The Effect of Progressive Relaxation Exercise on Pain and Kinesiophobia After Lumbar Disc Herniation Surgery

We aimed to assess the influence of progressive muscle relaxation exercise on kinesiophobia and pain during after lumbar disc surgery using the Visual Analog Scale (VAS) and the Tampa Kinesiophobia Scale in a prospective, randomized fashion.

Study Overview

• Status: Completed
• Conditions: Lumbar Disc Herniation
• Intervention / Treatment: Other: Progressive relaxation exercise

Detailed Description

Lumbar disc herniation (LDH) is a common disease that is common in the society and limits the activities of individuals in daily life. Pain, which is an undesirable but expected result of surgical interventions, which are used in the treatment of diseases and play an important role in increasing the health level of people, is one of the most common postoperative complaints. The pain is sometimes severe enough to impede movement and causes paravertebral muscle spasm. Pain can also cause kinesiophobia, which is a factor that limits the person's physical activities. This study was conducted to determine the effect of progressive muscle relaxation exercises on kinesiophobia, which can be seen in parallel with pain in the postoperative period, on the pain level of patients after LDH surgery and on the kinesiophobia experienced in parallel.

The following hypotheses (H) were tested in this study:

H1. Progressive muscle relaxation exercise has an effect on reducing pain after LDH surgery.

H2. Progressive muscle relaxation exercise has an effect on reducing kinesiophobia after LDH surgery.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • None Selected
    • Aksaray, None Selected, Turkey, 68100
      • Aksaray University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• • The patients included in the study had lumbar microdiscectomy surgery,

  • Patients aged 18 and over
  • Patients should not have any problems that would prevent them from expressing their pain level correctly and from understanding the information given,
  • The patients do not have any psychological disorders,
  • The patients do not have any other acute disease that will cause pain.

Exclusion Criteria:

• • Being diagnosed with a psychiatric disorder,

  • A complication (bleeding, hospital infection, etc.) developed in the patients before, during and after the operation within three days,
  • Not knowing Turkish.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental; Routine maintenance and Progressive relaxation exercise practice	Other: Progressive relaxation exercise; Progressive relaxation exercise is a type of exercise that involves voluntary stretching and relaxation of major muscle groups in the human body, from the hands to the feet.
No Intervention: Control; Routine maintenance

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Tampa Kinesiophobia Scale	: It is a 17-item scale. It gets a total score between 17-68. A high score on the scale indicates a high level of kinesiophobia.	the day before the surgery
Visual Analogue Scale	It is the scale used to measure the severity of pain in patients. It is a scale whose beginning is -0- "no pain", and the other end is -10- "very severe pain" and each cm is given a numerical value at 1 centimeter (cm) intervals.	the day before the surgery

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Tampa Kinesiophobia Scale	It is a 17-item scale. It gets a total score between 17-68. A high score on the scale indicates a high level of kinesiophobia.	third day after surgery
Visual Analogue Scale	It is the scale used to measure the severity of pain in patients. It is a scale whose beginning is -0- "no pain", and the other end is -10- "very severe pain" and each cm is given a numerical value at 1 centimeter (cm) intervals.	third day after surgery

Collaborators and Investigators

• Sponsor: Aksaray University

Study record dates

Study Major Dates

• Study Start (Actual): March 14, 2022
• Primary Completion (Actual): October 20, 2022
• Study Completion (Actual): December 29, 2022

Study Registration Dates

• First Submitted: March 11, 2022
• First Submitted That Met QC Criteria: March 11, 2022
• First Posted (Actual): March 21, 2022

Study Record Updates

• Last Update Posted (Actual): July 7, 2023
• Last Update Submitted That Met QC Criteria: July 6, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Musculoskeletal Diseases; Anxiety Disorders; Pathological Conditions, Anatomical; Spinal Diseases; Bone Diseases; Phobic Disorders; Hernia; Intervertebral Disc Displacement; Kinesiophobia
• Other Study ID Numbers: 2020/01-25

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No