Efficacy of Internet-Based Cognitive Behavioral Therapy for Back Muscle Strength Loss, Chronic Pain, and Poor Patient Recovery Perceptions After Lumbar Fusion

Jiawei Jiang

Status: Enrolling

Conditions: Internet-Based Cognitive Behavioral Therapy

Treatments: Behavioral: Internet-delivered cognitive behavioral therapy; Behavioral: Conventional Postoperative Care; Behavioral: Basic Postoperative Care

Study type: Interventional

Funder types: Other

Identifiers

NCT07030582

TWang

Details and patient eligibility

About

This study aims to develop an Internet-based Cognitive Behavioral Therapy protocol for core muscle training, based on an understanding of factors impeding postoperative core muscle training in lumbar surgery patients. The protocol is designed to reconstruct patients' cognition, eliminate adverse behaviors, and promote healthy behaviors such as core muscle training among LDH patients. The ultimate objectives are to alleviate postoperative pain, enhance lumbar stability, and facilitate disease rehabilitation in patients following lumbar surgery.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age between 18 and 55 years
• diagnosis of lumbar disc herniation requiring single-level lumbar fusion surgery - no previous history of lumbar surgery
• Surgical procedures performed by the same surgical team
• willingness to comply with the study protocol and restrictions
• availability of a home WiFi connection

Exclusion criteria

• lumbar surgery secondary to neoplasm, tuberculosis, infection, or inflammation
• postoperative infection or revision surgery
• presence of cauda equina syndrome
• diagnosis of schizophrenia, cognitive impairment, or other psychiatric disorders
• coexisting severe cardiovascular or cerebrovascular diseases, or congenital conditions precluding exercise participation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups

The intervention group

Experimental group

Description:

The research team developed a comprehensive core muscle training protocol based on internet-delivered cognitive behavioral therapy through the digital rehabilitation platform.

Treatment:

Behavioral: Basic Postoperative Care

Behavioral: Internet-delivered cognitive behavioral therapy

The control group

Active Comparator group

Description:

The control group received conventional postoperative care interventions

Treatment:

Behavioral: Basic Postoperative Care

Behavioral: Conventional Postoperative Care