Anterior Cervical Discectomy and Fusion (ACDF) - Behavioral Intervention
United States50 participantsStarted 2024-10-15
Plain-language summary
This study will prospectively recruit and enroll patients undergoing primary Anterior Cervical Discectomy and Fusion (ACDF) surgeries at NYU Langone. Participants will undergo pre-operative and six-week post-operative swallowing assessment using videofluoroscopy (VFSS). Acoustic voice samples and Patient Reported Outcome Measures (PROMs) for swallowing and voice will also be collected. Beginning one-week before surgery participants will begin a behavioral health program that will be continued for six-weeks after surgery. The primary goal of this study will be to determine whether a preventative behavioral health program improves instrumental measures of swallowing and voice six-weeks after ACDF surgery. .
Who can participate
Age range21 Years – 99 Years
SexALL
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Inclusion criteria
✓. Able and willing to sign consent form to participate in the study.
✓. Age between 21- 99 years.
✓. Scheduled to undergo ACDF surgery with surgeons in the departments of Neurosurgery or Orthopedic Surgery at NYU Langone.
Exclusion criteria
✕. Patients with non-degenerative spine conditions, such as trauma, tumors, infection, radiation, and diabetes.
✕. Patients with prior posterior-approach cervical spine procedures.
✕. Patients who report a pre-existing dysphagia as the result of a neurological deficit or disorder, head and neck cancer treatment, and/or muscular condition.
✕. Pregnancy. Female subjects must confirm they are not pregnant before enrolling in the study.
✕. Patients with chronic kidney disease, limiting their ability to consume high levels of protein.
What they're measuring
1
Change in pharyngeal constriction
Timeframe: Baseline, 6 weeks post-op
2
Change in pharyngeal shortening
Timeframe: Baseline, 6 weeks post-op
3
Change in Dysphagia Score measured by The Hospital for Special Surgery Dysphagia and Dysphonia Inventory (HSS-DDI)