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The Effect of Yoga and Stabilization Exercises in Individuals With Chronic Low Back Pain

19 de octubre de 2021 actualizado por: Ozlem Ulger, Hacettepe University

The Effect of Yoga and Stabilization Exercises on Pain, Functional Status, Metabolic Capacity and Sleep Quality in Individuals With Chronic Low Back Pain: A Randomized, Crossover Study.

Although exercise has been shown to be effective in low back pain in the literature, there is no conclusion about which exercise is superior to the other. Although there are studies showing positive effects of spinal stabilization exercises and yoga approach on pain level, disability level and quality of life in patients with chronic low back pain, studies evaluating the effectiveness in many other aspects are insufficient. Therefore, this study aimed to investigate the effects of spinal stabilization and yoga exercises on pain, functional status, metabolic capacity, kinesophobia and sleep quality in patients with chronic low back pain.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Actual)

28

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

  • Pavo
    • Altındağ
      • Ankara, Altındağ, Pavo, 06100
        • Özlem Ülger

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

25 años a 65 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Chronic non-specific low back pain diagnosis
  • Having pain that persists for at least 12 weeks
  • 25-65 age range

Exclusion Criteria:

  • Scoliosis with a cobb angle of more than 20º
  • History of previous surgery for the lumbal region
  • Having an additional diagnosis such as spondylolisthesis, spinal stenosis, spondylolysis
  • Presence of neurological deficits
  • Metastatic state presence
  • Presence of neurological deficits due to diabetes
  • Presence of metabolic problems such as thyroid, hypertension, coronary artery disease
  • The presence of inflammatory problems involving the spine

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación cruzada
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Yoga Group
The sessions will begin with breathing exercises in standing, sitting, supine and prone positions, and these exercises will be applied for about 10 minutes. After the breathing exercises, the sudden relaxation technique, which will take 2-3 minutes, firstly contracting the whole body from the feet to the head and then completely relaxing it.
Otro: Yoga
Yoga
Experimental: Spinal Stabilization Exercise Group

Spinal stabilization exercises will be applied to the individuals in this group for 8 weeks / 2 days a week, approximately 50-60 minutes a day under the supervision of a physiotherapist.

Spinal stabilization exercises will be progressed in 3 phases by gradually increasing the difficulty.
Otro: Spinal Stabilization Exercise
Spinal Stabilization Exercise

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Pain Intensity
Periodo de tiempo: 15 minutes, through study completion, an average of 8 weeks, Change from pain intensity
Pain intensity of participants will be evaluated with visual analog scale (VAS). Paricipants asked to mark the intensity of pain on a 10 cm long line, explaining that the leftmost of the line does not have pain, that the pain increases while moving to the right, and that the pain is unbearable on the far right. VAS scored between 0-10 cm.
15 minutes, through study completion, an average of 8 weeks, Change from pain intensity
Disability Severity
Periodo de tiempo: 5 minutes, through study completion, an average of 8 weeks, Change from disability

Patient's pain related functional status will be measured by Oswestry Disability Index. The scale is considered the 'gold standard' of low back functional outcome tools. This scale contain questions related to functional activities of pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life and travelling. Interpretation of scale are 0% to 20% for minimal disability, 21% to 40% for moderate disability, 41 % to 60 % for severe disability 61% to 80 % for crippled and 81 % to 100 % Bed-bound. The Oswestry Disability Index is scored between 0-50 points. An increase in score indicates a poor result.

Patient's back-related functional performance will be evaluated with Back Performance Scale. Each question is scored between 0 and 3. The total score recorded. The Back Performance Scale test is scored between 0-15 points. An increase in score indicates a poor result.
5 minutes, through study completion, an average of 8 weeks, Change from disability
Funcitonal Performance
Periodo de tiempo: 10 minutes, through study completion, an average of 8 weeks, Change from Functional status and performance
Patient's back-related functional performance will be evaluated with Back Performance Scale. Each question is scored between 0 and 3. The total score recorded. The Back Performance Scale test is scored between 0-15 points. An increase in score indicates a poor result.
10 minutes, through study completion, an average of 8 weeks, Change from Functional status and performance

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Deep muscle activation
Periodo de tiempo: 5 minutes, through study completion, an average of 8 weeks, Change from deep muscle activation
To evaluate the transversus abdominis muscle activation, the stabilizer biofeedback device is placed under the abdomen, just below the spina iliaca anterior superior, while the patient is in the prone position. The cuff of the device is inflated to 70 mmHg, the patient is asked to breathe and pull the abdomen up and in while exhaling, but the patient is warned not to make pelvis and spine movement. In the meantime, how much the pressure has changed is observed from the stabilizer device. In the test, the average of 3 repetitions will be recorded. With successful measurement, the pressure is expected to drop between 6 and 10 mm-Hg.
5 minutes, through study completion, an average of 8 weeks, Change from deep muscle activation
Kinesiophobia
Periodo de tiempo: 5 minutes, through study completion, an average of 8 weeks, Change from kinesiophobia
Fear-Avoidance-Beliefs Questionnaire will be applied to evaluate kinesiophobia which is fear of movement due to low back pain. This questionnaire has 2 sub-sections related to physical activity and work. There are 4 questions scored in the physical activity section and 7 questions in the work section. 0-6 points are obtained for each question. The total score will be recorded. Physical Activity sub-section scored between 0-24 points. Work sub-sections scored between 0-42 points. The higher the score, the higher the kinesiophobia.
5 minutes, through study completion, an average of 8 weeks, Change from kinesiophobia
Sleep quality
Periodo de tiempo: 5 minutes, through study completion, an average of 8 weeks, Change from Baseline sleep quality
The Pittsburg Sleep Quality Index will be used to evaluate sleep quality. This questionnaire evaluates sleep quality and disturbance over the past month. The scale consists of 7 subcomponents: Subjective Sleep Quality, Sleep Latency, Sleep Duration, Habitual Sleep Efficiency, Sleep Disturbances, Use of Sleeping Medication, and Daytime Dysfunction. Each component is scored between 0-3 points. The total score of the 7 components gives the total score of the scale. The total score ranges from 0-21. A total score greater than 5 indicates "poor sleep quality".
5 minutes, through study completion, an average of 8 weeks, Change from Baseline sleep quality
Metabolic Capacity
Periodo de tiempo: 15 minutes, through study completion, an average of 8 weeks, Change from Baseline metabolic capacity.
Metabolic capacity evaluation will be performed according to 6 Minute Walk Test. Individuals are asked to walk as fast as possible for 6 minutes without running on the 30 m long corridor. The test is started, the number of rounds is recorded while the patient is walking. Heart rate, blood pressure, oxygen saturation and respiratory frequency will be evaluated and recorded at first, at the end of the test and one minute after. Walking distance is recorded in meters.
15 minutes, through study completion, an average of 8 weeks, Change from Baseline metabolic capacity.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Hacettepe University

Investigadores

  • Investigador principal: Özlem Ülger, Prof, Hacettepe University

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

15 de febrero de 2021

Finalización primaria (Actual)

15 de agosto de 2021

Finalización del estudio (Actual)

15 de agosto de 2021

Fechas de registro del estudio

Enviado por primera vez

8 de febrero de 2021

Primero enviado que cumplió con los criterios de control de calidad

5 de marzo de 2021

Publicado por primera vez (Actual)

8 de marzo de 2021

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

20 de octubre de 2021

Última actualización enviada que cumplió con los criterios de control de calidad

19 de octubre de 2021

Última verificación

1 de octubre de 2021

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • KA-20031

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

NO

Descripción del plan IPD

No.

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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