Physiotherapy After Anterior Cervical Spine Surgery
Cervical Disc Disease, Radiculopathy, Cervical
About this trial
This is an interventional treatment trial for Cervical Disc Disease focused on measuring Spine, Disc, Neck pain, Rehabilitation, Exercise Therapy, Internet
Eligibility Criteria
Inclusion Criteria:
Inclusion criteria for each surgical department:
• Record data in Swespine
Inclusion criteria for surgery:
- Cervical disc disease, confirmed by MRI data compatible with clinical findings (neurological examination performed by neck surgeon i.e. neurosurgeon/orthopaedic surgeon) that show nerve root compression in the cervical spine.
- Radiculopathy with pain in one or both arms, with or without sensory and/or motor deficit
- At least 3 months of persistent arm pain
Inclusion criteria for the study:
- ACDF due to cervical disc disease (disc herniation with or without osteophytes, or stenosis caused by osteophytes) in one or two segmental levels
- Aged 18-75 years
- Residual disability (approximately) 3 months after surgery (at the re-visit to the surgeon/ physiotherapist at the neurosurgery/ neuroorthopedic clinic) in terms of the Neck Disability Index (NDI ≥30%).
- Access to a computer/tablet/smartphone and the Internet
- Motivated to exercise
Exclusion Criteria:
Exclusion criteria:
- Myelopathy
- Previous fracture or dislocation of the cervical spine
- Malignancy or benign spinal tumour (e.g. neuromas)
- Spinal infection, ongoing post-operative infection, or previous spondylodiscitis
- Previous cervical spine surgery
- Factors that are contraindicated for study participation or which hinder treatment or follow-up because of systemic disease, physical or mental illness, injury, inconvenience, or postoperative complications.
- Known alcohol/drug abuse
- Lack of ability to write/comprehend/or express oneself in the Swedish language
Sites / Locations
- Anneli PeolssonRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Prescribed Physical Activity
Exercises with Internet support
General physical exercises combined with 3 visits at a physiotherapy clinic (plus an additional first visit), exercises mainly performed outside the health care system during 12 weeks.
Neck-specific exercises with Internet support combined with 3 visits at a physiotherapy clinic (plus an additional first visit), exercises mainly performed outside the health care system during 12 weeks.