Effects of Whole Body Vibration on Pain, Function and Viscoelasticity in Patients With Non-Specific Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 2
- 主要终点
- MyotonPRO myofascial palpation device
研究概览
简要总结
After acute low back pain, one third of patients have chronic low back pain. A sedentary lifestyle is a leading cause of mechanical stress-related low back pain and exacerbates chronic low back pain. Balance disorders, postural adjustment disorder, abnormal spinal movements and related muscle imbalance are observed in individuals with chronic low back pain. Conservative treatment is mostly used in treatment. Langevin et al. stated that an abnormal and irregular thoracolumbar connective tissue structure is observed in chronic and recurrent low back pain. It has been said that physiotherapy and rehabilitation methods such as exercise therapy, massage, chiropractic and acupuncture provide changes in the biomechanical components of the affected connective tissue such as stiffness, viscoelasticity and density. Over the past 20 years, exercises with Whole Body Vibration (WBV) have begun to be used as an effective method for reducing pain. Exercises performed with WBV are thought to improve neuromuscular activation and increase muscle strength and joint stabilization. In non-specific chronic low back pain, increased tone is observed in the superficial back muscles. And based on this study, no study has been found examining the effect of vibratory exercise intervention on the tone of superficial back muscles that go into spasm due to pain. In this study, lumbar stabilization exercises, one of the most effective exercise methods in chronic low back pain, will be applied and exercises performed with vibration will have an additional effect.
It is aimed to reveal whether it creates or not. MyotonPRO (myometer) is a digital palpation device that can measure the viscoelastic properties of myofascial tissue. In measurements made with patients with chronic low back pain and healthy controls, While lumbar myofascial tissue elasticity was significantly low in patients; The tone of the lumbar extensor muscles was found to be significantly higher. However, this measurement has not been made before in studies conducted with WBV, which is one of the methods used to reduce pain in individuals with chronic low back pain.
The aim of this study is to reveal the effect of exercises performed with WBV on the myofascial tissue of the lumbar region and the tone of the superficial back muscles, on pain, function, muscle strength, balance, proprioception and endurance parameters compared to the group exercising only.
详细描述
WBV exercise is a popular method to reduce pain intensity and improve function and quality of life.
is the method. WBV exercise is currently used as a treatment for patients with chronic low back pain. The effect of WBV exercise on the treatment of low back pain can be explained by activating the core muscles and increasing stabilization. Additionally, paravertebral muscle spasm occurs in most patients, and it is said that WBV can relieve pain by relaxing the paravertebral muscles. In addition, it is thought that it may reduce the associated spinal dysfunction and instability by improving the proprioception of the lumbosacral region. Although studies have begun with WBV in patient groups with chronic low back pain, the studies are limited.
Therefore, the optimal dosage has not yet been determined. It aims to compare its effect on strength, balance, proprioception, endurance, quality of life and viscoelastic properties of the lumbar region. Thus, WBV on the specified parameters It is aimed to reveal its effectiveness and contribute to the existing literature. Measurement with the MyotonPRO device, a newly widespread and expensive measuring device, will strengthen the objective and original aspect of the study. Lumbar stabilization exercises (LSE) try to correct the disorders by activating the trunk muscles. In this respect, it is widely used by physiotherapists in the treatment of low back pain. In our study, while lumbar stabilization exercises were applied to individuals in the control group; intervention The group will be given exercise accompanied by vibration. The effect of the added vibration on the exercises accepted in the literature will be examined. The effectiveness of WBV in patients with chronic non-specific low back pain will be evaluated by making the following measurements: MyotonPRO: The measurement will be made in the prone position, without active muscle contraction. Lumbar paraspinal muscle measurement will be made from a point one finger to the right/left of the L4 level.
Pain: Participants' pain intensity will be evaluated according to the Visual Analog Scale (VAS).
Function: The Oswestry Low Back Pain Disability Questionnaire measures the functioning of patients affected by low back pain.
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
- Double (Participant, Outcomes Assessor)
盲法说明
The study was designed as a double-blind randomize-controlled study in which the participant and the evaluator were blinded.
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being diagnosed with Non-Specific low back pain by a physician,
- •Having a complaint of non-specific low back pain for at least 3 months,
- •Being 18 years or older,
- •Volunteer,
- •Not having any diagnosed cardiac disease,
- •Not having any diagnosed neuromuscular disease,
- •Pain level should be at least 3 according to VAS,
- •Not having received physiotherapy or rehabilitation in the last 3 months
- •Individuals who meet the above criteria will be included in the study.
排除标准
- •Diagnosed stomach, kidney, liver, pancreas and bladder problems,
- •Presence of mental or cognitive problems,
- •History of surgery for low back pain,
- •Pain level is 8 or above according to Visual Analogue Scale,
- •Use of painkillers during treatment,
- •Acute and severe musculoskeletal pain,
- •Radiculopathy,
- •Malignancy,
- •Pregnancy,
- •Pace maker users,
- •Epilepsy,
- •Individuals meeting the above criteria will be excluded from the study.
结局指标
主要结局
MyotonPRO myofascial palpation device
时间窗: 6 weeks
The measurement will be made in the prone position, without active muscle contraction. Lumbar paraspinal muscle measurement will be made from a point one finger to the right/left of the L4 level. F - Natural Oscillation Frequency \[Hz\], characterizing Tone or Tension S - Dynamic Stiffness \[N/m\] D - Logarithmic Decrement \[relative unit\], characterizing Elasticity R - Mechanical Stress Relaxation Time \[ms\] C - Ratio of Relaxation and Deformation time \[relative unit\], characterizing Creep
次要结局
- Abdominals, side abdominals and back extenstors Endurance(6 weeks)
- Dynamic Balance(6 weeks)
- Lumbar Proprioception(6 weeks)
- Static Balance(6 weeks)
- Lower Extremity Muscle Strength(6 weeks)
- Pain severity for lower back (Visual analog scale)(6 weeks)
- Low Back Function Assesment(6 weeks)
- Quality of Life (SF-12 SHORT FORM)(6 weeks)
研究者
Beyza Tanrıöğen
Research Assistant (MSc student)
Istanbul University