[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"postoperative-dysphagia\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:postoperative-dysphagia":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":31,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":4},"100655684","rehabilitation-after-anterior-cervical-discectomy-and-fusion-100655684",false,"NCT07814950","Rehabilitation After Anterior Cervical Discectomy and Fusion","Effects of Rehabilitation After Anterior Cervical Discectomy and Fusion on Dysphagia, Respiratory Muscle Strength, Neck Function, and Quality of Life: A Randomized Controlled Trial","ACDF-REHAB","Inclusion Criteria:\n\n* Aged 18-70 years\n* Having undergone elective single- or two-level ACDF for degenerative cervical disc disease, disc herniation, and\u002For cervical radiculopathy\n* Being clinically and hemodynamically stable after surgery\n* Having the surgeon's approval for rehabilitation\n* Being able to understand Turkish and follow instructions\n* Being able to walk independently or with an assistive device\n* Having sufficient cognitive ability to participate\n* Providing written informed consent\n\nExclusion Criteria:\n\n* Fusion involving three or more cervical levels\n* Cervical surgery for trauma, tumor, infection, rheumatoid arthritis, or congenital deformity\n* Previous anterior cervical surgery or revision surgery\n* Posterior or combined cervical surgery\n* Tracheostomy\n* Severe preoperative dysphagia or neurological swallowing disorder\n* Neurological disease affecting swallowing\n* Uncontrolled cardiovascular or pulmonary disease\n* Advanced COPD, uncontrolled asthma, or active respiratory infection\n* Contraindication to inspiratory muscle training\n* Active malignancy or systemic infection\n* Severe cognitive, psychiatric, hearing, or communication disorder\n* New postoperative neurological deficit\n* Wound infection, implant complication, or need for additional surgery\n* Participation in another structured neck or respiratory rehabilitation program\n* Any condition preventing regular participation","ALL","18 Years","70 Years",{"count":21,"type":22},60,"ESTIMATED","INTERVENTIONAL",[25],"NA","Anterior cervical discectomy and fusion (ACDF) is a commonly performed surgical procedure for cervical disc herniation, cervical radiculopathy, and degenerative cervical spine disorders. Although surgery may reduce pain and neurological symptoms, some patients experience swallowing difficulties, neck pain, restricted neck movement, reduced respiratory muscle strength, and impaired quality of life after surgery.\n\nThe purpose of this randomized controlled study is to determine whether a structured postoperative rehabilitation program improves swallowing function, respiratory muscle strength, pulmonary function, neck-related disability, pain, cervical range of motion, and health-related quality of life in adults who have undergone single- or two-level ACDF.\n\nA total of 60 eligible participants will be randomly assigned in a 1:1 ratio to either a structured rehabilitation group or a standard postoperative follow-up group. The structured program will include breathing exercises, inspiratory muscle training, swallowing and safe feeding education, cervical and scapular exercises, postural training, upper-extremity exercises, walking, and gradual physical activity. Participants in the control group will receive the standard postoperative recommendations provided by the surgical team.\n\nAssessments will be conducted before the rehabilitation program and during postoperative follow-up. The primary outcome will be swallowing difficulty measured using the Eating Assessment Tool-10. Additional outcomes will include dysphagia severity, oral intake level, respiratory muscle strength, spirometric pulmonary function, neck pain, neck-related disability, cervical range of motion, health-related quality of life, treatment adherence, and adverse events.",[28,29,30],"Cervical Disc Disease","Cervical Radiculopathy","Postoperative Dysphagia",[32,33,34,35,36],"Anterior Cervical Discectomy and Fusion","Postoperative Rehabilitation","Neck Disability","Quality of Life","Pulmonary Function","NOT_YET_RECRUITING","2026-09-06",{"date":40,"type":41},"2026-09-11","ACTUAL",{"date":43,"type":22},"2026-09",{"date":45,"type":22},"2026-11",{"name":47,"class":48},"Istanbul Medipol University Hospital","OTHER"]