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

RecruitingNAAges 18 Years - 75 YearsAllVanderbilt University Medical Center
NCT06202443 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

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.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Surgical treatment of a cervical degenerative condition using a 1- or 2-level ACDF procedure; * English speaking due to feasibility of employing study personnel to deliver and assess the study intervention; and * Age 18-75 years of age (individuals older than 75 are more likely to experience respiratory and nervous system complications and death following ACDF) Exclusion Criteria: * Surgery secondary to trauma, fracture, tumor, infection, or spinal deformity; * Undergoing cervical corpectomy; * Prior history of cervical spine surgery in last 5 years; * Diagnosis or presence of osteoporosis; * Diagnosis or presence of severe psychiatric disorder such as schizophrenia or bipolar disorder; * Documented history of alcohol and/or drug abuse; * Currently involved in litigation due to injury; * Currently undergoing treatment for cancer; * Patients not able to return for follow-up visits due to time and travel limitation or other reasons; and * Unable to provide a stable telephone or physical address
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What it tests

  • Early PT
  • Delayed PT
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Where

4 sites
Tripler Army Medical Center
Honolulu, United States
Vanderbilt University Medical Center
Nashville, United States
Booke Army Medical Center
Fort Sam Houston, United States
Madigan Army Medical Center
Tacoma, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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