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NOT YET RECRUITING
NCT07313566
NA

R³ Rehab Pathway Versus Usual Care After Lumbar Radicular Surgery

Sponsor: Universitaire Ziekenhuizen KU Leuven

View on ClinicalTrials.gov

Summary

The R³ trial is a multicentre cluster randomized controlled trial evaluating an evidence-based, person-centred rehabilitation pathway for patients undergoing lumbar surgery for radicular pain. The pathway includes structured pre-, peri-, and postoperative rehabilitation, early postoperative mobilization, case management, early return-to-work (RTW) guidance, and patient empowerment. Clusters (hospitals) are randomized to implement the R³ pathway (intervention) or continue usual care (control). The primary aim is to determine whether the R³ pathway reduces time to return to work compared with usual care.

Official title: An Evidence-based Rehabilitation Pathway for Patients Undergoing Surgery for Lumbar Radicular Pain to Promote Return to Work: a Cluster Randomized Trial Comparison With Usual Care.

Key Details

Gender

All

Age Range

18 Years - 65 Years

Study Type

INTERVENTIONAL

Enrollment

480

Start Date

2026-02

Completion Date

2028-05

Last Updated

2026-01-08

Healthy Volunteers

No

Interventions

OTHER

R³ Rehabilitation Pathway

A structured evidence-based rehabilitation pathway, guided by a case manager, starting preoperatively to 1 year postoperatively, including prehabilitation, perioperative rehabilitation and postoperative rehabilitation, with emphasis on fear reduction by keeping activity restrictions minimal and relevant, eliminating bracing and on active guidance to work resumption.

Locations (16)

ZAS

Antwerp, Belgium

AZ Sint Jan Brugge

Bruges, Belgium

UZ Brussel

Brussels, Belgium

Grand Hôpital de Charleroi

Charleroi, Belgium

Ziekenhuis Geel

Geel, Belgium

ZOL Genk

Genk, Belgium

Jessa Ziekenhuis

Hasselt, Belgium

AZ Herentals

Herentals, Belgium

Jan Yperman ziekenhuis

Ieper, Belgium

AZ Groeninge Kortrijk

Kortrijk, Belgium

UZ Leuven

Leuven, Belgium

Heilig Hart Lier

Lier, Belgium

AZ Sint Maarten Mechelen

Mechelen, Belgium

CSPO

Ottignies, Belgium

AZ Delta Roeselare

Roeselare, Belgium

Centre Hospitalier de Wallonie Picarde

Tournai, Belgium