehabilitation is generally safe for people preparing for spine surgery. In past studies, prehabilitation improved physical fitness and mental well-being before surgery. This program usually includes exercise, nutrition advice, and stress management.
One study found that prehabilitation significantly increased muscle strength and improved quality of life before surgery. Another study showed it reduced complications after surgery, leading to fewer health issues during recovery.
Studies do not specifically mention serious side effects, suggesting that prehabilitation is well-tolerated. The exercises and support are often personalized, allowing adjustments if any discomfort occurs.
Overall, prehabilitation appears to be a safe and helpful option for those preparing for spine surgery.12345Why are researchers excited about this trial?
Researchers are excited about prehabilitation for scoliosis because it takes a holistic approach to prepare patients for surgery. Unlike traditional care, which often focuses solely on post-surgical recovery, prehabilitation includes exercise, nutrition, and stress management before surgery. This method aims to enhance overall health, potentially leading to better surgical outcomes and a faster recovery. By addressing physical, nutritional, and psychological aspects, prehabilitation offers a comprehensive strategy that could transform how scoliosis surgeries are approached.
What evidence suggests that prehabilitation might be an effective treatment for scoliosis?
Research shows that prehabilitation, which participants in this trial may receive, can help patients prepare for surgery by boosting their physical and mental health. It strengthens patients before surgery and reduces the risk of complications and long hospital stays, especially for major surgeries. However, evidence remains limited for spine surgeries, such as those for scoliosis. Some studies found no significant differences in outcomes, like hospital stay and readmission rates, for spine surgery patients who underwent prehabilitation. More research is needed to understand its effectiveness for scoliosis surgery.46789
Who Is on the Research Team?
Daniel Santa Mina, PhD
Principal Investigator
University Health Network, Toronto
Are You a Good Fit for This Trial?
This trial is for adults scheduled for spinal deformity surgery in at least 12 weeks, with a certain level of frailty as measured by the Modified Frailty Index. Participants must understand English to follow consent and instructions.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Prehabilitation
Participants undergo a multimodal prehabilitation program including exercise, nutrition, and psychological support to enhance functional capacity before surgery.
Surgery
Participants undergo spinal deformity surgery.
Postoperative Follow-up
Participants are monitored for safety, effectiveness, and complications after surgery.
What Are the Treatments Tested in This Trial?
Interventions
- Prehabilitation
Trial Overview
The study tests a multimodal prehabilitation program designed to boost patients' fitness and mental readiness before spine surgery. It's a pilot trial comparing two groups: one receiving this special preparation and another not, measuring outcomes like fitness levels and recovery.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
This will include an individualized, light to moderate intensity resistance training and aerobic exercise components. Each prescribed session will include: a minute warm-up, aerobic exercise, resistance training, and a cool-down, but may be modified to accommodate the participants exercise ability. A registered dietitian will provide an individualized nutrition assessment and counselling session within the first week of prehabilitation and again in the week prior to surgery. A staff psychologist or psychology resident will deliver a \~60-minute psychoeducation session that focuses on stress management via relaxation, mindfulness, goal setting, and strategies to overcoming barriers to practice. In the week prior to surgery, participants will be offered a second consultation with the psychology team member to review their stress management experiences and provide further support for the acute perioperative period.
Usual care group will be asked to resume your typical lifestyle behaviours until the date of the surgery and will be provided with publicly available resources on physical activity, diet, and stress management.
Prehabilitation is already approved in European Union, United States, Canada for the following indications:
- Preparation for liver transplantation in patients with cirrhosis
- Preparation for liver transplantation in patients with cirrhosis
- Preparation for liver transplantation in patients with cirrhosis
Find a Clinic Near You
Who Is Running the Clinical Trial?
University Health Network, Toronto
Lead Sponsor
Published Research Related to This Trial
Citations
Effectiveness of Prehabilitation Programs in Reducing the ...
Data were synthesized from meta-analyses and systematic reviews to assess the effectiveness of uni- and multimodal prehabilitation interventions ...
The association between prehabilitation participation and ...
The effect of prehabilitation on spine surgery outcomes was investigated. · No significant differences in stay, discharge, ED visits, or readmission rates.
Perioperative Optimization of Patients With Neuromuscular ...
Below is our institutional pathway for the optimization of patients undergoing surgery for neuromuscular scoliosis (Figure 1). This pathway has been developed ...
The impact of prehabilitation on postoperative outcomes in ...
Prehabilitation aims to optimize patients' physical and psychological status before spine surgery to enhance recovery.
Prehabilitation for Scoliosis · Info for Participants
Participant outcomes will be measured using standardized fitness testing, self-report questionnaires, and medical record reviews at baseline, one week ...
Comprehensive guidelines for prehabilitation in spine surgery
Targeting patient risk factors with personalized interventions can improve postoperative outcomes in patients undergoing elective spine surgery.
Preoperative optimization and patient preparations for ...
This review summarizes the current literature on different preoperative strategies to improve patient outcomes after spine surgery.
Impact of preoperative uni- or multimodal prehabilitation on ...
Postoperative complications occur in up to 43% of patients after surgery, resulting in increased morbidity and economic burden.
Prehabilitation for Patients Undergoing Orthopedic Surgery
The prehabilitation intervention significantly improved function, health-related quality of life, muscle strength, and back pain prior to surgery.
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