Other Clinical Trials
A Randomized Controlled Pilot Trial Evaluating Virtual Reality–Based Cognitive Behavioral Therapy (VR‑CBT) as a Prehabilitation Intervention for Adult Spinal Deformity Surgery
What is the purpose of this study?
The main goal of this study is to find out if VR-CBT prehabilitation leads to greater improvement in pain levels and functional mobility compared to standard CBT-only prehabilitation in patients undergoing adult spinal deformity surgery.
Eligibility
Participants must meet all of the following criteria to be eligible for study enrollment:
Adults between 18 and 75 years old
Diagnosis of thoracolumbar adult spinal deformity, including but not limited to adult scoliosis, kyphosis, or spondylolisthesis, confirmed radiographically using SRS-Schwab classification criteria.
Scheduled for elective spinal surgery involving the fusion of more than four spinal levels
Moderate to severe chronic pain, assessed using the Visual Analog Scale (VAS) or Numeric Rating Scale (NRS).
Ability to take part in an 8-week preoperative prehabilitation program
Adequate cognitive functioning and English skills to engage in CBT or VR-CBT treatments.
Ability to give written informed consent and adhere to study procedures and follow-up visits.
Participants meeting any of the following criteria will be excluded:
Require legally authorized representative (LAR)
Neurological conditions that significantly impact cognition or mobility
Active spinal infection, malignancy, or significant spinal trauma
Unmanaged medical conditions that could affect participation in the study
Pregnancy or plans to become pregnant during the study period
Severe visual impairment, claustrophobia, or other conditions that prevent safe use of VR technology
Cognitive impairment preventing adherence to study procedures
History of non-compliance with medical treatment or failure to adhere to study visits and follow-up.
Where can I participate?
Hoag Spine Institute: Irvine
16405 Sand Canyon Avenue, Suite 200
Irvine, CA 03618
- Disease Type/ConditionPrehabilitation Intervention for Spinal Deformity Surgery
- Principal InvestigatorPawel P. Jankowski, MD
- Age GroupAdult
- How do I learn more about this study?Laurie Hendricks, MSN, RN, OCN
laurie.hendricks@hoag.org
More information: Hoag Spine Institute
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