Clinical trial Recruiting at 1 site Interventional Ages 18 to 55

Internet-based cognitive behavioral program to rebuild core strength after lumbar fusion

Official title: Efficacy of Internet-Based Cognitive Behavioral Therapy for Back Muscle Strength Loss, Chronic Pain, and Poor Patient Recovery Perceptions After Lumbar Fusion

Run by Affiliated 2 Hospital of Nantong University · NCT07030582 · Data updated 2026-11-12

This trial tests an internet-delivered cognitive behavioral therapy program to help adults who had single-level lumbar fusion for lumbar disc herniation improve core muscle training, reduce pain, and speed recovery.

Quick facts

Study typeInterventional
Ages18 Years to 55 Years
SexAll
Enrollment100 (estimated)
SponsorAffiliated 2 Hospital of Nantong University
Academic / other
Locations1 site (Nantong, Jiangsu)
StatusRecruiting
StartedDecember 1, 2023
Main results expectedJuly 31, 2027
Study endsDecember 31, 2027
Registry record updatedJune 22, 2025
Trial IDNCT07030582 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults 18–55 years old with single-level lumbar fusion for lumbar disc herniation, no prior lumbar surgery, treated by the study surgical team, willing to follow the protocol, and with home WiFi access.

Probably not a fit

Patients with postoperative infection, revision surgery, cauda equina syndrome, major psychiatric disorders, severe cardiovascular or cerebrovascular disease, congenital exercise restrictions, or those outside the age range are unlikely to benefit from this protocol.

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

What this trial studies

Researchers will develop an internet-based cognitive behavioral therapy (CBT) protocol focused on core muscle training by identifying and addressing cognitive and behavioral barriers to postoperative exercise. The program aims to change patients' beliefs, remove unhelpful behaviors, and encourage healthy habits such as core strengthening after lumbar fusion. The CBT intervention will be delivered online alongside standard postoperative care and compared with conventional postoperative care approaches. Key outcomes include postoperative pain, lumbar stability, and functional recovery over the rehabilitation period.

Why it matters

Potential benefit: If successful, the program could reduce postoperative pain, improve lumbar stability, and increase adherence to core strengthening to speed rehabilitation.

How similar studies have gone: Internet-delivered CBT has shown benefits for chronic low back pain and function in prior studies, but applying internet CBT specifically to postoperative core muscle training after lumbar fusion is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* age between 18 and 55 years
* diagnosis of lumbar disc herniation requiring single-level lumbar fusion surgery - no previous history of lumbar surgery
* Surgical procedures performed by the same surgical team
* willingness to comply with the study protocol and restrictions
* availability of a home WiFi connection

Exclusion Criteria:

* lumbar surgery secondary to neoplasm, tuberculosis, infection, or inflammation
* postoperative infection or revision surgery
* presence of cauda equina syndrome
* diagnosis of schizophrenia, cognitive impairment, or other psychiatric disorders
* coexisting severe cardiovascular or cerebrovascular diseases, or congenital conditions precluding exercise participation.

Where it's running

  • Affiliated 2 Hospital of Nantong University
    Nantong, Jiangsu, China
    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.
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.