- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04037059
Impact of Body Habitus (Arm Span and Abdominal Girth) on Activities of Daily Living (ADL) (ADL)
Impact of Body Habitus (Arm Span and Abdominal Girth) on Activities of Daily Living (ADL) in Patients Undergoing Long Segment Deformity Surgery: A Prospective Study
Study Overview
Status
Detailed Description
This is a prospective, single-center study of adult patients undergoing long segment spinal fusions to the pelvis (>5 levels).
Health Related Quality of Life Outcome (HRQOL) consisting of the Oswestry Disability Index (ODI), Visual Analog Scale, EQ-5D, Scoliosis Research Society-22 and 30 (SRS-22 and SRS-30) and the Lumbar Stiffness Disability Index (LSDI) will be collected preoperatively, 6 weeks, 3 months, 6 months, 12 and 24 months. All measures will be collected during clinic visits.
Primary and secondary objectives The primary objective is to determine the impact of body habitus on postoperative ADLs in patients undergoing long segment spinal fusions.
The secondary objective will be to determine if the number of levels of fusions impact the ability to perform ADLs and to study how long after surgery do the difficulties/limitations persist.
Study procedures Enrolled subjects meeting eligibility criteria and provide consent will be approached by the study coordinator and explained the purpose of the study, risks and benefits to participation, and queried about their interest in participation. Patients consenting to the study will have the following measurements performed by the clinician with an evaluation prior to surgery, during their 6 week, 3 month, 6 month, 12 and 24 month postoperative visits.
- Waist circumference using a measuring tape will be obtained from midway between the last ribs and the iliac crest as suggested by the World Health Organization and the International Diabetes Federation.
- The arm span (wingspan) or reach will be measured. To measure the arm span, the patient will be asked to stand against the wall with their arms extended sideways at a ninety-degree angle. Using a measuring tape, the distance from the tip of the middle finger of one hand to the tip of the middle finger in other arm will be measured and recorded.
- The distance from the ground to the tip of middle finger will be measured while the patient is asked to touch their toes with knees fully extended.
As mentioned, all study patients will complete Health Related Quality of Life Outcome (HRQOL) consisting Oswestry Disability Index (ODI), Visual Analog Scale, EQ-5D, Scoliosis Research Society-22 (SRS-22) and the Lumbar Stiffness Disability Index (LSDI) at 6 weeks, 3 months, 6 month, 12 and 24 months.
Data will be collected in a password-protected file and will be stored in an electronically secure environment, as specified in the research data security plan (RDSP).
Follow-up by the research coordinator as part of this study will not necessarily preclude or replace any follow-up by the treating physician or nursing staff as part of the routine standard of care.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Duke University Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Patients who are seeking evaluation and treatment at the Duke Spine Center and have been recommended to undergo spine surgery will be approached by the treating surgeon and/or the study coordinator about the study.
The goal enrollment is 256 patients within 1 year.
Description
Inclusion Criteria:
- Adults18 to 80 years old
- Spinal fusion surgery involving thoracolumbar spine > 5 levels
- Ability to stand to obtain arm span, abdominal girth and ability to bend at the waist to obtain measurement
Exclusion Criteria:
- Patients who are incarcerated, paraplegic or unable to return for follow-up visits
- Patients with prior lumbar fusions at the indicated levels for surgery
- Spinal fusion surgery involving thoracolumbar < 5 levels
- Patients who already have lumbopelvic fixation with iliac screws
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
Spinal Deformity Patients
For patients with disabling spinal deformities, long segment fusions have been shown to improve the health related quality of life (HRQOL).
A consequence of spine fusion however is elimination of range of motion especially in the lumbar spine.
Even in patients who report overall improvement in pain related domains, difficulty with some ADL's in this patient group has been well documented in previous studies.
Complaints such as inability to dress independently, bathing of lower halves of their body, driving a motor vehicle, getting in and out of a chair/bed and performing perineal hygiene care following toileting have been reported.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Quality of Life as measured by Oswestry Disability Index (ODI)
Time Frame: Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
10 question survey that rates disability from low, moderate, to severe disability
|
Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
Change in Quality of Life as measured by Visual Analog Scale (VAS)
Time Frame: Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
4 question survey that rates pain
|
Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
Change in Quality of Life as measured by EQ-5D
Time Frame: Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
Survey that looks at 5 different components activities of daily living
|
Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
Change in Quality of Life as measured by Scoliosis Research Society (SRS) Form
Time Frame: Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
22 or 30 question survey that rates scoliosis
|
Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
Change in Quality of Life as measured by Lumbar Stiffness Disability Index (LSDI) Form
Time Frame: Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
Survey that rates lumbar stiffness
|
Baseline, 6 weeks, 3 months, 6 months, 12 and 24 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Pro00101177
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Spinal Fusion
-
Xtant MedicalRTI SurgicalRecruitingJoint Diseases | Musculoskeletal Diseases | Spinal Stenosis | Fusion of Spine | Spine | Spinal Fusion | Spinal Disease | Spinal Instability | Sacroiliac; Fusion | Fusion of Joint | SacroiliacUnited States, Spain, Germany
-
National Taiwan University HospitalTerminatedLumbar Fusion | Lumbar Spinal Fusion SurgeryTaiwan
-
Sewon Cellontech Co., Ltd.UnknownSpinal Fusion Acquired | Fusion of Spine (Disease)Korea, Republic of
-
Istituto Ortopedico RizzoliRecruiting
-
Istituto Ortopedico RizzoliCompleted
-
Aesculap AGCompleted
-
Hospital for Special Surgery, New YorkTerminated
-
NYU Langone HealthCompleted
-
AO Foundation, AO SpineNot yet recruiting