Effect of Neuromuscular Electrical Stimulation Applied to the Lumbar Multifidus Muscle on Sit to Stand Kinematics in Individuals With Low Back Pain
- Conditions
- Low Back Pain
- Interventions
- Other: Superimposed Neuromuscular Electrical StimulationOther: Conventional Neuromuscular Electrical Stimulation
- Registration Number
- NCT06212011
- Lead Sponsor
- Hacettepe University
- Brief Summary
The goal of this randomized controlled trial, is to investigate the effect of functional NMES and conventional NMES applied to the lumbar multifidus muscle on body kinematic and kinetic values during the sit-to-stand in individuals with non-specific low back pain. Our study will include 24 participants between the ages of 18-65. Which physiotherapy intervention will be applied to the participants will be determined by the block randomization method, using a table of random numbers. After randomization; NMES to the participants' lumbar multifidus muscle during physiotherapy intervention will be applied in two groups; In the first group, NMES will be applied with the conventional technique during prone position and in the second group, NMES will be applied with the functional technique during the sit-to-stand activity. Evaluations will be made twice for each participant- before and after the intervention. During the evaluation, data regarding the change in body kinetics and kinematics of individuals during the sit-to-stand activity will be recorded with a Vicon camera system. For secondary outcome measures, a visual analog scale will be used to evaluate pain, the Roland Morris Disability Questionnaire and the Oswestry Disability Index will be used to evaluate functional status, and the Tampa Kinesiophobia Scale will be used to evaluate fear-avoidance behavior.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 24
- History of chronic low back pain (12 weeks<)
- Pain in the lumbar and/or hip area (VAS>3)
- Volunteering to participate in the study
- History of neurological, metabolic, cardiovascular disease
- Having had spinal surgery, specific lumbar pathology, scoliosis, pregnancy, history of systemic or degenerative disease
- Musculoskeletal system pathology in the last year
- Body mass index being over 30 kg/m2
- Continuing any exercise program
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Superimposed Neuromuscular Electrical Stimulation Group Superimposed Neuromuscular Electrical Stimulation Superimposed NMES involves stimulating the lumbar multifidus muscle while the individual performs a sit-to-stand activity. Conventional Neuromuscular Electrical Stimulation Group Conventional Neuromuscular Electrical Stimulation Conventional NMES intervention involves only stimulating the lumbar multifidus muscle while the individual is in the prone position, and the individual will not reveal any voluntary contraction during stimulation.
- Primary Outcome Measures
Name Time Method Changes in ground reaction force during sit-to-stand activity Baseline and first week after 8-week intervention Ground reaction force will be evaluated using force plates (2xAMTI force plates).
Changes in kinematics of the Lumbar Spine and Hip During sit-to-stand activity Baseline and first week after 8-week intervention With kinematic analysis, the mean, minimum and maximum range of motion of the lumbar spine and hip joint during the sit-to-stand activity will be evaluated and recorded in degrees using the vicon motion capture system (Vicon, 6xVantage 5 Cameras 5MP@420FPS, 2xVue Video Cameras).
- Secondary Outcome Measures
Name Time Method Hip and Lumbar spine range of motion Baseline and first week after 8-week intervention Hip and Lumbar spine range of motion will be evaluated using goniometer and recorded in degrees.
Shortness of the hip flexor, knee flexor and plantar flexor muscles Baseline and first week after 8-week intervention Shortness of the hip flexor, knee flexor and plantar flexor muscles will be evaluated by Thomas test, popliteal angle hamstring test and ankle dorsiflexion ROM measurements, respectively. Results will be recorded in degrees.
Beighton test Baseline and first week after 8-week intervention The Beighton test is a screening technique for hypermobility. The test is a nine-point scale and requires the performance of 5 maneuvers.
Visual analogue scale Baseline and first week after 8-week intervention Visual analog scale will be used to evaluate pain. The visual analog scale consists of a single 10 cm line used to evaluate pain intensity. Patients will be asked to mark the severity of their pain at rest, during activity and during night.
Oswestry Disability Index Baseline and first week after 8-week intervention Oswestry Disability Index will be used to evaluate the degree of loss of function. Higher values represent greater disability.
Roland-Morris Disability Questionnaire Baseline and first week after 8-week intervention Roland-Morris Disability Questionnaire will be used to evaluate functional disabilities. Higher values represent greater disability.
Tampa Kinesiophobia Scale Baseline and first week after 8-week intervention Tampa Kinesiophobia Scale will be used to evaluate fear of movement/reinjury. Higher values represent greater kinesiophobia.
Trial Locations
- Locations (1)
Hacettepe University
🇹🇷Ankara, Turkey