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Effects of Whole-Body Vibration and Cervical Stabilization With Core Stabilization in Young Adults With Non-Specific Low Back Pain

5 novembre 2026 aggiornato da: Çiçek Günday, Istinye University

Effects of Whole-Body Vibration and Cervical Stabilization Combined With Core Stabilization on Trunk Motor Control in Young Individuals With Non-Specific Low Back Pain

This study aims to investigate the immediate effects of three intervention approaches in young adults with nonspecific low back pain. Participants will be randomly assigned to one of three groups: core stabilization exercises, whole-body vibration combined with core stabilization exercises, or cervical stabilization combined with core stabilization exercises. Outcomes will be assessed before and immediately after the intervention. The study will evaluate trunk motor control, pain intensity, pressure pain threshold, trunk muscle endurance, and balance. The purpose is to compare the immediate effects of these approaches and determine whether adding whole-body vibration or cervical stabilization to core stabilization produces additional benefits.

Panoramica dello studio

Stato

Non ancora reclutamento

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Stimato)

48

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Backup dei contatti dello studio

  • Nome: Çiçek Günday Asst. Prof., Asst. Prof.
  • Numero di telefono: +905071888848

Luoghi di studio

    • Istanbul
      • Istanbul, Istanbul, Turchia (Türkiye)
        • Istinye University Physiotherapy and Rehabilitation Application and Research Center (ISUFIZYOTEM)
        • Contatto:
          • Nurgül Elbaşı Elbaşı

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 30 anni (Adulto)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • Age between 18 and 30 years.
  • Low back pain intensity of at least 3/10 on the Numeric Rating Scale.
  • Low back pain symptoms for at least 6 months.
  • Ability to understand and follow verbal instructions.
  • No major neurological deficit.
  • No physiotherapy for low back pain within the previous 6 weeks.

Exclusion Criteria:

  • Low back pain with a specific etiology identified by a physician.
  • Neurological, vestibular, rheumatological, or serious musculoskeletal disorders affecting balance or motor control.
  • Use of medications that may affect balance or have potential neurotoxic effects.
  • Degenerative diseases.
  • Indication for surgical intervention.
  • History of fracture or surgery within the previous 2 years.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Terapia di supporto
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Comparatore attivo: Core Stabilization

Participants in this group will perform the standard core stabilization exercise program, including the abdominal drawing-in maneuver, heel slide, single-leg march, single-leg extended heel tap, bridge, bridge pulse, dead bug, modified curl-up, and semi-plank. The total intervention duration is approximately 20 minutes.

Participants perform a core stabilization exercise program including the abdominal drawing-in maneuver, heel slide, single-leg march, single-leg extended heel tap, bridge, bridge pulse, dead bug, modified curl-up, and semi-plank. The program is designed to activate and control the deep trunk stabilizing muscles.

Sperimentale: Whole-Body Vibration + Core Stabilization

Participants in this group will receive 5 minutes of whole-body vibration before the core stabilization exercise program. The vibration platform will be set at 30 Hz with an amplitude of 2 mm, and participants will stand with the knees slightly flexed during the vibration. Immediately afterward, participants will perform the same core stabilization exercise program used in the core stabilization group. After completing the core stabilization exercises, an additional 5 minutes of whole-body vibration will be applied using the same parameters. The total intervention duration is approximately 30 minutes.

Participants perform a core stabilization exercise program including the abdominal drawing-in maneuver, heel slide, single-leg march, single-leg extended heel tap, bridge, bridge pulse, dead bug, modified curl-up, and semi-plank. The program is designed to activate and control the deep trunk stabilizing muscles.

Whole-body vibration will be applied using a vibration platform at a frequency of 30 Hz and an amplitude of 2 mm. Participants will stand on the platform with the knees slightly flexed for 5 minutes before the core stabilization exercise program and for an additional 5 minutes after the program.

Sperimentale: Cervical Stabilization + Core Stabilization

Participants in this group will perform cervical stabilization exercises before the core stabilization exercise program. The cervical exercises will be performed in supine using a pressure biofeedback unit placed under the cervical spine. Participants will perform controlled craniocervical flexion, progressing the target pressure from 20 mmHg to 30 mmHg in 2 mmHg increments. The cervical stabilization exercises will be performed for approximately 5 minutes before the core stabilization program and repeated for an additional 5 minutes afterward. The total intervention duration is approximately 30 minutes.

Participants perform a core stabilization exercise program including the abdominal drawing-in maneuver, heel slide, single-leg march, single-leg extended heel tap, bridge, bridge pulse, dead bug, modified curl-up, and semi-plank. The program is designed to activate and control the deep trunk stabilizing muscles.

Participants will perform cervical stabilization exercises in the supine position using a pressure biofeedback unit placed under the cervical spine. Controlled craniocervical flexion will be performed with progressive target pressures from 20 mmHg to 30 mmHg in 2 mmHg increments. The exercises will be performed for approximately 5 minutes before the core stabilization program and repeated for an additional 5 minutes afterward.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Trunk motor control (supine), Pressure Biofeedback Unit
Lasso di tempo: Baseline and immediately after the single intervention session

Deep abdominal muscle activation and lumbopelvic stability assessed with a pressure biofeedback unit in crook lying during the abdominal drawing-in maneuver, starting at 40 mmHg. The score is the absolute deviation from 40 mmHg (best of three trials); smaller values indicate better motor control.

Baseline and immediately after the single intervention session
Trunk motor control (prone; transversus abdominis activation), Pressure Biofeedback Unit
Lasso di tempo: Baseline and immediately after the single intervention session

Activation of the transversus abdominis assessed in prone lying with the pressure biofeedback unit placed under the abdomen and inflated to 70 mmHg. Participants draw the abdominal wall in without moving the spine or pelvis. The score is the pressure reduction from 70 mmHg held steadily (best of three trials); larger reductions indicate better activation.

Baseline and immediately after the single intervention session

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Pain intensity, Numeric Pain Rating Scale (NPRS)
Lasso di tempo: Baseline and immediately after the single intervention session

Self-reported low back pain intensity rated from 0 (no pain) to 10 (worst imaginable pain). Lower scores indicate less pain.

Baseline and immediately after the single intervention session
Pressure pain threshold, lumbar multifidus
Lasso di tempo: Baseline and immediately after the single intervention session

Pressure pain threshold in kg/cm² measured with a pressure algometer 2 cm lateral to the L4 spinous process. The mean of three measurements is used. Higher values indicate lower pain sensitivity.

Baseline and immediately after the single intervention session
Pressure pain threshold, erector spinae
Lasso di tempo: Baseline and immediately after the single intervention session

Pressure pain threshold in kg/cm² measured with a pressure algometer 3 cm lateral to the L3 spinous process. The mean of three measurements is used. Higher values indicate lower pain sensitivity.

Baseline and immediately after the single intervention session
Pressure pain threshold, thoracolumbar fascia
Lasso di tempo: Baseline and immediately after the single intervention session

Pressure pain threshold in kg/cm² measured with a pressure algometer 5 cm lateral to the L3 level. The mean of three measurements is used. Higher values indicate lower pain sensitivity.

Baseline and immediately after the single intervention session
Y-Balance Test composite score, right leg
Lasso di tempo: Baseline and immediately after the single intervention session

Maximum reach in the anterior, posteromedial and posterolateral directions while standing on the right leg, normalized to right lower limb length and expressed as a composite score (%). Higher scores indicate better dynamic balance.

Baseline and immediately after the single intervention session
Y-Balance Test composite score, left leg
Lasso di tempo: Baseline and immediately after the single intervention session

Maximum reach in the anterior, posteromedial and posterolateral directions while standing on the left leg, normalized to left lower limb length and expressed as a composite score (%). Higher scores indicate better dynamic balance.

Baseline and immediately after the single intervention session
Trunk flexor endurance test
Lasso di tempo: Baseline and immediately after the single intervention session

Isometric holding time in seconds in the trunk flexor endurance test (McGill). Longer holding time indicates greater trunk flexor endurance.

Baseline and immediately after the single intervention session
Prone plank test
Lasso di tempo: Baseline and immediately after the single intervention session

Isometric holding time in seconds in the prone plank position. Longer holding time indicates greater trunk muscle endurance.

Baseline and immediately after the single intervention session
Right side bridge test
Lasso di tempo: Baseline and immediately after the single intervention session

Isometric holding time in seconds in the right side bridge test (McGill). Longer holding time indicates greater lateral trunk endurance.

Baseline and immediately after the single intervention session
Left side bridge test
Lasso di tempo: Baseline and immediately after the single intervention session

Isometric holding time in seconds in the left side bridge test (McGill). Longer holding time indicates greater lateral trunk endurance.

Baseline and immediately after the single intervention session

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Stimato)

30 ottobre 2026

Completamento primario (Stimato)

30 ottobre 2027

Completamento dello studio (Stimato)

30 ottobre 2027

Date di iscrizione allo studio

Primo inviato

21 ottobre 2026

Primo inviato che soddisfa i criteri di controllo qualità

5 novembre 2026

Primo Inserito (Effettivo)

6 novembre 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

6 novembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

5 novembre 2026

Ultimo verificato

1 ottobre 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • 2026/226

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

NO

Descrizione del piano IPD

Individual participant data will not be shared in order to protect the privacy and confidentiality of the participants.

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .