Examining the Effectiveness of Exercise Training After Cervical Laminoplasty Surgery
Status: Recruiting

The goal of this clinical trial is to compare the effects of the stabilization exercise program applied after cervical laminoplasty surgery compared to standard exercise on pain, dysfunction, normal joint movement, proprioception, balance, muscle endurance, postural alignment and related factors (kinesiophobia, awareness, quality of life, disability, physical activity level). The main question[s] it aims to answer are:

Does the exercise program applied after cervical laminoplasty surgery have an effect on pain, dysfunction, normal joint movement, proprioception, balance, muscle endurance, postural alignment and related factors (kinesiophobia, awareness, quality of life, disability, physical activity level)?
Does the stabilization exercise program applied after cervical laminoplasty surgery have an effect on pain, dysfunction, normal joint movement, proprioception, balance, muscle endurance, postural alignment and related factors (kinesiophobia, awareness, quality of life, disability, physical activity level)?

Patients will start their first exercise session on the day they will be discharged from the hospital. Patients in both exercise groups will be provided with cervical normal joint movement (ROM), posture and patient education on the day of discharge. They will be asked to do posture exercises and neck exercises under the guidance of a physiotherapist. Patients in the stabilization exercise group (experiment) will undergo stabilization exercises under the supervision of a physiotherapist, in addition to the practices in the standard exercise group. Both groups will do a warm-up program before exercise and a cool-down program afterwards. Patients will be asked to do the exercises face to face with a physiotherapist 3 days a week. The first evaluations will be made on the day they come to the outpatient clinic for examination before surgery. Post-surgical evaluations will be made routinely after the exercise program is completed, when they are called by the physician for a check-up (6th week).

Researchers will compare the standard exercise group with the stabilization exercise group to see if pain, dysfunction, normal joint movement, proprioception, balance, muscular endurance, postural alignment and related factors (kinesiophobia, awareness, quality of life, disability, physical activity level) are different.

Eligibility:
- EligibilityCriteria: Inclusion Criteria:  Confirmed diagnosis of cervical pathologies identified by clinical symptoms and imaging Patients who are indicated to undergo cervical laminoplasty by a specialist in spine surgery Volunteering to participate in the study Becoming literate in Turkish  Exclusion Criteria:  Having had previous spine surgery Having any neurological, cardiopulmonary, orthopedic, metabolic, vestibular problems that may affect evaluation and exercise application Malignancy or spinal tumor Spine infection Fracture or traumatic subluxation of cervical vertebrae after surgical procedure Severe axial or extremity pain after surgery, presence of hyperesthesia that makes activity difficult, or extremity paralysis Not attending 3 consecutive exercise sessions or participating less than 80% in the total exercise session - HealthyVolunteers: No - Gender: All - StdAgeList: Child, Adult, Older Adult