About this trial
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.
Eligibility criteria
Qualifiers
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)
Disqualifiers
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;
Trial design
Treatments tested in this trial
- Early PT
- Delayed PT
Treatment groups
Sponsors and collaborators
Vanderbilt University Medical Center
Lead sponsor
United States Department of Defense
Collaborator