Timing of Rehabilitation After Cervical Spine Surgery in Degenerative Myelopathy

Is this trial a fit for you?

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 cervical myelopathy undergoing cervical spine surgery are randomized to begin rehabilitation either two weeks or six weeks after surgery. All participants receive twice-weekly physical therapy for eight weeks focusing on strength, balance, and walking, with assessments of walking, balance, activity, quality of life, and nervous system function. The trial aims to determine feasibility, acceptability, and whether earlier rehabilitation improves functional outcomes and participation after surgery. It is conducted at the University of Alberta in Edmonton, with collaboration from the Alberta Spine Foundation. Participants must be able to attend in-person rehab and be discharged home after surgery.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* adult (\>18 years of age) with diagnosis of degenerative cervical myelopathy, within 2 weeks of spinal decompression surgery
* plan to be discharged home from acute care (i.e., not admitted to another facility for post-operative rehabilitation)
* able to stand with a maximum of one-person assist (+/- use of gait aid)
* persistent functional impairment in lower extremity strength, balance, coordination, and/or gait
* ability to attend an 8-week in-person rehabilitation program in Edmonton, Alberta

Exclusion Criteria:

* discharge from acute care facility \> 2 weeks post-operative
* intra-operative or early post-operative complication delaying discharge or precluding participation in early rehabilitation

Where it's running

• University of Alberta
  Edmonton, Alberta, Canada Recruiting

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

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• Vagus nerve stimulation to help recovery after cervical spine decompression

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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.