Actively Recruiting
Early Mobilization Following Elective Spine Surgery: Trial of In-bed Cycling
Led by Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal · Updated on 2026-04-02
88
Participants Needed
1
Research Sites
178 weeks
Total Duration
On this page
Sponsors
C
Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
Lead Sponsor
M
Medtronic Spine LLC
Collaborating Sponsor
AI-Summary
What this Trial Is About
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 spend in bed after elective spine surgery in adults. The main questions it aims to answer are: Does in-bed cycling on the day after surgery reduce the amount of time patients spend in bed over the next 24 hours? Does in-bed cycling reduce the length of hospital stay and improve participation during physiotherapy assessment? Researchers will compare patients who receive an in-bed cycling session plus standard postoperative care to patients who receive standard postoperative care alone to see if early in-bed cycling improves mobility and recovery after spine surgery. Participants will: Be randomly assigned to either a standard care group or an in-bed cycling group Wear a fitness tracker to measure activity levels and time spent in bed Receive standard postoperative care Complete a 30-minute in-bed cycling session on the day after surgery (intervention group only) Be monitored for pain and vital signs during the study period Undergo a physiotherapy assessment to evaluate mobility and participation
CONDITIONS
Official Title
Early Mobilization Following Elective Spine Surgery: Trial of In-bed Cycling
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Male or female 18 years old or older
- Undergoing elective spinal surgery (decompression with or without fusion, or fusion)
- Able to walk independently before surgery without assistance or wheelchair
- Admitted directly from operating room to the ward
- Hemodynamically stable with systolic blood pressure between 90 and 140 mmHg
- Oxygen saturation above 94%
- Heart rate between 50 and 100 beats per minute
- Approved for surgery after preoperative internal medicine evaluation
- Alert and conscious
- Provided valid informed consent
You will not qualify if you...
- Not able to walk independently before surgery
- Body Mass Index over 40 kg/m²
- Acute neurological spinal trauma
- Severe lower limb musculoskeletal impairments limiting ability to pedal in bed (e.g., severe osteoarthritis, hip fracture, amputation)
- Uncontrolled cardiovascular, respiratory, or diabetes conditions preventing surgery or intervention
- Expected hospital stay less than 2 days after surgery
- Surgery complications such as acute neurological deficit, dural tear, cerebrospinal fluid leak, or residual spinal instability
- Transfer to intensive care unit or hemodynamic instability
- Persistent hemodynamic instability with abnormal blood pressure, oxygen saturation, heart rate, or high temperature
- Abnormal blood glucose levels outside target ranges
- Confusion, disorientation, or agitation
- Already evaluated by physiotherapy for discharge or intensive rehabilitation
- Patient in isolation
- Already discharged
AI-Screening
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Trial Site Locations
Total: 1 location
1
Montreal Sacred Heart Hospital
Montreal, Quebec, Canada, H4J 1C5
Actively Recruiting
Research Team
J
Jean-Marc Mac-Thiong, M.D. P.h.D
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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