Effects of Whole-Body Vibration and Cervical Stabilization With Core Stabilization in Young Adults With Non-Specific Low Back Pain
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.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Mariam Abualkas Abualkas, Pt
- Telefonnummer: +905345526603
- E-post: 2433095031@stu.istinye.edu.tr
Studera Kontakt Backup
- Namn: Çiçek Günday Asst. Prof., Asst. Prof.
- Telefonnummer: +905071888848
Studieorter
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Istanbul
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Istanbul, Istanbul, Turkiet (Türkiye)
- Istinye University Physiotherapy and Rehabilitation Application and Research Center (ISUFIZYOTEM)
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Kontakt:
- Nurgül Elbaşı Elbaşı
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Stödjande vård
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Aktiv komparator: 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. |
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Experimentell: 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. |
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Experimentell: 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. |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Trunk motor control (supine), Pressure Biofeedback Unit
Tidsram: Baseline and immediately after the single intervention session
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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
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Trunk motor control (prone; transversus abdominis activation), Pressure Biofeedback Unit
Tidsram: Baseline and immediately after the single intervention session
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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
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Pain intensity, Numeric Pain Rating Scale (NPRS)
Tidsram: Baseline and immediately after the single intervention session
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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
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Pressure pain threshold, lumbar multifidus
Tidsram: Baseline and immediately after the single intervention session
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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
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Pressure pain threshold, erector spinae
Tidsram: Baseline and immediately after the single intervention session
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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
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Pressure pain threshold, thoracolumbar fascia
Tidsram: Baseline and immediately after the single intervention session
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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
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Y-Balance Test composite score, right leg
Tidsram: Baseline and immediately after the single intervention session
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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
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Y-Balance Test composite score, left leg
Tidsram: Baseline and immediately after the single intervention session
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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
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Trunk flexor endurance test
Tidsram: Baseline and immediately after the single intervention session
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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
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Prone plank test
Tidsram: Baseline and immediately after the single intervention session
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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
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Right side bridge test
Tidsram: Baseline and immediately after the single intervention session
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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
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Left side bridge test
Tidsram: Baseline and immediately after the single intervention session
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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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Avslutad studie (Beräknad)
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Först inskickad som uppfyllde QC-kriterierna
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Nyckelord
Andra studie-ID-nummer
- 2026/226
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Individual participant data will not be shared in order to protect the privacy and confidentiality of the participants.
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