Preoperative Exercise for Spinal Surgery Outcomes

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: University of California, San Diego

Disqualifiers: Unstable vertebral fracture, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

70 Participants Needed

Trial Summary

Do I have to stop taking 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 data supports the effectiveness of the treatment Preoperative Resistance Exercise for spinal surgery outcomes?

Research shows that preoperative resistance training can improve muscle strength and physical performance in patients undergoing surgeries like total hip arthroplasty, which suggests it might also help with recovery and outcomes in spinal surgeries. ^{1 2 3 4 5}

Is preoperative exercise safe for people undergoing spinal surgery?

Research shows that regular preoperative exercise is generally safe and may lead to fewer complications after spinal surgery. No adverse events were reported in studies involving exercise-based prehabilitation for spinal surgery patients. ^{3 5 6 7 8}

How does preoperative resistance exercise differ from other treatments for spinal surgery outcomes?

Preoperative resistance exercise is unique because it involves strengthening muscles before surgery, which can lead to fewer complications and shorter hospital stays compared to patients who do not exercise regularly. This approach focuses on preparing the body for surgery, unlike traditional treatments that may not emphasize pre-surgical physical conditioning. ^{3 5 6 8 9}

What is the purpose of this trial?

The purpose of this research study is to gather more information about how improving back muscle function before surgery might influence what happens to the spine and function after surgery. This may assist in developing ways to improve surgical outcomes and determine the benefit of pre-operative exercise, if any.

Eligibility Criteria

This trial is for individuals with back pain who are scheduled to undergo spinal surgery. Participants should be interested in performing pre-operative resistance exercises as part of the study.

Inclusion Criteria

I am medically cleared to join an exercise program.

I am scheduled for or have had spinal surgery.

Exclusion Criteria

I do not have any health conditions or injuries that prevent me from doing physical therapy.

I can commit to the therapy schedule, both in-clinic and online.

I am able to complete questionnaires in English.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-operative

Participants undergo pre-operative evaluation and treatment by a physical therapist, data collection, and fill out relevant questionnaires

4-6 weeks

Surgery

Participants undergo spine surgery as part of their planned standard care

Post-operative

Participants may be asked to undergo a post-operative evaluation and fill out questionnaires

Follow-up

Participants are monitored for safety and effectiveness after surgery, including assessments of length of stay, surgical revision, disability, and pain

1 year

Treatment Details

Interventions

• Preoperative Resistance Exercise

Trial Overview The study is testing whether doing resistance exercises to strengthen back muscles before spine surgery can improve post-operative outcomes, such as spine function and overall recovery.

Participant Groups

Group I: Preoperative Resistance exercise Experimental Treatment 1 Intervention

Resistance based exercise targeting the back muscles above where the intended surgery is planned

Group II: Control/Standard of Care Active Control 1 Intervention

Standard of Care preoperatively per surgeon recommendation

Who Is Running the Clinical Trial?

University of California, San Diego

Lead Sponsor

Trials

1,215

Recruited

1,593,000+

References

1. England pubmed.ncbi.nlm.nih.gov

Compliance, adherence and effectiveness of a community-based pre-operative exercise programme: a pilot study. [2023]

2. England pubmed.ncbi.nlm.nih.gov

Effects of progressive resistance training prior to total HIP arthroplasty - a secondary analysis of a randomized controlled trial. [2021]

3. United States pubmed.ncbi.nlm.nih.gov

Early aggressive exercise for postoperative rehabilitation after discectomy. [2019]

4. United States pubmed.ncbi.nlm.nih.gov

Effects of home strength training and stretching versus stretching alone after lumbar disk surgery: a randomized study with a 1-year follow-up. [2016]

5. United States pubmed.ncbi.nlm.nih.gov

Current Prehabilitation Programs Do Not Improve the Postoperative Outcomes of Patients Scheduled for Lumbar Spine Surgery: A Systematic Review With Meta-analysis. [2021]

6. Canada pubmed.ncbi.nlm.nih.gov

Beneficial Effects of Preoperative Exercise on the Outcomes of Lumbar Fusion Spinal Surgery. [2023]

7. England pubmed.ncbi.nlm.nih.gov

Effect of total-body prehabilitation on postoperative outcomes: a systematic review and meta-analysis. [2022]

8. England pubmed.ncbi.nlm.nih.gov

Effectiveness of an exercise-based prehabilitation program for patients awaiting surgery for lumbar spinal stenosis: a randomized clinical trial. [2021]

9. England pubmed.ncbi.nlm.nih.gov

Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial. [2022]