Evaluation of a Digital Person-Centered Rehabilitation Program Targeting Physical Activity in Spinal Stenosis Surgery (Get Back)

Recruiting now · Not applicable

Conditions studied: Spinal Stenosis Lumbar

In brief

This study aims to investigate whether Get Back is more effective than standard rehabilitation in increasing the number of steps per day, improving physical activity levels, and functional ability for patients undergoing surgery for lumbar spinal stenosis (LSS). LSS is common, especially among older adults, leading to increased health risks and reduced quality of life. Despite its prevalence (about 60% of all spinal surgeries in Sweden), many LSS patients remain physically inactive post-surgery, worsening their health. Rehabilitation remains a global challenge with unequal access, and many patients feel disengaged from the process. Get Back is a digital rehabilitation program including three components: gradually increasing physical activity, managing fear and avoidance behaviors, and using behavior change techniques. It has shown promising results in a pilot study, increasing daily steps. The program uses a person-centered approach tailored to personal needs. This multicenter randomized controlled trial will assess efficacy, process, and cost-effectiveness. It will also explore how preoperative values such as physical capacity and psychological factors predict changes in daily steps after surgery. Data will be collected via questionnaires, functional tests, and interviews, with the primary outcome being daily steps measured with motion sensors. The study will involve 252 patients from four spinal clinics. Get Back promotes increased physical activity and accessible rehabilitation, contributing to better health for LSS patients.

Key facts

Study ID

NCT06935201

Run by

Sophiahemmet University

People needed

252

Starts

2025-05-12

Expected to finish

2028-05-01

Last updated by the study team

2026-04-28

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients planned for decompression surgery due to central lumbar spinal stenosis

You may not qualify if…

• Patients with malignancy under treatment or with metastases;
• History of neurological or other disorders resulting in severe movement dysfunction;
• Untreated or instable heart conditions that prohibits physical tests;
• Poor understanding of Swedish.

Where it is running

• Ryggkirurgiskt centrum Stockholm — Stockholm, Sweden (enrolling)
• Södersjukhuset — Stockholm, Sweden (enrolling)
• Akademiska sjukhuset — Uppsala, Sweden (enrolling)
• Capio Spine Center Göteborg — Västra Frölunda, Sweden (enrolling)

Full record on ClinicalTrials.gov

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