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Get Back, A Person-Centred Digital Programme Targeting Physical Activity For Patients Undergoing Spinal Stenosis Surgery-A Study Protocol Of A Randomized Feasibility Study London Spine Lumbar Stenosis

The article discusses a feasibility study on a digital program called Get Back that aims to support patients with spinal stenosis in being physically active after surgery. The study includes 30 patients who are planned for decompression surgery and have low physical activity, pain catastrophizing, or fear of movement. The patients are randomly assigned to either the Get Back program or usual physical therapy. The outcomes of the study include treatment fidelity, process feasibility, and variables related to the intervention content. The results of the study will determine whether Get Back is feasible and can be evaluated for effectiveness in a larger trial. The trial is registered at ClinicalTrials.gov. Keywords for the study include feasibility, physical activity, physiotherapy, spine disease, and eHealth

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established spine centre in the world

Published article

BACKGROUND: Spinal stenosis is the most common reason for elective spine surgery, and the cardinal symptom is leg pain and discomfort when walking. Patients with spinal stenosis have a decreased level of physical activity and thereby an increased risk of poor health. Get Back is a person-centred digital programme that strives to support patients being physically active after surgery. The aim is to explore if Get Back, in its present format (referred to as Get Back(feasibility)), is feasible and…

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract Background: Spinal stenosis is the most common reason for elective spine surgery, and the cardinal symptom is leg pain and discomfort when walking. Patients with spinal stenosis have a decreased level of physical activity and thereby an increased risk of poor health. Get Back is a person-centred digital programme that strives to support patients,

Abstract

Background: Spinal stenosis is the most common reason for elective spine surgery, and the cardinal symptom is leg pain and discomfort when walking. Patients with spinal stenosis have a decreased level of physical activity and thereby an increased risk of poor health. Get Back is a person-centred digital programme that strives to support patients being physically active after surgery. The aim is to explore if Get Back, in its present format (referred to as Get Backfeasibility), is feasible and contributes to detectable change in variables related to intervention content.

Methods: Thirty patients planned for decompression surgery due to central lumbar spinal stenosis who present with low physical activity, pain catastrophizing or fear of movement, will be included in a randomized feasibility study. All patients will be randomly allocated to either Get Backfeasibility or usual physical therapy. Get Backfeasibility aims to increase the patient’s physical activity level by combining a person-centred and cognitive behavioural approach. It comprises 10 video and telephone sessions led by a physical therapist over 12 weeks (pre/postoperatively). Outcomes are treatment fidelity (treatment dose, adherence, and content), process feasibility (recruitment, intervention use, and acceptability of measurements and intervention), and variables related to the intervention content (steps per day, physical activity level, pain catastrophizing, fear of movement, and general self-efficacy). Treatment fidelity and feasibility data will be assessed during the full study period (12 weeks). Physical activity, physical capacity, and patient-reported outcomes will be assessed digitally at baseline (2 weeks preoperatively) and 11-12 weeks postoperatively. Variables related to the intervention content will be monitored weekly through a digital application. Feasibility data will be analysed descriptively and inferentially using a nonparametric approach, data from repeated measures will be displayed graphically and data from telephone interviews will be analysed using content analysis with a descriptive manifest approach.

Discussion: The results will provide information on whether Get Back in its present format is feasible and can be evaluated for effectiveness in a larger randomized controlled trial, for patients with a low physical activity level and a high fear of movement who are undergoing decompression surgery.

Trial registration: Registered at ClinicalTrails.gov 04/08/2023, registration no. NCT05806593.

Keywords: Feasibility; Physical activity; Physiotherapy; Spine disease; eHealth.

The London Spine Unit : most established spine centre in the world

Read the original publication:

Get Back, a person-centred digital programme targeting physical activity for patients undergoing spinal stenosis surgery-a study protocol of a randomized feasibility study

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Abstract Background: Spinal stenosis is the most common reason for elective spine surgery, and the cardinal symptom is leg pain and discomfort when walking. Patients with spinal stenosis have a decreased level of physical activity and thereby an increased risk of poor health. Get Back is a person-centred digital programme that strives to support patients
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