Effects of Exercise in Lumbal Disc Herniation

Comparison of Different Exercise Types in Patients With Lumbal Disc Herniation

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.

Study Overview

• Status: Recruiting
• Conditions: Lumbar Disc Herniation
• Intervention / Treatment: Other: Stabilization exercises; Other: McKenzie exercises; Other: Home exercises

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Estimated): 15
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Songül Bağlan Yentür; Phone Number: +90 424 2370000; Email: sbyentur@firat.edu.tr
• Study Contact Backup: Name: Şahin Elbastı; Phone Number: +90 424 2370000; Email: msahin23@hotmail.com

Study Locations

• Turkey
  • Elazığ, Turkey
    • Recruiting
    • Songül Bağlan Yentür
    • Contact: Songül Bağlan Yentür

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

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

Exclusion Criteria:

• 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)

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Stabilization exercises; Core stability exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.	Other: Stabilization exercises; Core stability exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.
Experimental: McKenzie exercises; McKenzie exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.	Other: McKenzie exercises; McKenzie exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.
Experimental: Home exercises; Home exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks.	Other: Home exercises; Home exercises will be performed three days in a week. Treatment will continue an hour in per session for 8 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Core muscle thickness	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).	2 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual Analog Scale	Pain Severity; It will be evaluated with a 10 cm Visual Analogue Scale (VAS). Patients are told what the numbers on the horizontal line mean, 0 is no pain, 10 is the most severe pain in life, and 5 is moderate pain, and they are asked to describe the severity of their pain on the scale.	1 minute
Modified Oswerty Inquiry	Functional Disability Measurement; The evaluation will be made using the Turkish version of the Modified Oswestry Inquiry Form. Turkish validity and reliability were determined by Edibe Yakut et al. (2004) by In the evaluation of the Oswestry scale, scoring for each question is A=0 B=1 C=2 D=3 E=4 F=5 points. Questions that the patient does not answer will not be evaluated. Evaluation is made on the basis of the questions answered. Patient score =(Patient score/Maximum possible score)*100	2 minutes

Collaborators and Investigators

• Sponsor: Firat University

Publications and helpful links

Helpful Links

• Optimizing performance by improving core stability and core strength
• Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care

Study record dates

Study Major Dates

• Study Start (Estimated): July 20, 2023
• Primary Completion (Estimated): September 20, 2023
• Study Completion (Estimated): October 20, 2023

Study Registration Dates

• First Submitted: June 23, 2023
• First Submitted That Met QC Criteria: June 23, 2023
• First Posted (Actual): July 3, 2023

Study Record Updates

• Last Update Posted (Actual): July 3, 2023
• Last Update Submitted That Met QC Criteria: June 23, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Keywords: stabilization exercises; Lumbar Disc Herniation; McKnezie exercises
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Pathological Conditions, Anatomical; Spinal Diseases; Bone Diseases; Hernia; Intervertebral Disc Displacement
• Other Study ID Numbers: 13-20

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