Early Mobilization After Elective Spine Surgery Using In-Bed Cycling to Improve Recovery and Reduce Bed Time

What this Trial Is About

Researchers are evaluating whether early mobilization using an in-bed cycling device can reduce the amount of time adults spend in bed after elective spine surgery. This trial aims to determine if a single session of in-bed cycling on the day after surgery decreases time spent in bed during the next 24 hours, shortens hospital stays, and improves participation in physiotherapy assessments. Early mobilization is known to reduce postoperative complications and improve recovery, but many patients remain inactive during the first postoperative day due to barriers such as limited physiotherapy resources and safety concerns. Participants are randomly assigned to either receive standard postoperative care alone or standard care plus a supervised 30-minute in-bed cycling session on postoperative day 1. The cycling is done using a portable ergometer in active or active-assisted mode while participants are monitored for heart rate, blood pressure, and oxygen levels. Both groups receive routine nursing care and assistance with mobilization, while the intervention group performs a structured cycling session. During the study, participants wear a wrist-based activity monitor continuously until postoperative day 2 to track activity levels and time spent in bed. Researchers assess pain, fear of movement, functional mobility, and participation in physiotherapy. The primary outcome is functional mobility measured on postoperative days 1 and 2. Secondary outcomes include hospital length of stay, fear of movement, time spent in bed, pain intensity, and postoperative complications. Data confidentiality is maintained, and safety is closely monitored throughout the trial.

Early Mobilization Following Elective Spine Surgery: Trial of In-bed Cycling