Study on the Application of Multimodal Prehabilitation Strategy in Patients Undergoing Lumbar Disc Fusion Surgery

Status

Active, not recruiting

Phases

Early Phase 1

Study type

Interventional

Source

ChiCTR

Registry ID

ChiCTR2600117012

Enrollment

Unknown

Registered

2026-01-19

Start date

2026-02-02

Completion date

Unknown

Last updated

2026-01-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lumbar Disc Herniation(LDH)

Interventions

Control Group:Routine preoperative education and perioperative nursing, including preoperative instructions, early postoperative mobilization, and routine nutritional advice, without systematic prehab

Trial Group:Multimodal Prehabilitation Strategy, based on ERAS principles and evidence-based research, encompasses three modules: 1. Exercise Intervention: Muscle strength grading assessment, aerobic

intensity adjusted within 1 week preoperatively based on the 6-minute walk test, frequency: 3 times per week. 2. Nutritional Support: NRS-2002 nutritional risk screening performed 1 week before surge

high-risk patients (>=3 points) receive high-protein oral nutritional supplements (ONS, >600 kcal/day)

low-risk patients optimize dietary structure, with target energy intake of 25–30 kcal/(kg·d) and protein intake of 1.5 g/(kg·d). On the day of surgery: solid foods withheld for 6 hours preoperatively,

once awake from anesthesia and without nausea or vomiting, oral water is permitted

4 hours postoperatively, initiate intake of porridge, juice, etc., not exceeding 200 mL. 3. Psychological Support: Assess anxiety and depression using the HADS scale

implement personalized psychological interventions including cognitive behavioral therapy, relaxation techniques, and peer support. All interventions are delivered by a multidisciplinary team (rehabi

Eligibility

Sex/Gender

All

Age

18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Definitely diagnosed with non-acute diseases (such as intervertebral disc herniation, spinal stenosis, degenerative scoliosis, etc.) and scheduled for elective single-segment or two-segment lumbar disc fusion surgery; 2. Age between 18 and 75 years; 3. Possessing certain communication skills and independent motor ability, able to understand and cooperate with prehabilitation intervention; 4. Informed of the study and voluntarily participating; 5. Complete clinical data of the patient.

Exclusion criteria

Exclusion criteria: 1. Neoplastic or infectious spinal diseases (such as vertebral tuberculosis, spinal metastatic carcinoma, etc.); 2. Those with severe cognitive impairment or mental illness; 3. Complicated with severe organic diseases or requiring special perioperative management; 4. Emergency surgery, intraoperative conversion of surgical methods, or those whose surgery is cancelled due to special circumstances; 5. Severe hearing, visual or language dysfunction that affects intervention and evaluation.

Design outcomes

Primary

Measure	Time frame
Oswestry Disability Index;Numerical Rating Scale;Barthel Index;	—

Secondary

Measure	Time frame
Quality of Life (SF-36) Score;Time to First Ambulation Postoperatively;Incidence of Complications;Length of Hospital Stay and Hospitalization Costs;	—

Countries

China

Contacts

Public ContactLiu Guilin

Shenzhen Guangming District People's Hospital

liuguilin0802@gmail.com+86 181 2608 0802

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026