Erector Spina Plan Block in Patients With Lumbar Disc Herniation

Not Applicable

Recruiting

• Conditions: Low Back Pain
• Interventions: Device: Erector Spina Plan Block; Other: Stabilization exercises

• Registration Number: NCT06469905
• Lead Sponsor: Firat University

Brief Summary

Erector Spina Plan Block (ESPB) is a technique used in surgical interventions, acute and chronic pain. The aim of this study was to investigate the effect of ESPB and core stabilization exercises on functionality in patients with Lumbal Disc Herniation. ESPB will be applied to the patients in the study group. Stabilization exercises will be applied together with ESPB treatment. Only stabilization exercises will be applied to the patients in the control group. Patients will be asked to complete a questionnaire inquiring sociodemographic data (age, height, weight, BMI, smoking and alcohol use), VAS and Modified Oswestry Questionnaire at initial presentation and after 8 weeks of exercise (8 weeks 3 days a week).

Detailed Description

Low back pain is defined as pain in the lower back and/or legs that negatively affects comfort. Low back pain lasting less than 6 weeks is defined as acute, 6-12 weeks as subacute, and more than 12 weeks as chronic low back pain. The goals of the exercise program include reducing pain, strengthening weak muscles, stretching tense muscles, reducing mechanical stress on spinal structures, mobilizing hypomobile segments and stabilizing hypermobile segments. Erector Spina Plan Block (ESPB) is a technique used in surgical interventions, acute and chronic pain. The aim of this study was to investigate the effect of ESPB and core stabilization exercises on functionality in patients with Lumbal Disc Herniation. ESPB will be applied to the patients in the study group. Stabilization exercises will be applied together with ESPB treatment. The needle will be inserted between the erector spinae muscle and the transverse process structures.The local anesthetic will be monitored to spread along the erector spinae muscle. Only stabilization exercises will be applied to the patients in the control group. Patients will be asked to complete a questionnaire inquiring sociodemographic data (age, height, weight, BMI, smoking and alcohol use), VAS and Modified Oswestry Questionnaire at initial presentation and after 8 weeks of exercise (8 weeks 3 days a week).

Study Timeline

• Status Verified: 2024-06
• Study First Submitted: 2024-06-14
• Study Start: 2024-06-20
• Study First Submitted QC: 2024-06-21
• Last Update Submitted: 2024-06-21
• Study First Posted: 2024-06-24
• Last Update Posted: 2024-06-24
• Primary Completion: 2024-08-20
• Study Completion: 2024-09-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• 18-50 years old
• Patients diagnosed with disc herniation by clinical, physical examination and MR imaging
• Low back pain for >6 weeks

Exclusion Criteria

• Severe spinal stenosis
• Diagnosis of pregnancy, infection or malignancy
• Presence of systemic inflammatory rheumatic disease
• Having neurological, orthopedic or congenital problems that prevent physical activity
• History of spinal surgery

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Erector Spina Plan Block group	Stabilization exercises	ESPB will be applied to the patients in the study group. Stabilization exercises will be applied together with ESPB treatment. The needle will be inserted between the erector spinae muscle and the transverse process structures.The local anesthetic will be monitored to spread along the erector spinae muscle.
Erector Spina Plan Block group	Erector Spina Plan Block	ESPB will be applied to the patients in the study group. Stabilization exercises will be applied together with ESPB treatment. The needle will be inserted between the erector spinae muscle and the transverse process structures.The local anesthetic will be monitored to spread along the erector spinae muscle.
Stabilization exercises group	Stabilization exercises	Stabilization exercises will be practiced to control group

Primary Outcome Measures

Name	Time	Method
Disability assessment	2 minutes	Functional Disability Measurement; Assessment will be made using the Turkish version of the Modified Oswestry Questionnaire. n the evaluation of the Oswestry scale, the scoring for each question is A=0 B=1 C=2 D=3 E=4 F=5 points.

Secondary Outcome Measures

Name	Time	Method
Pain assessment	1 minute	Pain intensity will be assessed with a 10 cm Visuel Analog Scale (VAS). Patients are told what the numbers mean on the horizontal line, 0 means no pain, 10 means the most severe pain encountered in life, 5 means moderate pain and they are asked to describe the intensity of their pain on the scale.

Trial Locations

Locations (1)

Songul Baglan Yentur; 🇹🇷 Elazığ, Turkey