Lumbar Spine Degenerative Changes
Conditions
Keywords
spine, lumbar, postoperative, physical activity
Brief summary
After recuperating from low back surgery patients often perpetuate a sedentary lifestyle because they are concerned about injury and recurrent pain. The objective of this study is to test the feasibility of a program to increase lifestyle walking starting several months after low back surgery.
Detailed description
The primary objective of this RCT is to compare energy expenditure from walking between an experimental group that receives a multi-component intervention based on the Health Belief Model of Behavior Change versus a control group. Patients who had surgery for a degenerative condition will be randomized postop when their surgeons deem them orthopedically stable to increase walking (at about 3 months).
Interventions
The education/self-efficacy group will 1) receive information about benefits of physical activity and national activity guidelines, 2) receive instruction on how to increase lifestyle walking, 3) use movement monitoring devices, 4) make a walking contract and 5) receive interval contract-directed encouragement from study personnel.
The education group will receive information about safe physical activity.
Sponsors
Study design
Eligibility
Inclusion criteria
* Inclusion Criteria: Patients will be eligible if they had lumbar surgery for a degenerative condition and their surgeon deems it safe for them to walk more. *
Exclusion criteria
Patients will be excluded if they had any new cardiopulmonary symptoms since surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weekly energy expenditure in kilocalories per week as measured by the Paffenbarger Physical Activity and Exercise Index | 16 weeks | Change in enrollment to 16-week Paffenbarger Physical Activity and Exercise Index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disability due to pain as measured by the Oswestry Disability Index | 16 weeks | Change in enrollment to 16-week Oswestry Disability Index |
Countries
United States