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The purpose of the following study is to analyze the effects of a prehabilitation program based on therapeutic exercise, back care education and pain neuroscience education through the visualization of videos, compared to standardized written therapeutic exercise in patients undergoing lumbar radiculopathy surgery.
So far, there are no previous studies that analyze the effects of a prehabilitation program including therapeutic exercise, back care education and pain neuroscience education through the visualization of videos in patients undergoing lumbar radiculopathy surgery.
This is a multicenter randomized clinical trial aimed at analyzing the effects of a 4 weeks prehabilitation program based on video visualization versus the performance of standardized written exercises in patients undergoing lumbar radiculopathy surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Therapeutic exercise, back care and pain neuroscience education group | Experimental |
| |
| Standarized written exercise group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physiotherapy | Other | The intervention involves the visualization of different videos explaining the performance of lumbar strengthening exercises, measures for back care, and neuroscience pain education. |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry Disability Index (ODI) | Disability score (0-100). Higher score indicates higher disability. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| SF-McGill Pain Questionnaire (SF-MGPQ) | Pain score (0-45). Higher score indicates higher pain level | 4 weeks |
| Numerical Rating Scale (NRS) | Pain score 0-10. Higher score indicates higher pain intensity. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| María Dolores Arguisuelas | Contact | 96 136 90 00 | doloresarguisuelas@uchceu.es | |
| María Dolores Arguisuelas | Contact | doloresarguisuelas@uchceu.es |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arguisuelas Martinez Maria Dolores | Valencia | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29253630 | Background | Lindback Y, Tropp H, Enthoven P, Abbott A, Oberg B. PREPARE: presurgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial. Spine J. 2018 Aug;18(8):1347-1355. doi: 10.1016/j.spinee.2017.12.009. Epub 2017 Dec 15. | |
| 23478459 | Background | Louw A, Butler DS, Diener I, Puentedura EJ. Development of a preoperative neuroscience educational program for patients with lumbar radiculopathy. Am J Phys Med Rehabil. 2013 May;92(5):446-52. doi: 10.1097/PHM.0b013e3182876aa4. |
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| ID | Term |
|---|---|
| D011843 | Radiculopathy |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| 4 weeks |
| EuroQol-5D (EQ-5D) | Quality of life score (-0.5 to 1).Higher score indicates higher health-related quality of life | 4 weeks |
| Fear avoidance beliefs questionnaire (FABQ) | FABQ-Work subscale (ranging from 0 to 42) and FABQ-Physical Activity subscale (ranging from 0 to 24). Higher score indicates more signs of fear avoidance | 4 weeks |
| Hospital Anxiety and Depression Scale (HADS) | Anxiety and depression score (0-21). Hhigher score indicates greater symptoms of anxiety and depression. | 4 weeks |
| Pain catastrophizing scale (PCS) | pain catastrophizing score (0-52). Higher scores indicate greater pain catastrophizing | 4 weeks |
| Tampa scale for kinesiophobia (TSK-11SV) | kinesiophobia score (11-44). Higher scores indicate greater kinesiophobia | 4 weeks |
| International Physical Activity Questionnaire (IPAQ) | Physical activity level (MET minutes a week). Higher scores indicate higher physical activity level | 4 weeks |
| 30921465 | Background | Goudman L, Huysmans E, Ickmans K, Nijs J, Moens M, Putman K, Buyl R, Louw A, Logghe T, Coppieters I. A Modern Pain Neuroscience Approach in Patients Undergoing Surgery for Lumbar Radiculopathy: A Clinical Perspective. Phys Ther. 2019 Jul 1;99(7):933-945. doi: 10.1093/ptj/pzz053. |