The Effect of Manual Therapy on Psychological Factors and Quality of Life in Lumbal Disc Herniation Patients: A Single Blind Randomized Clinical Study
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Intervertebral Disc Displacement
- 发起方
- Muş Alparlan University
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Pain Assessment
- 状态
- 已完成
- 最后更新
- 3年前
概览
简要总结
When the literature is examined, there are studies examining the relationship between low back pain and anxiety depression, quality of life and LDH in patients with lumbar disc herniation. There are many studies on the clinical use of manual therapy methods in LDH. Most of these studies examine the effect of manual therapy on pain and functional level. However, there are hardly any studies examining the effect of manual therapy on quality of life and psychological factors in LDH patients.
The aim of our study is to examine the effect of mobilization, which is a manual therapy application, on psychological factors (kinesiophobia, pain catastrophic thought, anxiety and depression) and quality of life in LDH patients.
详细描述
There are various treatment options that can be applied to patients with lumbar disc herniation (LDH). These are basically divided into 2 categories: surgical and conservative treatment. Conservative treatment methods in the treatment of LDH aim to prevent the disease from transitioning to interventional methods and / or surgical treatment and to improve the complaints that negatively affect the quality of life. Conservative treatment; It includes informing the patient, bed rest, drug treatments, exercise, thermotherapy, electrotherapy, traction, orthoses, back school and manual therapy applications. Manual therapy; It is used to reduce pain, provide joint and tissue mobility, inhibit sympathetic reflex activity, normalize muscle tone and dissolve adhesions. Manual therapy is the manual treatment of the spine with two different applications such as manipulation and mobilization. The clinical effects of manual therapy in LDH patients were examined. The aim of this study was to investigate the effect of manual therapy on psychological factors and quality of life in patients with lumbar disc herniation.
研究者
入排标准
入选标准
- •It was determined as being diagnosed with LDH by MR by a physical therapy physician
- •Having pain of at least 3 levels or more according to the Visual Analogue Scale
- •Being between the ages of 18-65.
排除标准
- •History of spinal surgery
- •History of autoimmune disease (ankylosing spondylitis, rheumatoid arthritis or other)
- •Spondylolysis and spondylolisthesis
- •Spinal fracture
- •Heart pathology
- •History of stroke,
- •Cauda equina syndrome
- •Continuous use of pain medication
- •Spinal inflammation,
结局指标
主要结局
Pain Assessment
时间窗: The change of pain assessed before treatment, through treatment completion, an average of 1 week and during follow-up 3 months after treatment
McGill-Melzack Pain Questionnaire :It is a questionnaire applied to determine the location, characteristics, relationship with time and severity of low back pain. The total score is obtained by summing the points corresponding to the answer given according to each category. While the maximum score was 78, the minimum score was set to 0. The higher the pain, the higher the score.
次要结局
- Quality of Life Assessment(The change of quality of life assessed before treatment, through treatment completion, an average of 1 week and during follow-up 3 months after treatment)
- Anxiety and Depression Assessment(The change of anxiety and depression assessed before treatment, through treatment completion, an average of 1 week and during follow-up 3 months after treatment)
- Pain Catastrophizing Assessment(The change of pain catastrophe assessed before treatment, through treatment completion, an average of 1 week and during follow-up 3 months after treatment)
- Kinesiophobia Assessment(The change of anxiety and depression assessed before treatment, through treatment completion, an average of 1 week and during follow-up 3 months after treatment)