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Dual-Task Neuromuscular Warm-Up Exercises in Chronic Low Back Pain

2026年8月8日 更新者:Yunus Emre Tutuneken、Istinye University

Immediate Effects of Dual-Task Neuromuscular Warm-Up Exercises on Balance and Proprioception in Individuals With Chronic Nonspecific Low Back Pain: A Randomized Controlled Study

This study aims to investigate the immediate effects of dual-task neuromuscular warm-up exercises on balance and proprioception in individuals with chronic nonspecific low back pain. Participants will be randomly assigned to either a dual-task neuromuscular warm-up exercise group or a neuromuscular warm-up exercise group. Both groups will also receive the same conventional physiotherapy program. Balance, proprioception, lumbar muscle properties, pressure pain threshold, and flexibility will be assessed before and after the intervention to determine whether adding cognitive tasks to neuromuscular warm-up exercises provides additional immediate benefits.

研究概览

研究类型

介入性

注册 (估计的)

40

阶段

  • 不适用

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人

接受健康志愿者

不

描述

Inclusion Criteria:

  • Diagnosed with nonspecific low back pain persisting for at least 3 months.
  • Pain intensity of ≥3 on the Visual Analog Scale (VAS).
  • Sufficient cognitive ability to understand and follow verbal and written instructions in Turkish.
  • Independent mobility sufficient to perform the tests and exercises.
  • Willingness to participate and provision of written informed consent.

Exclusion Criteria:

  • Acute disc herniation, spinal stenosis, spondylolysis, or spondylolisthesis.
  • Previous spinal surgery or a history of severe trauma affecting the spine.
  • Rheumatic diseases, malignancy, infection, or neurological diseases that may cause low back pain.
  • Sensory or motor loss in the lower extremities or deep tendon reflex loss indicating radiculopathy.
  • Known vestibular or visual system disorders.
  • Body mass index (BMI) ≥30 kg/m².
  • Pregnancy.
  • Physiotherapy/rehabilitation treatment or steroid injection targeting the lumbar region within the previous 3 months.
  • Use of analgesics, muscle relaxants, or sedatives within the previous 24 hours that may affect balance or pain threshold.
  • Other orthopedic or systemic health conditions that may interfere with exercise or balance testing.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:单身的

武器和干预

参与者组/臂
干预/治疗
实验性的:Dual-Task Neuromuscular Warm-Up Exercise Group
Participants will perform neuromuscular warm-up exercises combined with cognitive tasks, including single-leg balance with backward counting, squats with word generation, tandem walking with counting, balance pad standing with a memory task, and step-up exercises with a reaction task. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.
有源比较器:Neuromuscular Warm-Up Exercise Group
Participants will perform the same neuromuscular warm-up exercises without cognitive tasks, including single-leg balance, squats, tandem walking, balance pad standing, and step-up exercises. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Balance
大体时间:Immediately before and after the intervention (same day)
Balance assessed using the ProKin Balance Measurement System.
Immediately before and after the intervention (same day)
Proprioception
大体时间:Immediately before and after the intervention (same day)
Lower-extremity joint position sense assessed using the ProKin Balance Measurement System.
Immediately before and after the intervention (same day)

次要结果测量

结果测量
措施说明
大体时间
Lumbar Erector Spinae Muscle Tone
大体时间:Immediately before and after the intervention (same day)
Muscle tone assessed using MyotonPRO.
Immediately before and after the intervention (same day)
Lumbar Erector Spinae Muscle Stiffness
大体时间:Immediately before and after the intervention (same day)
Muscle stiffness assessed using MyotonPRO.
Immediately before and after the intervention (same day)
Lumbar Erector Spinae Muscle Elasticity
大体时间:Immediately before and after the intervention (same day)
Muscle elasticity assessed using MyotonPRO.
Immediately before and after the intervention (same day)
Pressure Pain Threshold
大体时间:Immediately before and after the intervention (same day)
Pressure pain threshold assessed using an algometer.
Immediately before and after the intervention (same day)
Hamstring and Lumbar Muscle Flexibility
大体时间:Immediately before and after the intervention (same day)
Flexibility assessed using the Sit and Reach Test.
Immediately before and after the intervention (same day)
Global Perceived Change
大体时间:Immediately after the intervention.
Perceived change following the intervention assessed using the Global Rating of Change Scale.
Immediately after the intervention.

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年8月25日

初级完成 (估计的)

2027年3月5日

研究完成 (估计的)

2027年3月10日

研究注册日期

首次提交

2026年8月8日

首先提交符合 QC 标准的

2026年8月8日

首次发布 (实际的)

2026年8月12日

研究记录更新

最后更新发布 (实际的)

2026年8月12日

上次提交的符合 QC 标准的更新

2026年8月8日

最后验证

2026年8月1日

更多信息

与本研究相关的术语

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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