Chain-management plan based on the IMB model after lumbar fusion
Official title: Application of Chain Management Based on the IMB Model in Patients With Kinesiophobia Following Lumbar Fusion Surgery
Run by Affiliated 2 Hospital of Nantong University · NCT07883785 · Data updated 2026-11-12
This study tests whether a chain-management approach based on the Information-Motivation-Behavioral Skills (IMB) model helps reduce kinesiophobia and improve pain and function after lumbar fusion surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 104 (estimated) |
| Sponsor | Affiliated 2 Hospital of Nantong University Academic / other |
| Locations | 1 site (Nantong, Jiangsu) |
| Status | Recruiting |
| Started | February 1, 2024 |
| Main results expected | February 1, 2028 |
| Study ends | October 1, 2028 |
| Registry record updated | October 20, 2026 |
| Trial ID | NCT07883785 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults ≥18 with degenerative spinal disease, undergoing their first posterior lumbar decompression and fusion, who have a TSK score greater than 37 within 48 hours after surgery.
✕Probably not a fit
Patients with other spine conditions, inability to perform functional exercises, active malignancy, organ damage, or cognitive impairment may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with degenerative spinal disease undergoing their first posterior lumbar decompression and interbody fusion are randomized to receive IMB-based chain management in addition to routine postoperative nursing care or routine care alone. The IMB-based program aims to improve information, motivation, and behavioral skills to support rehabilitation, with outcomes measured at multiple time points after surgery. Primary outcomes include kinesiophobia (TSK) and pain (NRS); secondary outcomes include lumbar function (ODI) and spinal posture indicators such as trunk deviation angle, pelvic torsion angle, and vertebral rotation. This trial seeks to determine if the IMB-based approach can enhance postoperative rehabilitation and lumbar stability.
Why it matters
Potential benefit: If successful, patients may experience lower fear of movement, less pain, better lumbar function, and improved post-surgical recovery.
How similar studies have gone: Previous work in rehabilitation has shown promise for IMB-model–based approaches in related conditions, but this specific application after lumbar fusion is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Confirmed diagnosis of degenerative spinal disease * First-time treatment with posterior lumbar decompression and interbody fusion, with stable vital signs after surgery * Age ≥18 years * TSK (Tampa Scale of Kinesiophobia) score \>37 within 48 h after surgery Exclusion Criteria: * Concomitant other lumbar spine-related medical history and inability to perform functional exercises * Malignancy or concomitant damage to important organs such as the brain, heart, and lungs * Cognitive impairment
Where it's running
-
Affiliated 2 Hospital of Nantong University, Nantong, Jiangsu 0513
Nantong, Jiangsu, China Recruiting
Study contacts
- Study coordinator: Qin Xuan
- Email: 1061867253@qq.com
- Phone: 15189406162
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.