In-Bed Cycling for Post-Surgical Recovery
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether using an in-bed cycling device immediately after spine surgery can help patients get out of bed sooner and leave the hospital faster. It compares patients who complete a 30-minute in-bed cycling session with those receiving standard care. The goal is to determine if cycling improves mobility and recovery. Individuals who had elective spine surgery and could walk independently before surgery might be suitable candidates. Participants will also wear a fitness tracker to measure activity and time spent in bed. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance recovery for future spine surgery patients.
Do I need to stop my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this in-bed cycling device is safe for post-surgical recovery?
Research has shown that in-bed cycling is generally safe and manageable, even for people in intensive care units. Studies have found that using this cycling device in hospitals does not cause serious side effects. For instance, one study found that patients could use in-bed cycling without major problems, and it even helped them recover faster by improving their movement abilities. Another study noted that in-bed cycling reduced the time patients needed to stay in intensive care and the hospital overall, suggesting it can be a helpful part of recovery plans.
Overall, evidence supports that in-bed cycling is safe for patients recovering from surgery and may enhance their recovery process.12345Why are researchers excited about this trial?
Researchers are excited about in-bed cycling for post-surgical recovery because it introduces a novel approach to speeding up rehabilitation right from the comfort of the hospital bed. Unlike standard postoperative care, which typically involves routine mobilization with the help of nursing staff, this method uses a portable ergometer to facilitate early physical activity. By engaging patients in a supervised 30-minute cycling session just one day after spine surgery, it aims to enhance recovery by improving circulation and muscle activity without the need to leave the bed. This innovative technique could lead to faster recovery times and potentially reduce hospital stays.
What evidence suggests that in-bed cycling is effective for post-surgical recovery?
Research has shown that using a stationary bike while in bed can aid recovery after surgery. In this trial, one group of participants will receive standard postoperative care plus a single supervised 30-minute in-bed cycling session on postoperative day 1. Studies have found that this activity can shorten hospital stays and improve physical abilities, particularly for very sick patients. For those in intensive care units (ICU), adding in-bed cycling to their care routine has led to faster recoveries and shorter ICU stays. Early results suggest that even one session of in-bed cycling can accelerate patients' mobility. This method is considered a safe and effective way to enhance movement and support recovery.24567
Are You a Good Fit for This Trial?
This trial is for adults (18+) who can walk on their own before surgery and are recovering from elective spine surgery. Participants must be stable after surgery, alert, able to give consent, and not have severe health issues or complications that would prevent safe participation.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive standard postoperative care with or without a 30-minute in-bed cycling session on postoperative day 1
Follow-up
Participants are monitored for pain, mobility, and time spent in bed using a wrist-based activity monitor until postoperative day 2
Postoperative Monitoring
Participants are assessed for functional mobility, kinesiophobia, and postoperative complications
What Are the Treatments Tested in This Trial?
Interventions
- In-bed Cycling
Trial Overview
The study compares standard post-surgery care with and without a single in-bed cycling session the day after spine surgery. Patients are randomly assigned to either group. Activity levels, time spent in bed, pain, and mobility will be monitored using fitness trackers and physiotherapy assessments.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants in this arm receive usual postoperative care following elective spine surgery plus a single supervised 30-minute in-bed cycling session on postoperative day 1. Cycling is performed using a portable ergometer in active or active-assisted mode under continuous physiological monitoring.
Participants in this arm receive usual postoperative care following elective spine surgery, including standard nursing care and routine assistance with mobilization according to institutional practice. No in-bed cycling session is performed.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
Lead Sponsor
Medtronic Spine LLC
Industry Sponsor
Citations
Effects of in-bed cycling in critically ill adults
In-bed cycling plus rehabilitation significantly reduced ICU and hospital length of stay, mechanical ventilation duration and improved functional status ...
Early Mobilization Following Elective Spine Surgery: Trial ...
The goal of this clinical trial is to learn if early mobilization using an in-bed cycling device can reduce the amount of time patients ...
3.
researchgate.net
researchgate.net/publication/400190723_EARLY_IN-BED_CYCLING_FOR_PATIENTS_POST_ELECTIVE_SPINAL_SURGERY_A_PILOT_STUDYEARLY IN-BED CYCLING FOR PATIENTS POST ...
Bedside cycling as an early mobilization protocol is feasible and safe in the immediate post-operative period for elective spine surgery ...
4.
journals.lww.com
journals.lww.com/md-journal/fulltext/2026/02200/in_bed_cycling_for_adult_intensive_care_patients_.81.aspxIn-bed cycling for adult intensive care patients: A systematic
Results: Data from 41 randomized controlled trials (n = 3781) show that adding passive/active IBC to routine ICU rehabilitation improves Medical ...
Feasibility and safety of in-bed cycling for physical ...
Purpose: The purpose was to evaluate the feasibility and safety of in-bed cycle ergometry as part of routine inten- sive care unit (ICU) physical therapist ...
In-bed cycling for adult intensive care patients - PMC - NIH
The safety and feasibility of IBC in ICU patients have been documented, alongside several potential benefits such as improved motor function, reduced muscle ...
A Randomized Clinical Trial of Early In-bed Cycling for ...
Patients will receive 30 minutes of in-bed cycling once per day, 5 days per week, while they remain in the ICU, for up to a maximum of 28 days. They will also ...
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