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Clinical trial Recruiting at 1 site Interventional Ages 18 and up

In-bed cycling to promote early mobilization after elective spine surgery.

Official title: Early Mobilization Following Elective Spine Surgery: Prospective Randomized Trial of In-bed Cycling on Postoperative Day 1

Run by Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal · NCT07506720 · Data updated 2026-11-12

This study will test whether a 30-minute in-bed cycling session the day after elective spine surgery helps adults spend less time in bed and move more during recovery.

More Spine Metastases trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment88 (estimated)
SponsorCentre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
Academic / other
Locations1 site (Montreal, Quebec)
StatusRecruiting
StartedAugust 1, 2025
Main results expectedAugust 2028
Study endsJanuary 2029
Registry record updatedJune 22, 2026
Trial IDNCT07506720 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are ambulatory adults (≥18 years) having elective spinal decompression or fusion who are admitted directly to the ward and are hemodynamically stable and alert after surgery.

Probably not a fit

Patients unlikely to benefit include those who were non-ambulatory before surgery, have acute spinal trauma, severe lower-limb impairment that prevents pedaling, BMI over 40, or unstable medical conditions that preclude safe participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults having elective spine operations are randomly assigned to standard postoperative care alone or to standard care plus a single 30-minute in-bed cycling session on the day after surgery. Participants wear a fitness tracker to measure time spent in bed and overall activity, and researchers compare mobility, participation in physiotherapy, and length of hospital stay between groups. The trial enrolls ambulatory adults admitted directly from the operating room who meet basic hemodynamic and respiratory stability criteria. Outcomes focus on early postoperative activity over the first 24 hours and hospital recovery measures.

Why it matters

Potential benefit: If successful, in-bed cycling could reduce time spent immobilized after surgery, support earlier participation in rehabilitation, and shorten hospital stays.

How similar studies have gone: Portable in-bed cycling has been shown to be safe and feasible in critically ill patients, but direct evidence for elective spine surgery is limited and this application is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria 
Inclusion Criteria

Male or female ≥ 18 years old.

Postoperative #0 following elective spinal surgery: decompression with or without fusion, or fusion.

Patient able to walk independently before surgery (does not require assistance from another person and does not use a wheelchair).

Patient admitted directly from the operating room to the ward.

Hemodynamically stable:

Systolic blood pressure (SBP): ≥ 90 mmHg and \< 140 mmHg

Oxygen saturation \> 94%

Heart rate: 50-100 bpm

Patient approved for surgery after preoperative internal medicine evaluation.

Patient alert and conscious.

Valid informed consent obtained.

Exclusion Criteria

Non-ambulatory preoperatively.

Body Mass Index (BMI) \> 40 kg/m².

Acute neurological spinal trauma.

Non-neurological musculoskeletal impairment of the lower limbs (e.g., severe osteoarthritis, hip fracture, amputation) limiting the ability to pedal in bed.

Uncontrolled comorbidities preventing surgery or intervention (cardiovascular, respiratory, diabetes).

Expected hospital stay of less than 2 days after surgery.

Surgery-related complications: acute neurological deficit, dural tear, cerebrospinal fluid (CSF) leak, residual spinal instability.

Transfer to intensive care unit or hemodynamic instability.

Persistent hemodynamic instability: SBP \< 90 mmHg or \> 200 mmHg, oxygen saturation \< 88%, heart rate \< 50 or \> 100 bpm, temperature \> 38°C.

Capillary blood glucose outside target values: \< 4.0 or \> 7.0 mmol/L fasting or pre-meal, \< 5.0 and \> 10.0 mmol/L 2 hours post-meal.

Patient confused, disoriented, or agitated.

Patient already evaluated by physiotherapy for discharge planning or intensive functional rehabilitation.

Patient in isolation.

Patient already discharged.

Where it's running

  • Montreal Sacred Heart Hospital
    Montreal, Quebec, Canada     Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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Spine 6Post Surgery Patients 2Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal 7
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.