- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04403152
Postoperative Rehabilitation or Mobilization After Scoliosis Surgery
Five Days of Intensive Postoperative Rehabilitation is Superior Than Mobilization in Improving Length of Hospitalization and Outcome of Patients Having Scoliosis Surgery: A Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Following spinal surgeries, patients experienced deep somatic pain and severe reflex spasms of the muscles located in the surgical site. In addition, pulmonary dysfunction could develop due to reduced flexibility of the spine and mobility of the ribs. It is a known fact that cardiopulmonary functions in adolescent idiopathic scoliosis patients may not recover even two years after surgery. After fusion surgeries in patients with scoliosis have shown that the static and dynamic postural control were impaired and that the postural control could recover one year after the surgery. The increasing health expenditures over the years have brought along the need for rehabilitation programs conducted in the early term.
Increased postoperative pain, impaired balance reactions in the short, weak EMG responses of the trunk muscles, decreased pulmonary capacity and increased health costs have necessitated early rehabilitation in patients who had undergone scoliosis surgery. Also, the need for further research on the effects of physiotherapeutic approaches on the aforementioned functional losses has been indicated in several studies.Although early mobilization has been accepted as a rule of thumb by spinal surgeons in preventing the performance loss and reducing the causes of morbidity in recent years, the investigators could not find any research on postoperative rehabilitation implemented on patients under the supervision of a physiotherapist, following scoliosis surgery.
Therefore, based on these findings, the aim of this study was to compare effect of five days of intensive postoperative rehabilitation and mobilization on length of hospitalization and outcome in patients having scoliosis surgery.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Ankara, Turkey, 06560
- Zilan Bazancir Apaydın
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- diagnosis of adolescent idiopathic scoliosis,
- underwent posterior spinal fusion surgery,
- Cobb's angle of 45 degrees or above,
- were aged between 10 and 18 years.
Exclusion Criteria:
- diagnosis of neuromuscular or rheumatismal diseases,
- could not comply with the exercise program,
- severe surgery-related pulmonary complications
- complications which would prevent early rehabilitation (such as postoperative cerebrospinal fluid leak, paraparesis, hemiparesis),
- surgery-related wound infections.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Rehabilitation group
This is the study group in whom post-operative rehabilitation was provided for 5 days.
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Patients received the exercises programme for five days, 30 minutes, two times per day with supervision by a physical therapist.
Other Names:
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Active Comparator: Mobilization group
This is the control group in whom post-operative mobilization was provided for 5 days.
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Patients received usual mobilization programme for 2-5 minutes, two times per day the five days with supervision by a physical therapist.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain via Visual Analogue Scale
Time Frame: Baseline, 1 week
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Change from baseline at 1 week Pain of the patients will be assessed by most widely used and accepted "visual analogue scale".
It consists of a 10 centimeter line marked at one end with "no pain" and at other end with "worst pain ever".
Patients is asked to indicate where on the line he or she rates the pain on the day of presentation, baseline, 1 week of follow-ups.
Numerical score is given to it simply by measuring length between "no pain" to patients mark.
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Baseline, 1 week
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Thoracic Mobility Index
Time Frame: Baseline, 1 week
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Change from baseline at 1 week Thoracic mobility index was measured at the axillar, epigastric and subcostal regions during normal, maximal inspiration and maximal expiration, using a tape measure, baseline,1 week of follow-ups.
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Baseline, 1 week
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Trunk Balance Test
Time Frame: Baseline, 1 week
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Change from baseline at 1 week Functional reach test was performed to assess the trunk balance.
In standing position, the distances of sideways and forward reaches were measured as centimeters,baseline,1 week of followups.
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Baseline, 1 week
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2-minute Walking Test (2MWT)
Time Frame: Baseline, 1 week
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Change from baseline at 1 week Two-minute walking test (2MWT), the individual was asked to walk at normal pace for two minutes between the marked start and end points on a 30-meter-long corridor.
The walking distance was measured in meters and recorded, baseline,1 week of followups.
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Baseline, 1 week
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Scoliosis Research Society-22 (SRS-22)
Time Frame: Baseline, 6 week
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Change from baseline at 1 week Scoliosis Research Society-22 (SRS-22) questionnaire was used to assess health-related quality of life.
The questionnaire assesses pain, self-image, functions, mental health and satisfaction with the treatment.
It consists of 22 items, each scored from 1, which is the worst situation, to 5, which is the best situation.
The total score ranges from 1 to 5. Patients is asked to answer the questionnaire, baseline, 6 week of follow-ups.
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Baseline, 6 week
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Mehmet Fatih Korkmaz, MD, Inonu University Faculy of Medicine
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017/53
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
- Informed Consent Form (ICF)
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.
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