Effects of Two Different Squat Exercise Patterns on Low Back Pain, Pressure Pain Threshold, Balance and Jump Performance in Young Adult Healthy Individuals
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Oswestry Disability Index
研究概览
简要总结
The aim of our study is to compare the effects of two different squatting patterns, with and without the knees passing the toes, on low back pain, muscle strength and balance.
详细描述
A total of 60 volunteer participants between the ages of 18-30, who are in the active category of the International Physical Activity Assessment Questionnaire Short Form, are planned to be included in the study. Individuals participating in the study will be divided into 3 groups using using unrestricted (simple) randomization. A random number was generated for each participant with the random-number functions of Microsoft Excel and participants were ordered by that number and assigned to the three groups. No blocking or stratification was used and no formal allocation-concealment mechanism (such as sequentially numbered, opaque, sealed envelopes) was implemented. Group I (n=20); squatting with the knees passing the toes (PI), Group II (n=20); squatting with the knees not passing the toes (PG) and Group III (n=20); control group (CG). Squatting with the knees passing the toes (PI); squatting with the knees not passing the toes (PG) will be applied to the study groups as a home program for 6 weeks and will be checked with an exercise diary. Participants will be re-evaluated at the end of the exercise program. No training program will be applied to the control group and they will be asked to continue their daily lives and participants will be evaluated at 6-week intervals. The training program of 1 set; 20 repetitions; 30 seconds active contraction/30 seconds rest is applied to the PI and PG groups 3 days a week, every other day for 6 weeks. The training program of the groups is monitored by a physiotherapist for 6 weeks via telerehabilitation technologies. All participants will be evaluated for back pain, knee pain, pressure pain threshold, low-back-related disability, self-reported knee function, dynamic balance, perceived exertion, and vertical-jump flight time, function and balance before and at the end of the program and the data obtained will be recorded.
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
- None (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being between the ages of 18-30,
- •According to International Physical Activity Questionnaire - Short Form Being physically active
- •Not having any psychological, neurological, orthopedic and rheumatic disorders,
- •Not having a history of fractures or surgeries affecting the lower extremities in the last year,
- •Being able to do at least one traditional squat exercise
- •Being able to communicate in Turkish (written and verbal)
排除标准
- •Being pregnant or suspected of being pregnant
- •Knee valgus diagnosis
- •Pes planus or pes cavus diagnosis in the foot
- •Hip rotation diagnosis
- •Strength deficit between two extremities
- •A physician-diagnosed painful knee condition of recent onset
- •Regular medication use or use of NSAIDs and similar disease-modifying drugs in the last month
- •Intra-articular injection (hyaluronic acid/steroid) application in the last 6 months
- •Having a comorbid disease that contraindicates exercise (advanced osteoporosis, vertigo, neurological diseases, etc.)
研究组 & 干预措施
control
No Intervention
干预措施: control (Other)
knee past toes squat
A squatting program with the desired characteristics will be applied
干预措施: Squat with knees over toes (Other)
knee not past toes squat
A squatting program with the desired characteristics will be applied
干预措施: Squat where the knee does not pass the toes (Other)
结局指标
主要结局
Oswestry Disability Index
时间窗: 6 weeks (baseline and immediately post-intervention)
It was developed to evaluate the degree of loss of function in low back pain. Items question pain severity, self-care, lifting and carrying loads, walking, sitting, standing, sleeping, degree of pain change, travel and social life. Under each item there are six statements in which the patient ticks the one appropriate to his/her situation. The first statement is scored as "0" and the sixth statement is scored as "5". When the total score is calculated, it is multiplied by two and expressed as a percentage. The maximum score is "100" and the minimum score is "0". As the total score increases, the disability level also increases.
Y balance test
时间窗: 6 weeks (baseline and immediately post-intervention)
The test is a practical functional test that can predict dynamic balance and postural stability. The player's performance improves with balance, flexibility, coordination and power integration. For this test, players stand in the center of a 'Y' shaped arrangement with 3 lines drawn at certain angles. The players are asked to reach in anterior, posterolateral and posteromedial directions using one foot. Three applications are made in each direction and the average of the reach distances is recorded in centimeters. Pre-measured leg length is used to normalize the mean score of these three treatments. Percentage of maximum reach = deflection distance/leg length. Leg length; Spina iliaca anterior superior to the distal point of the medial malleolus. To obtain an overall measure of the Y Balance Test, data from all directions must be averaged to calculate the composite score.
International Physical Activity Questionnaire - Short Form
时间窗: 6 weeks (baseline and immediately post-intervention)
This questionnaire is a standardized tool for measuring physical activity, developed by researchers from various countries with the support of the World Health Organization (WHO) and Centers for Disease Control (CDC). Questionnaire, four areas of physical activity; It covers work, transportation, housework/gardening, and leisure activities, but also includes questions about time spent sitting as an indicator of inactivity. In each of the four areas, the energy expended in moderate and vigorous activities in the last 7 days, the number of days the activities were performed, and the number of activities performed during the day are recorded. The times are multiplied by the Metabolic Equivalent (MET) values per activity, and the results for all items are added to form the overall physical activity score. The question about sitting is not included in the physical activity score. Classification is made in three categories as physically inactive (3000 MET min/week).
次要结局
未报告次要终点
研究者
Doç.Dr.Ömer Şevgin
Asst. Prof. Dr.
Uskudar University