Investigation of the Effect of Dynamic Neuromuscular Stabilization on Pain, Functionality and Kinesiophobia in Individuals Undergoing Lumbar Disc Herniation Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- The Oswestry Disability Index
研究概览
简要总结
The aim of the study is to investigate the effects of dynamic neuromuscular stabilization exercises on pain, functionality and fear in individuals who have undergone lumbar disc herniation surgery.
详细描述
The research was planned as a randomized controlled trial, which is a quantitative study. Participants will be divided into 2 groups as control and exercise groups by simple randomization method. The individuals in the control group of the study will not be given any exercise program after surgery. A home exercise program created with Dynamic Neuromuscular Stabilization exercises after surgery will be applied to the individuals in the intervention group. Data collection will be carried out through an online survey. The scales and forms to be used before and after the treatment are respectively: 1. Oswestry Low Back Pain Disability Questionnaire 2. International Physical Activity Questionnaire (Short Form) 3. Questionnaire for Fear of Daily Living Activities The questionnaires will be uploaded to the Google Forms database and the participants will be accessed via e-mail or mobile phone applications. . They will be asked to fill out the questionnaires before starting the post-surgical exercise program and the exercise program will be explained practically before discharge. The exercises will be planned 3 times a week and for 8 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 35 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Had symptomatic lumbar disc herniation confirmed via MRI requiring surgical intervention.
- •Were 35-50 years old and in a stable postoperative condition.
- •Could follow written and verbal instructions and had access to internet-connected devices for virtual monitoring.
- •Provided informed consent for participation in the study.
排除标准
- •Participants were excluded if they:
- •Had undergone previous spinal surgery or had other spinal conditions such as spondylolisthesis, spinal stenosis, or instability unrelated to the current lumbar disc herniation.
- •Presented with significant musculoskeletal disorders unrelated to lumbar disc herniation (e.g., severe osteoarthritis, fibromyalgia
- •Had diagnosed neurological, rheumatological, or systemic diseases such as rheumatoid arthritis, lupus, or multiple sclerosis.
- •Experienced functional impairments due to conditions like severe cardiovascular disease or uncontrolled diabetes.
- •Reported cognitive, psychological, or mental health issues that could interfere with adherence to the protocol.
- •Had medical contraindications to active exercise (e.g., recent myocardial infarction or uncontrolled hypertension
- •Demonstrated unwillingness or inability to adhere to the prescribed exercise regimen.
研究组 & 干预措施
control group
No exercise will be given after surgery
干预措施: control (Other)
exercise group
Dynamic neuromuscular stabilization exercises will be performed for 8 weeks after surgery.
干预措施: exercise (Other)
结局指标
主要结局
The Oswestry Disability Index
时间窗: 10 weeks
The questionnaire includes ten topics related to pain severity, weight lifting, self-care, walking, sitting, sexual function, standing, social life, sleep quality, and ability to travel. expression follows. The patient then checks for the expression that most closely resembles his condition. Each question is scored on a scale of 0-5, with the first statement being zero and indicating the least disability, and the last statement being scored as 5 indicating the most severe disability. The scores of all answered questions are added up, then multiplied by two to get the index (range 0 to 100). Zero equals no obstacle and 100 is the maximum possible obstacle.
International Physical Activity Questionnaire Short Form (IPAQ-SF)
时间窗: 10 weeks
It consists of 7 questions. The questions provide information about time spent walking, time spent in moderate and vigorous activities, and time spent sitting. Calculation of the short form's total score includes the sum of time (minutes) and frequency (days) of walking, moderate-intensity activity, and vigorous activity. The energy required for activities is calculated with the metabolic equivalent (MET) -minute score. Standard MET values have been established for these activities. These are; Sitting 1.5 MET, Walking 3.3 MET, Moderate-intensity physical activity 4.0 MET, Vigorous physical activity 8.0 MET. Daily and weekly physical activity using these values level is calculated.
Fear of Daily Living Activities Questionnaire
时间窗: 10 weeks
In the questionnaire consisting of 10 questions, the participant is asked to score each question between 0 and 100. No fear of the activity is set to 0 and excessive fear of the activity is 100. In addition, the participants are asked to add 2 different activities that are not included in the survey but cause fear.
次要结局
未报告次要终点
研究者
Doç.Dr.Ömer Şevgin
Asst. Prof. Dr.
Uskudar University