Development and Application of a Clinical Decision Support System for Exercise Rehabilitation in Patients With Osteoporotic Vertebral Compression Fractures

Development and Application of a Clinical Decision Support System for Exercise Rehabilitation in Patients With Osteoporotic Vertebral Compression Fractures

This study aims to develop a clinical decision support system for exercise rehabilitation in patients with osteoporotic vertebral compression fractures, based on evidence-based recommendations for postoperative exercise rehabilitation. The system is designed to provide individualized assessment and exercise interventions, monitor exercise behaviors, and deliver risk alerts, thereby promoting safe and standardized postoperative exercise training in OVCF patients. The ultimate objectives are to evaluate the feasibility and effectiveness of the system in increasing physical exercise participation, reducing sedentary time, and facilitating postoperative rehabilitation, without increasing fatigue or pain.

Inclusion Criteria:

• age between 18 and 55 years
• diagnosis of lumbar disc herniation requiring single-level lumbar fusion surgery - no previous history of lumbar surgery
• Surgical procedures performed by the same surgical team
• willingness to comply with the study protocol and restrictions
• availability of a home WiFi connection

Exclusion Criteria:

• lumbar surgery secondary to neoplasm, tuberculosis, infection, or inflammation
• postoperative infection or revision surgery
• presence of cauda equina syndrome
• diagnosis of schizophrenia, cognitive impairment, or other psychiatric disorders
• coexisting severe cardiovascular or cerebrovascular diseases, or congenital conditions precluding exercise participation.