Effects of a Prehabilitation Program in Patients Undergoing Lumbar Radiculopathy Surgery

Study Overview
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Brief Summary
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The purpose of the following study is to analyze the effects of a prehabilitation program based on therapeutic exercise, back care education and pain neuroscience education through the visualization of videos, compared to standardized written therapeutic exercise in patients undergoing lumbar radiculopathy surgery.

Detailed Description
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So far, there are no previous studies that analyze the effects of a prehabilitation program including therapeutic exercise, back care education and pain neuroscience education through the visualization of videos in patients undergoing lumbar radiculopathy surgery. This is a multicenter randomized clinical trial aimed at analyzing the effects of a 4 weeks prehabilitation program based on video visualization versus the performance of standardized written exercises in patients undergoing lumbar radiculopathy surgery.

Official Title
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Effects of a Prehabilitation Program Based on Therapeutic Exercise, Back Care Education and Neuroscience Pain Education in Patients Undergoing Lumbar Radiculopathy Surgery

Conditions
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Lumbar Radiculopathy

Intervention / Treatment
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* Other: Physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults aged 18 years or older, diagnosed with lumbar radiculopathy, and scheduled for surgery. The symptoms will be predominantly leg pain with or without neurological deficit, with surgical decompression justified. Exclusion Criteria: Patients currently receiving any other non-pharmacological treatment or physical therapy for the management of lumbar radiculopathy. Proposed for surgery with instrumentation (e.g., spinal fusion, arthrodesis). Suffering from a chronic pain-related condition (e.g., fibromyalgia, chronic fatigue syndrome). Symptoms of spinal cord compression. Diagnosed with a malignant tumor. Mental illness. Previously undergone spinal surgery. No access to any internet-enabled device.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Therapeutic exercise, back care and pain neuroscience education group<br> | Other: Physiotherapy<br>* The intervention involves the visualization of different videos explaining the performance of lumbar strengthening exercises, measures for back care, and neuroscience pain education.<br>|
| Active Comparator: Standarized written exercise group<br> | Other: Physiotherapy<br>* The intervention involves the visualization of different videos explaining the performance of lumbar strengthening exercises, measures for back care, and neuroscience pain education.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oswestry Disability Index (ODI) | Disability score (0-100). Higher score indicates higher disability. | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| SF-McGill Pain Questionnaire (SF-MGPQ) | Pain score (0-45). Higher score indicates higher pain level | 4 weeks | 
| Numerical Rating Scale (NRS) | Pain score 0-10. Higher score indicates higher pain intensity. | 4 weeks | 
| EuroQol-5D (EQ-5D) | Quality of life score (-0.5 to 1).Higher score indicates higher health-related quality of life | 4 weeks | 
| Fear avoidance beliefs questionnaire (FABQ) | FABQ-Work subscale (ranging from 0 to 42) and FABQ-Physical Activity subscale (ranging from 0 to 24). Higher score indicates more signs of fear avoidance | 4 weeks | 
| Hospital Anxiety and Depression Scale (HADS) | Anxiety and depression score (0-21). Hhigher score indicates greater symptoms of anxiety and depression. | 4 weeks | 
| Pain catastrophizing scale (PCS) | pain catastrophizing score (0-52). Higher scores indicate greater pain catastrophizing | 4 weeks | 
| Tampa scale for kinesiophobia (TSK-11SV) | kinesiophobia score (11-44). Higher scores indicate greater kinesiophobia | 4 weeks | 
| International Physical Activity Questionnaire (IPAQ) | Physical activity level (MET minutes a week). Higher scores indicate higher physical activity level | 4 weeks |