Dual-Task Neuromuscular Warm-Up Exercises in Chronic Low Back Pain
8. august 2026 opdateret af: Yunus Emre Tutuneken, Istinye University
Immediate Effects of Dual-Task Neuromuscular Warm-Up Exercises on Balance and Proprioception in Individuals With Chronic Nonspecific Low Back Pain: A Randomized Controlled Study
This study aims to investigate the immediate effects of dual-task neuromuscular warm-up exercises on balance and proprioception in individuals with chronic nonspecific low back pain.
Participants will be randomly assigned to either a dual-task neuromuscular warm-up exercise group or a neuromuscular warm-up exercise group.
Both groups will also receive the same conventional physiotherapy program.
Balance, proprioception, lumbar muscle properties, pressure pain threshold, and flexibility will be assessed before and after the intervention to determine whether adding cognitive tasks to neuromuscular warm-up exercises provides additional immediate benefits.
Studieoversigt
Status
Ikke rekrutterer endnu
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Anslået)
40
Fase
- Ikke anvendelig
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Ingen
Beskrivelse
Inclusion Criteria:
- Diagnosed with nonspecific low back pain persisting for at least 3 months.
- Pain intensity of ≥3 on the Visual Analog Scale (VAS).
- Sufficient cognitive ability to understand and follow verbal and written instructions in Turkish.
- Independent mobility sufficient to perform the tests and exercises.
- Willingness to participate and provision of written informed consent.
Exclusion Criteria:
- Acute disc herniation, spinal stenosis, spondylolysis, or spondylolisthesis.
- Previous spinal surgery or a history of severe trauma affecting the spine.
- Rheumatic diseases, malignancy, infection, or neurological diseases that may cause low back pain.
- Sensory or motor loss in the lower extremities or deep tendon reflex loss indicating radiculopathy.
- Known vestibular or visual system disorders.
- Body mass index (BMI) ≥30 kg/m².
- Pregnancy.
- Physiotherapy/rehabilitation treatment or steroid injection targeting the lumbar region within the previous 3 months.
- Use of analgesics, muscle relaxants, or sedatives within the previous 24 hours that may affect balance or pain threshold.
- Other orthopedic or systemic health conditions that may interfere with exercise or balance testing.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Dual-Task Neuromuscular Warm-Up Exercise Group
|
Participants will perform neuromuscular warm-up exercises combined with cognitive tasks, including single-leg balance with backward counting, squats with word generation, tandem walking with counting, balance pad standing with a memory task, and step-up exercises with a reaction task.
Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.
|
|
Aktiv komparator: Neuromuscular Warm-Up Exercise Group
|
Participants will perform the same neuromuscular warm-up exercises without cognitive tasks, including single-leg balance, squats, tandem walking, balance pad standing, and step-up exercises.
Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Balance
Tidsramme: Immediately before and after the intervention (same day)
|
Balance assessed using the ProKin Balance Measurement System.
|
Immediately before and after the intervention (same day)
|
|
Proprioception
Tidsramme: Immediately before and after the intervention (same day)
|
Lower-extremity joint position sense assessed using the ProKin Balance Measurement System.
|
Immediately before and after the intervention (same day)
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Lumbar Erector Spinae Muscle Tone
Tidsramme: Immediately before and after the intervention (same day)
|
Muscle tone assessed using MyotonPRO.
|
Immediately before and after the intervention (same day)
|
|
Lumbar Erector Spinae Muscle Stiffness
Tidsramme: Immediately before and after the intervention (same day)
|
Muscle stiffness assessed using MyotonPRO.
|
Immediately before and after the intervention (same day)
|
|
Lumbar Erector Spinae Muscle Elasticity
Tidsramme: Immediately before and after the intervention (same day)
|
Muscle elasticity assessed using MyotonPRO.
|
Immediately before and after the intervention (same day)
|
|
Pressure Pain Threshold
Tidsramme: Immediately before and after the intervention (same day)
|
Pressure pain threshold assessed using an algometer.
|
Immediately before and after the intervention (same day)
|
|
Hamstring and Lumbar Muscle Flexibility
Tidsramme: Immediately before and after the intervention (same day)
|
Flexibility assessed using the Sit and Reach Test.
|
Immediately before and after the intervention (same day)
|
|
Global Perceived Change
Tidsramme: Immediately after the intervention.
|
Perceived change following the intervention assessed using the Global Rating of Change Scale.
|
Immediately after the intervention.
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Anslået)
25. august 2026
Primær færdiggørelse (Anslået)
5. marts 2027
Studieafslutning (Anslået)
10. marts 2027
Datoer for studieregistrering
Først indsendt
8. august 2026
Først indsendt, der opfyldte QC-kriterier
8. august 2026
Først opslået (Faktiske)
12. august 2026
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
12. august 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
8. august 2026
Sidst verificeret
1. august 2026
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 102
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