Comparison Of Early Mobilization And Electrical Stimulation-Supported Rehabilitation On Functional Recovery, Pain Level, And Mobility After Lumbar Disc Herniation Surgery: A Prospective Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
研究概览
简要总结
This randomized controlled trial aims to compare the effectiveness of early mobilization alone versus early mobilization combined with electrical stimulation on functional recovery following lumbar disc herniation surgery. Lumbar disc herniation is a common cause of low back pain and functional limitation, significantly affecting quality of life.
Although surgical intervention is effective in patients who do not respond to conservative treatment, optimal postoperative recovery largely depends on appropriate rehabilitation strategies. Early mobilization is widely recommended to prevent complications, preserve muscle function, and facilitate return to daily activities. In addition, electrical stimulation modalities such as neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS) have been increasingly integrated into rehabilitation programs to enhance pain control, muscle activation, and neuromuscular re-education.
In this study, a total of 60 participants who have undergone primary lumbar disc herniation surgery will be randomly assigned into two groups. The first group will receive an early mobilization program alone, while the second group will receive early mobilization combined with electrical stimulation (NMES/TENS). The intervention period will last 6 to 8 weeks, with sessions conducted three times per week.
Primary outcomes include functional disability measured by the Oswestry Disability Index (ODI) and pain intensity measured by the Visual Analog Scale (VAS). Secondary outcomes include functional mobility assessed by the Timed Up and Go (TUG) test, walking speed assessed by the 10-Meter Walk Test (10MWT), and muscle strength evaluated using manual muscle testing (MMT).
The findings of this study are expected to contribute to the development of evidence-based postoperative rehabilitation protocols and to clarify the clinical effectiveness of electrical stimulation in patients undergoing lumbar disc herniation surgery
详细描述
Lumbar disc herniation is one of the most prevalent musculoskeletal conditions leading to low back pain, disability, and reduced functional capacity in adults. Surgical treatment is commonly indicated in patients with persistent symptoms or neurological deficits who do not respond to conservative management. Despite successful surgical intervention, postoperative recovery outcomes vary considerably and are highly influenced by rehabilitation strategies.
Early mobilization is considered a cornerstone of postoperative rehabilitation, as it reduces the risk of complications such as deep vein thrombosis, muscle atrophy, and joint stiffness. It also promotes faster recovery of functional independence and return to daily activities. However, early mobilization alone may not be sufficient to optimize neuromuscular recovery and pain management in all patients.
Electrical stimulation modalities, including neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS), have been increasingly utilized in rehabilitation settings. NMES facilitates muscle activation and prevents disuse atrophy, while TENS is widely used for pain modulation through neurophysiological mechanisms such as gate control theory. These modalities may provide additional benefits when combined with conventional rehabilitation approaches.
However, there is a limited number of high-quality randomized controlled trials directly comparing early mobilization alone with electrical stimulation-supported rehabilitation in patients following lumbar disc herniation surgery. This gap in the literature highlights the need for well-designed clinical trials to guide evidence-based practice.
Study Design
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
- Single (Outcomes Assessor)
盲法说明
Outcome assessors will be blinded to group allocation to minimize assessment bias. Due to the nature of the interventions, participants and care providers cannot be 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
- 否
入选标准
- •Age between 18 and 65 years
- •Patients who have undergone primary lumbar disc herniation surgery
- •Being in the early postoperative period (within the first 2 weeks after surgery)
- •Clinically stable condition
- •Ability to understand and follow instructions
- •Willingness to participate in the study and provide informed consent
排除标准
- •History of previous spinal surgery
- •Presence of severe neurological deficits (e.g., progressive motor loss, cauda equina syndrome)
- •Contraindications to electrical stimulation (e.g., pacemaker, implanted electronic devices)
- •Presence of severe systemic or uncontrolled chronic diseases (e.g., severe cardiovascular, respiratory, or metabolic disorders)
- •Cognitive impairment or inability to cooperate with rehabilitation program Pregnancy
研究组 & 干预措施
Early Mobilization + Electrical Stimulation
Participants in this group will receive the same early mobilization program combined with electrical stimulation (NMES and/or TENS). Electrical stimulation will be applied to paraspinal and lower extremity muscle groups based on patient tolerance and clinical indications. The rehabilitation program will be conducted three times per week for 6-8 weeks.
干预措施: Electrical Stimulation (NMES/TENS) (Device)
Early Mobilization
Participants in this group will receive a structured early mobilization program following lumbar disc herniation surgery. The program will include gradual ambulation, posture training, range of motion exercises, and functional activity training. Sessions will be conducted three times per week for 6-8 weeks. No electrical stimulation will be applied in this group
干预措施: Early Mobilization Program (Other)
Early Mobilization + Electrical Stimulation
Participants in this group will receive the same early mobilization program combined with electrical stimulation (NMES and/or TENS). Electrical stimulation will be applied to paraspinal and lower extremity muscle groups based on patient tolerance and clinical indications. The rehabilitation program will be conducted three times per week for 6-8 weeks.
干预措施: Early Mobilization Program (Other)
研究者
salih tan
Istanbul Medipol University
Istanbul Medipol University Hospital