Feasibility of a Person-centred Digital Program Targeting Physical Activity in Spinal Stenosis Surgery (GetBack)
Spinal Stenosis Lumbar
About this trial
This is an interventional treatment trial for Spinal Stenosis Lumbar focused on measuring Health promotion, Person-centred care, Physical activity, Behavioral medicine, Telehealth
Eligibility Criteria
Inclusion Criteria: Patients planned for decompression surgery (no fusion) due to central lumbar spinal stenosis reporting a low level of physical activity (do not meet WHO´s physical activity recommendations of minimum 150 min moderate intensity per week), and one of the following criteria at preoperative screening; fear of movement (Tampa Scale of Kinesiophobia (TSK) ≥ 37) and/or pain catastrophizing (Pain Catastrophizing Scale (PCS) >30). Exclusion Criteria: Patients with malignancy, severe neurological -or rheumatic disease, idiopathic scoliosis, isthmic spondylolisthesis not able to understand written information and communicate in Swedish
Sites / Locations
- Capio Spine Center GöteborgRecruiting
- Ryggkirurgiskt centrum StockholmRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention (Get Back pilot)
Control (standard physiotherapy)
The intervention includes 5 core sessions (video call) and 5 booster sessions (telephone) over 12 weeks (1 week before until 11 weeks after surgery). All sessions will be led by a physiotherapist. The focus of each core session (1-5) is as follows: To establish the patient as an active, equal partner in the treatment and to formulate a shared health plan according to person-centred care. To reduce the threat value of postoperative pain and increase the patient's knowledge about the biopsychosocial nature of pain and positive effects of physical activity. To detect barriers for postoperative physical activity and to support the patient to gradually start increasing physical activity. To increase approach behavior for physical activity and reduce avoidance behavior by confronting fears and move towards personal goals. To support the patient to independently continue with activity progress towards long term health and to formulate a maintenance plan.
The control group will follow standard physical therapy, meaning physical therapy as it is provided at each recruiting site when undergoing surgery due to spinal stenosis. As this may differ substantially between clinical sites nationally, data on frequency of physical therapy and the content of the physical therapy sessions during the study period will be collected as a control variable weekly from the control group.