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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 – Lumbar Spinal Stenosis

The article discusses a pilot feasibility study conducted to determine if a digital program called Get Back can support patients with spinal stenosis to be physically active after surgery. Spinal stenosis is a common reason for elective spine surgery and often leads to decreased physical activity and increased health risks. The study involves 30 patients who are planned for decompression surgery and have low physical activity levels, pain catastrophizing, or fear of movement. The patients will be randomly allocated to either the Get Back program or usual physical therapy. The outcomes will include treatment fidelity, process feasibility, and variables related to the intervention content. The results of this study will inform the feasibility and potential effectiveness of Get Back in a larger randomized controlled trial for patients undergoing decompression surgery. The trial is registered at ClinicalTrials.gov with the registration number NCT05806593

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : finest spinal hospital 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…

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Pilot Feasibility Stud. 2024 Jan 26;10(1):16. doi: 10.1186/s40814-023-01433-9.ABSTRACTBACKGROUND: 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,

Pilot Feasibility Stud. 2024 Jan 26;10(1):16. doi: 10.1186/s40814-023-01433-9.

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.

PMID:38279131 | DOI:10.1186/s40814-023-01433-9

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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

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Pilot Feasibility Stud. 2024 Jan 26;10(1):16. doi: 10.1186/s40814-023-01433-9.ABSTRACTBACKGROUND: 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

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