88 Participants NeededMy employer runs this trial

In-Bed Cycling for Post-Surgical Recovery

JM
Overseen ByJean-Marc Mac-Thiong, M.D. P.h.D
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

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.12345

Why 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

I have just had planned spinal surgery for decompression and/or fusion.
I am 18 years old or older.
Hemodynamically stable: SBP ≥ 90 mmHg and < 140 mmHg, Oxygen saturation > 94%, Heart rate: 50-100 bpm
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Exclusion Criteria

I am unable to walk before surgery.
Body Mass Index (BMI) > 40 kg/m²
Patient in isolation
See 11 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Treatment

Participants receive standard postoperative care with or without a 30-minute in-bed cycling session on postoperative day 1

1 day
In-hospital stay

Follow-up

Participants are monitored for pain, mobility, and time spent in bed using a wrist-based activity monitor until postoperative day 2

2 days
Continuous monitoring

Postoperative Monitoring

Participants are assessed for functional mobility, kinesiophobia, and postoperative complications

4 days

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

Group I: Standard Postoperative Care plus In-Bed CyclingExperimental Treatment1 Intervention
Group II: Standard Postoperative CareActive Control1 Intervention

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

Trials
17
Recruited
4,600+

Medtronic Spine LLC

Industry Sponsor

Trials
13
Recruited
1,700+

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 ...

EARLY 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 ...

In-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 ...