Sensorimotor Training With a Mobilized Balance Platform in Patients With Chronic Low Back Pain

Effects of a Sensorimotor Training Protocol Using a Mobilized Balance Platform on Proprioceptive System, Movement Control, and Quality of Life in Patients With Chronic Low Back Pain

This randomized controlled study aims to investigate the effects of a sensorimotor training protocol using a mobilized balance platform device on proprioceptive system function, movement control, balance, physical performance, pain severity, and quality of life in patients with chronic low back pain. A total of 44 patients with chronic low back pain will be recruited from the outpatient clinic of Gaziler Physical Medicine and Rehabilitation Training and Research Hospital.

Participants will be randomly assigned to either a sensorimotor training group or a control group. The intervention group will receive sensorimotor training using the Huber 360 balance system, while the control group will perform a home exercise program including stretching, spinal mobility, lumbopelvic control, and balance exercises.

Pain severity, proprioception, functional status, balance, physical performance, and quality of life will be assessed before and after treatment by an assessor blinded to group allocation.

Study Overview

• Status: Recruiting
• Conditions: Low Back Pain
• Intervention / Treatment: Behavioral: Home Exercise Program; Device: Huber 360 Sensorimotor Training

• Study Type: Interventional
• Enrollment (Estimated): 44
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Sefa Gumruk Aslan; Phone Number: +903122911503; Email: sefagumrukk@gmail.com

Study Locations

• Turkey (Türkiye)
  • Ankara, Turkey (Türkiye)
    • Recruiting
    • Ankara Gaziler physical therapy and rehabilitation hospital
    • Contact: Sefa Gumruk Aslan; Phone Number: +903122911503; Email: sefagumrukk@gmail.com

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Individuals aged between 18 and 55 years
• Presence of chronic low back pain lasting at least 3 months
• Pain intensity score of 3 or higher on the Visual Analog Scale (VAS)
• Individuals with sufficient cognitive ability to understand and follow study procedures
• Willingness to participate voluntarily in the study

Exclusion Criteria:

• Participation in a similar training program within the last 12 months
• History of lower extremity or spinal surgery
• Presence of non-mechanical low back pain, inflammatory disease, or tumor
• Uncontrolled hypertension or cardiac disease
• History of malignancy
• Presence of radicular symptoms associated with low back pain
• Progressive neurological deficits
• Neurogenic claudication

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Home Exercise Program; Participants in this group will perform a home exercise program including warm-up and stretching exercises, spinal mobility exercises, lumbopelvic control exercises, and balance exercises. The program will be performed for 30 minutes per session, twice weekly for 5 weeks.	Behavioral: Home Exercise Program; Participants will perform a home exercise program including warm-up and stretching exercises, spinal mobility exercises, lumbopelvic control exercises, and balance exercises. The program will be performed for 30 minutes per session, twice weekly for 5 weeks.
Experimental: Huber 360 Sensorimotor Training; Participants in this group will receive a sensorimotor training protocol using the Huber 360 balance system. The intervention will include progressive rotational and oscillatory exercises aimed at improving proprioception, balance, neuromuscular control, and movement control. Sessions will be performed for 30 minutes, twice weekly for 5 weeks.	Behavioral: Home Exercise Program; Participants will perform a home exercise program including warm-up and stretching exercises, spinal mobility exercises, lumbopelvic control exercises, and balance exercises. The program will be performed for 30 minutes per session, twice weekly for 5 weeks.; Device: Huber 360 Sensorimotor Training; Participants will receive sensorimotor training using the Huber 360 balance system. The protocol will include progressive rotational and oscillatory exercises designed to improve proprioception, balance, neuromuscular control, and movement control in patients with chronic low back pain. Sessions will be performed for 30 minutes, twice weekly for 5 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Lumbar Proprioception Assessment	Lumbar proprioception will be assessed using lumbar repositioning tests at 60 degrees flexion and 15 degrees extension. Participants will be asked to reproduce target lumbar positions, and the angular repositioning error will be recorded. Lower repositioning error values indicate better lumbar proprioceptive accuracy.	Before treatment and immediately after completion of the 5-week intervention program

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Severity Assessed by Visual Analog Scale	Pain intensity will be assessed using a 10-cm Visual Analog Scale (VAS). Scores range from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain severity.	Before treatment and immediately after completion of the 5-week intervention program
Functional Status Assessed by Oswestry Disability Index	Functional disability related to low back pain will be assessed using the Oswestry Disability Index (ODI). Higher scores indicate greater disability.	Before treatment and immediately after completion of the 5-week intervention program
Balance and Limits of Stability Assessed by Huber 360	Static balance, dynamic balance, and limits of stability will be assessed using the Huber 360 balance system. Better balance performance and improved stability limits indicate better postural control.	Before treatment and immediately after completion of the 5-week intervention program
Lumbar Flexion Range of Motion	Physical performance will be assessed using a Physical Performance Test Battery including lumbar flexion range of motion, 50-step walking test, 5-minute walking test, five-repetition sit-to-stand test, ten-repetition trunk flexion test, and forward reaching with weight.	Before treatment and immediately after completion of the 5-week intervention program
Quality of Life Assessed by Short Form-36	Quality of life will be assessed using the Short Form-36 (SF-36). Higher scores indicate better health-related quality of life.	Before treatment and immediately after completion of the 5-week intervention program
50-Step Walking Test	he time required to complete the 50-step walking test will be recorded in seconds	Before treatment and immediately after completion of the 5-week intervention program
Five-Minute Walking Test	The time required to complete five sit-to-stand repetitions will be recorded in seconds.	Before treatment and immediately after completion of the 5-week intervention program
Ten-Repetition Trunk Flexion Test	The time required to complete ten trunk flexion repetitions will be recorded in seconds.	Before treatment and immediately after completion of the 5-week intervention program
Forward Reaching with Weight Test	Forward reaching distance while holding weight will be measured in centimeters.	Before treatment and immediately after completion of the 5-week intervention program

Collaborators and Investigators

• Sponsor: Gaziler Physical Medicine and Rehabilitation Education and Research Hospital

Study record dates

Study Major Dates

• Study Start (Actual): May 4, 2026
• Primary Completion (Estimated): October 30, 2026
• Study Completion (Estimated): November 30, 2026

Study Registration Dates

• First Submitted: May 3, 2026
• First Submitted That Met QC Criteria: May 16, 2026
• First Posted (Actual): May 22, 2026

Study Record Updates

• Last Update Posted (Actual): May 22, 2026
• Last Update Submitted That Met QC Criteria: May 16, 2026
• Last Verified: May 1, 2026

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Back Pain; Pathological Conditions, Signs and Symptoms; Signs and Symptoms; Low Back Pain
• Other Study ID Numbers: CLBP-MBP-2026

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