New rehab pathway aims to get back-pain patients back to work sooner
NCT ID NCT07313566
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This trial tests a structured rehabilitation pathway for people having lumbar surgery for radicular pain (nerve-related back and leg pain). The pathway includes pre-surgery exercise, early movement after surgery, and active guidance to return to work. 480 participants across multiple hospitals will be randomly assigned to either this new rehab plan or usual care. The main goal is to see if the pathway reduces the time it takes to return to work.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- structured rehabilitation pathway (prehabilitation, perioperative and postoperative rehab, case management, early return-to-work guidance)
- What this could lead to
- If successful, this could provide a proven rehab plan that helps people get back to work sooner after back surgery.
- What could go wrong
- This is a relatively early-stage trial (cluster randomized) and the effect may vary across hospitals. The intervention is complex and may be hard to implement consistently.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 480 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2026
- Expected to finish
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May 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Radicular pain (for ≥ 6 weeks prior to screening), with a clear indication for lumbar spinal surgery ((micro)discectomy, decompression and/or fusion), in accordance with the KCE guidelines (when evidence-based multimodal management has not improved pain or function and radiological findings are consistent with clinical symptoms) * Employed (working or on sick leave for less than 1 year due to spinal pathology) * Age 18 - 65 years * Surgery is scheduled within a timeframe of five days to 2 months after the decision for surgery (4 months for fusion) * For lumbar fusion surgery, the fusion should be restricted to one or two levels * Able to provide written informed consent, implying that the participant is both physically and cognitively capable of understanding the study information and signing the consent form independently. Exclusion Criteria: Patients are not eligible for the trial in case of any of the following criteria: * Lumbar surgery performed for malignant disease, spinal fracture, infectious spinal disease * Insufficient knowledge of Dutch or French language to receive education in the recruiting center and to complete the questionnaires (consistent with the language spoken in the recruiting centre) * Immediate surgery via emergency admission that precludes prehabilitation * Revision fusion surgery * Non-residency in Belgium
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
16 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AZ Delta Roeselare
NOT_YET_RECRUITINGRoeselare, Belgium
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AZ Groeninge Kortrijk
NOT_YET_RECRUITINGKortrijk, Belgium
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AZ Herentals
NOT_YET_RECRUITINGHerentals, Belgium
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AZ Sint Jan Brugge
RECRUITINGBruges, Belgium
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AZ Sint Maarten Mechelen
NOT_YET_RECRUITINGMechelen, Belgium
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CSPO
NOT_YET_RECRUITINGOttignies, Belgium
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Centre Hospitalier de Wallonie Picarde
NOT_YET_RECRUITINGTournai, Belgium
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Grand Hôpital de Charleroi
NOT_YET_RECRUITINGCharleroi, Belgium
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Heilig Hart Lier
RECRUITINGLier, Belgium
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Jan Yperman ziekenhuis
NOT_YET_RECRUITINGIeper, Belgium
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Jessa Ziekenhuis
NOT_YET_RECRUITINGHasselt, Belgium
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UZ Brussel
NOT_YET_RECRUITINGBrussels, Belgium
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UZ Leuven
RECRUITINGLeuven, Belgium
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ZAS
NOT_YET_RECRUITINGAntwerp, Belgium
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ZOL Genk
RECRUITINGGenk, Belgium
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Ziekenhuis Geel
NOT_YET_RECRUITINGGeel, Belgium
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