Function After Spinal Treatment, Exercise and Rehabilitation: Improving the functional outcome of spinal surgery

Not Applicable

Completed

Conditions: Spinal lateral root stenosis and discectomy
Surgery
Spinal surgery

Registration Number: ISRCTN46782945

Lead Sponsor: Arthritis Research Campaign (ARC) (UK)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 344

Inclusion Criteria

Current inclusion criteria as of 26/06/2008:
Eligible patients at participating hospitals are those currently on the waiting list for spinal surgery with either:
1. Signs, symptoms and radiological evidence of lateral nerve root compression, that is, patients presenting with radicular pain with an associated neurological deficit or with neurogenic claudication (pain in the buttock, thigh or leg that improves with rest), or
2. Lumbar disc prolapse, that is, patients with root symptoms and signs and magnetic resonance imaging (MRI) confirmation of lumbar disc herniation

Previous inclusion criteria:
People with low back and leg pain

Exclusion Criteria

Added as of 26/06/2008:
1. Any condition where either the intervention or the rehabilitation may have an adverse effect on the individual
2. Previous spinal surgery
3. Spinal surgery where a fusion procedure is planned due to the unknown hazards of the activity programme for this type of surgery
4. Pregnant women
5. Inadequate ability to complete the trial assessment forms
6. Any patient who is unable to attend the rehabilitation or the reviews or who is unsuitable for rehabilitation classes
7. Unable to complete outcome measures

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Added as of 26/06/2008:<br>Oswestry Disability Index

Secondary Outcome Measures

Name	Time	Method
Added as of 26/06/2008:<br>1. An economic analysis based on costs and EQ-5D (a validated, global measure of quality of life)<br>2. Visual analogue scales of back and leg pain<br>3. Measures of patient expectations and satisfaction<br>4. Return to work<br>5. Frequency of re-operation<br>6. Hospital Anxiety and Depression Scale (HADS)<br>7. Physical activity scale of the Fear Avoidance Beliefs Questionnaire