Investigation on the Effect of Functional Neuromuscular Electrical Stimulation Technique Applied to the Lumbar Multifidus Muscle On Body Kinetics and Kinematics During Sit to Stand Activity In Individuals With Nonspecific Low Back Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 24
- 试验地点
- 2
- 主要终点
- Changes in ground reaction force during sit-to-stand activity
研究概览
简要总结
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.
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
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
- 否
入选标准
- •History of chronic low back pain (12 weeks<)
- •Pain in the lumbar and/or hip area (VAS>3)
- •Volunteering to participate in the study
排除标准
- •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
研究组 & 干预措施
Functional Neuromuscular Electrical Stimulation Group
Functional NMES involves stimulating the lumbar multifidus muscle while the individual performs a sit-to-stand activity.
干预措施: Functional Neuromuscular Electrical Stimulation (Other)
Conventional Neuromuscular Electrical Stimulation Group
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.
干预措施: Conventional Neuromuscular Electrical Stimulation (Other)
结局指标
主要结局
Changes in ground reaction force during sit-to-stand activity
时间窗: 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
时间窗: 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).
次要结局
- Hip and Lumbar spine range of motion(Baseline and first week after 8-week intervention)
- Shortness of the hip flexor, knee flexor and plantar flexor muscles(Baseline and first week after 8-week intervention)
- Beighton test(Baseline and first week after 8-week intervention)
- Visual analogue scale(Baseline and first week after 8-week intervention)
- Oswestry Disability Index(Baseline and first week after 8-week intervention)
- Roland-Morris Disability Questionnaire(Baseline and first week after 8-week intervention)
- Tampa Kinesiophobia Scale(Baseline and first week after 8-week intervention)
研究者
Duygu Yilmaz
Principal Investigator
Hacettepe University