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

2026年11月5日 更新者: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.

調査の概要

状態

まだ募集していません

条件

介入・治療

研究の種類

介入

入学 (推定)

48

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

研究連絡先のバックアップ

  • 名前:Çiçek Günday Asst. Prof., Asst. Prof.
  • 電話番号:+905071888848

研究場所

    • Istanbul
      • Istanbul、Istanbul、トルコ(Türkiye)
        • Istinye University Physiotherapy and Rehabilitation Application and Research Center (ISUFIZYOTEM)
        • コンタクト:
          • Nurgül Elbaşı Elbaşı

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年~30年 (大人)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

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.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:支持療法
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:独身

武器と介入

参加者グループ / アーム
介入・治療
アクティブコンパレータ: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.

実験的: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.

実験的: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.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Trunk motor control (supine), Pressure Biofeedback Unit
時間枠: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
時間枠: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

二次結果の測定

結果測定
メジャーの説明
時間枠
Pain intensity, Numeric Pain Rating Scale (NPRS)
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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
時間枠: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

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研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (推定)

2026年10月30日

一次修了 (推定)

2027年10月30日

研究の完了 (推定)

2027年10月30日

試験登録日

最初に提出

2026年10月21日

QC基準を満たした最初の提出物

2026年11月5日

最初の投稿 (実際)

2026年11月6日

学習記録の更新

投稿された最後の更新 (実際)

2026年11月6日

QC基準を満たした最後の更新が送信されました

2026年11月5日

最終確認日

2026年10月1日

詳しくは

本研究に関する用語

その他の研究ID番号

  • 2026/226

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個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

IPD プランの説明

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

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