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临床试验/NCT05927051
NCT05927051招募中不适用

Comparison of Different Exercise Types in Patients With Lumbal Disc Herniation

Firat University1 个研究点 分布在 1 个国家目标入组 15 人开始时间: 2023年7月20日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
15
试验地点
1
主要终点
Core muscle thickness

研究概览

简要总结

Lumbar disc herniation, which causes 5% of all low back pain, is the rupture of the annulus fibrosis in the intervertebral disc in the lumbar region and the protrusion of the nucleus pulposus at various degrees, and as a result, the spinal cord or the nerves arising from it are compressed.Aerobic exercise is one of the most important elements in low back pain rehabilitation.Many studies have shown that individuals with low back pain have low muscle strength of the back extensors and flexors when compared to individuals who do not show symptoms, and that these muscles are strong and their aerobic fitness is high, minimizing trauma-related musculoskeletal damage.The aim of this study is to examine the effect of core stabilization exercises on functionality and core muscles in patients with LDH.

详细描述

n general, low back pain is defined as pain that negatively affects comfort in the lower back and/or legs. Low back pain lasting less than 6 weeks is defined as acute, 6-12 weeks as subacute, and lasting longer than 12 weeks as chronic low back pain. Depending on the low back pain of the people, the activity level decreases and therefore aerobic fitness is negatively affected. As a result of this negative impact, chronic conditions pose a risk in terms of cardiovascular disease and lead to a decrease in work capacity. Therefore, aerobic exercise is one of the most important elements in low back pain rehabilitation. In our country, training on regular exercise habits and waist protection methods is very low. Most patients do not apply to health institutions unless symptoms become severe.Many studies have shown that individuals with low back pain have low muscle strength of the back extensors and flexors when compared to individuals who do not show symptoms, and that these muscles are strong and their aerobic fitness is high, minimizing trauma-related musculoskeletal damage.

Core stabilization and strengthening has been the subject of research in the 1980s. The purpose of these exercises is to increase trunk stability and aerobic capacity. It is used to find and maintain the neutral position, to reduce ligament, tendon and joint tension, to reduce the load on discs and facet joints, to increase functional stability in low back pain, disc herniation and post-operative rehabilitation of patients.The researchers' studies have shown that ultrasound imaging is reliable in measuring TrA thickness in both healthy subjects and low back patients.

The aim of this study is to examine the effect of core stabilization exercises on functionality and core muscles in patients with LDH.

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)

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

  • •Patients between the ages of 18 to 65
  • •Patients who have diagnosed with LDH

排除标准

  • •Patients who were pregnant
  • •diagnosed with malignancy
  • •had changes of medical treatment in the last 3 months
  • •had dysfunction that limited physical activity such as severe neurological impairment,
  • •immobility or cooperation deficits
  • •had regular exercise habit (minimally three days in a week)

研究组 & 干预措施

Stabilization exercises

Experimental

Core stability exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.

干预措施: Stabilization exercises (Other)

McKenzie exercises

Experimental

McKenzie exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.

干预措施: McKenzie exercises (Other)

Home exercises

Experimental

Home exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.

干预措施: Home exercises (Other)

结局指标

主要结局

Core muscle thickness

时间窗: 2 minutes

Ultrasonographic images of the transversus abdominis (TrA), lumbar multifidus (MF) and Gluteus maximus (G max) muscles will be acquired using B mode (TOSHIBA Aplio 300, Japan).

次要结局

  • Modified Oswerty Inquiry(2 minutes)
  • Visual Analog Scale(1 minute)

研究者

发起方
Firat University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Songül Bağlan Yentür

Firat University

Firat University

研究点 (1)

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