Can a rehab program ease swallowing and breathing problems after neck surgery?
NCT ID NCT07814950
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Anterior cervical discectomy and fusion is a common neck surgery that can leave people with swallowing trouble, weaker breathing muscles, neck pain, and reduced quality of life. This trial tests whether a structured rehabilitation program improves those problems. Sixty adults who had single- or two-level surgery are assigned to either the rehabilitation program or standard postoperative care. The program runs three times a week for eight weeks and includes breathing exercises, inspiratory muscle training, swallowing and safe feeding education, neck and shoulder exercises, postural training, and walking. Researchers measure swallowing difficulty, respiratory muscle strength, lung function, neck pain and disability, neck movement, and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a structured postoperative rehabilitation program combining breathing exercises, swallowing training, and neck and shoulder exercises
- What this could lead to
- If it works, this could give surgeons and physiotherapists a clear rehabilitation plan to help people recover swallowing, breathing strength, and neck function after anterior cervical discectomy and fusion.
- What could go wrong
- This is a small single-center trial of 60 people, so the results may not apply to everyone or to other hospitals. Rehabilitation takes time and effort, and some participants may not complete all 24 sessions.
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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 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2026
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 70 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: * Aged 18-70 years * Having undergone elective single- or two-level ACDF for degenerative cervical disc disease, disc herniation, and/or cervical radiculopathy * Being clinically and hemodynamically stable after surgery * Having the surgeon's approval for rehabilitation * Being able to understand Turkish and follow instructions * Being able to walk independently or with an assistive device * Having sufficient cognitive ability to participate * Providing written informed consent Exclusion Criteria: * Fusion involving three or more cervical levels * Cervical surgery for trauma, tumor, infection, rheumatoid arthritis, or congenital deformity * Previous anterior cervical surgery or revision surgery * Posterior or combined cervical surgery * Tracheostomy * Severe preoperative dysphagia or neurological swallowing disorder * Neurological disease affecting swallowing * Uncontrolled cardiovascular or pulmonary disease * Advanced COPD, uncontrolled asthma, or active respiratory infection * Contraindication to inspiratory muscle training * Active malignancy or systemic infection * Severe cognitive, psychiatric, hearing, or communication disorder * New postoperative neurological deficit * Wound infection, implant complication, or need for additional surgery * Participation in another structured neck or respiratory rehabilitation program * Any condition preventing regular participation
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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 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
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