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| Name | Class |
|---|---|
| Academy of Orthopaedic Physical Therapy | UNKNOWN |
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The overall objective of this randomized controlled study is to examine the preliminary efficacy of a physical activity intervention that includes wearable technology and remote physical therapist support in patients undergoing lumbar spine surgery. Patients will be randomized to receive 8 sessions of a telehealth physical activity intervention (n=30) or usual postoperative care (n=30). The Investigator's central hypothesis is that a postoperative telehealth physical activity intervention will lead to greater improvements in objective physical activity (primary outcome) and patient-reported physical function, disability, and pain (secondary outcomes) compared to usual care in patients undergoing lumbar spine surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Physical Activity | Experimental | Participants randomized to the physical activity intervention will receive usual postoperative care and a tele-health physical activity intervention. |
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| Usual Care | Other | Participants randomized to usual care will receive postoperative care as determined by their treating surgeon. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical activity intervention | Behavioral | Participants randomized to the physical activity intervention will receive a Fitbit and be enrolled in Fitabase (Fitbit tracking system). Participants will also participate in 8 tele-health sessions with a physical therapist. Sessions will involve setting weekly physical activity goals and reviewing the participant's physical activity on the Fitbit tracking system. |
| Measure | Description | Time Frame |
|---|---|---|
| Mean daily post-operative physical activity as measured by an accelerometer. | Post-operative physical activity will be calculated as the average steps/day over a period of 7 days as measured by accelerometer | Baseline to 12 months post-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative physical activity as measured by an accelerometer. | Post-operative physical activity will be calculated as the time spent in different intensities of physical activity over a period of 7 days as measured by accelerometer | Baseline to 12 months post-surgery |
| Physical function as measured by the Patient Reported Outcomes Measurement Information System (PROMIS) - Physical Function Domain |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kristin Archer, Ph.D. | Vanderbilt University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33246446 | Background | Coronado RA, Master H, White DK, Pennings JS, Bird ML, Devin CJ, Buchowski MS, Mathis SL, McGirt MJ, Cheng JS, Aaronson OS, Wegener ST, Archer KR. Early postoperative physical activity and function: a descriptive case series study of 53 patients after lumbar spine surgery. BMC Musculoskelet Disord. 2020 Nov 27;21(1):783. doi: 10.1186/s12891-020-03816-y. |
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| Usual care | Other | Usual postoperative care includes surgeon-directed lifting restrictions, advice to stay active, and oral analgesics as needed. Physical therapy referral will be at the discretion of the surgeon. However, physical therapy is not typically started until 12 weeks after surgery. |
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The PROMIS Physical Function 4-item short form will be used to measure physical function. Each item is measured from 1 to 5, representing low to high physical function, respectively. Total score ranges from 4 to 20. Total raw scores will be converted to T-scores. |
| Baseline to 12 months post-surgery |
| Disability as measured by the Oswestry Disability Index. | The ODI has 10 items and scores range from 0 to 100%. A higher score represents higher disability. | Baseline to 12 months post-surgery |
| Back pain as measured by the Numeric Rating Scale (NRS). | The NRS has 1 item and scores range from 0 to 10. A higher score represents more back pain. | Baseline to 12 months post-surgery |
| Leg pain as measured by the Numeric Rating Scale (NRS). | The NRS has 1 item and scores range from 0 to 10. A higher score represents more leg pain. | Baseline to 12 months post-surgery |
| Opioid Use as measured by patient self-report. | A single-item patient-reported opioid use question that ask about current opioid use. | Baseline to 12 months post-surgery |
| Depression as measured by the Patient Reported Outcomes Measurement Information System (PROMIS) - Depression Domain | Depression 4-item short form will be used to measure depression. Responses for each item vary from Never, Rarely, Sometimes, Often, and Always. The lowest score is 4 and the highest score is 20, with higher scores indicating greater severity of depression.Total raw scores will be converted to T-scores. | Baseline to 12 months post-surgery |
| Pain self-efficacy as measured by the Pain Self-Efficacy Questionnaire (PSEQ) | PSEQ has 10 items and responses vary from Not at all confident to completely confident. The lowest score is 0 and the highest score is 60 with a higher score representing higher pain self-efficacy. | Baseline to 12 months post-surgery |
| Fear of movement as measured by theTampa Scale of Kinesiophobia. | The 17-item Tampa Scale of Kinesiophobia will be used to measure fear of movement. It has two sub-scales (activity avoidance and fear of pain) and the total score ranges from 17 to 68 with higher scores indicating greater fear of movement. | Baseline to 12 months post-surgery |