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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 november 2026 bijgewerkt door: 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.

Studie Overzicht

Toestand

Nog niet aan het werven

Conditie

Interventie / Behandeling

Studietype

Ingrijpend

Inschrijving (Geschat)

48

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Contact Back-up

  • Naam: Çiçek Günday Asst. Prof., Asst. Prof.
  • Telefoonnummer: +905071888848

Studie Locaties

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

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 30 jaar (Volwassen)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

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.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Ondersteunende zorg
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Actieve vergelijker: 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.
Gedragsmatig: Core Stabilization Exercises

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.
Experimenteel: 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.
Gedragsmatig: Core Stabilization Exercises

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.

Apparaat: Whole-Body Vibration

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.
Experimenteel: 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.
Gedragsmatig: Core Stabilization Exercises

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.

Gedragsmatig: Cervical Stabilization Exercises

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.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Trunk motor control (supine), Pressure Biofeedback Unit
Tijdsspanne: 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
Tijdsspanne: 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

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Pain intensity, Numeric Pain Rating Scale (NPRS)
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Istinye University

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Geschat)

30 oktober 2026

Primaire voltooiing (Geschat)

30 oktober 2027

Studie voltooiing (Geschat)

30 oktober 2027

Studieregistratiedata

Eerst ingediend

21 oktober 2026

Eerst ingediend dat voldeed aan de QC-criteria

5 november 2026

Eerst geplaatst (Werkelijk)

6 november 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

6 november 2026

Laatste update ingediend die voldeed aan QC-criteria

5 november 2026

Laatst geverifieerd

1 oktober 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • 2026/226

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Beschrijving IPD-plan

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

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

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