Prehab for Adult Spinal Deformity Surgery
Spinal Deformity
About this trial
This is an interventional supportive care trial for Spinal Deformity focused on measuring Prehabilitation, Exercise, Stress management, Nutrition
Eligibility Criteria
Inclusion Criteria:
- Candidates for spinal deformity surgery;
- recruited at least 12 weeks preoperatively;
- a frailty score of 0.27 or greater as indicated by the Modified Frailty index-11; and
- proficient in English to comprehend informed consent and intervention instructions
Exclusion Criteria:
- Refusal to be randomized;
- have significant comorbidity precluding participation in prehabilitation exercises (including Canadian Cardiovascular Society class III/IV coronary disease; New York Heart Association class III/IV congestive heart failure; neurological or musculoskeletal disorder prohibiting exercise; major neuropsychiatric disorder)
Sites / Locations
- University Health NetworkRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Prehabilitation
Usual care
This will include an individualized, light to moderate intensity resistance training and aerobic exercise components. Each prescribed session will include: a minute warm-up, aerobic exercise, resistance training, and a cool-down, but may be modified to accommodate the participants exercise ability. A registered dietitian will provide an individualized nutrition assessment and counselling session within the first week of prehabilitation and again in the week prior to surgery. A staff psychologist or psychology resident will deliver a ~60-minute psychoeducation session that focuses on stress management via relaxation, mindfulness, goal setting, and strategies to overcoming barriers to practice. In the week prior to surgery, participants will be offered a second consultation with the psychology team member to review their stress management experiences and provide further support for the acute perioperative period.
Usual care group will be asked to resume your typical lifestyle behaviours until the date of the surgery and will be provided with publicly available resources on physical activity, diet, and stress management.