The Effect of Yoga and Stabilization Exercises in Individuals With Chronic Low Back Pain
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|ClinicalTrials.gov Identifier: NCT04787094|
Recruitment Status : Recruiting
First Posted : March 8, 2021
Last Update Posted : March 8, 2021
|Condition or disease||Intervention/treatment||Phase|
|Low Back Pain||Other: Yoga Other: Spinal Stabilization Exercise||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||25 participants|
|Intervention Model:||Crossover Assignment|
|Masking:||None (Open Label)|
|Official Title:||The Effect of Yoga and Stabilization Exercises on Pain, Functional Status, Metabolic Capacity and Sleep Quality in Individuals With Chronic Low Back Pain: A Randomized, Crossover Study.|
|Actual Study Start Date :||December 1, 2020|
|Estimated Primary Completion Date :||April 15, 2021|
|Estimated Study Completion Date :||April 30, 2021|
Experimental: Yoga Group
The sessions will begin with breathing exercises in standing, sitting, supine and prone positions, and these exercises will be applied for about 10 minutes. After the breathing exercises, the sudden relaxation technique, which will take 2-3 minutes, firstly contracting the whole body from the feet to the head and then completely relaxing it.
Experimental: Spinal Stabilization Exercise Group
Spinal stabilization exercises will be applied to the individuals in this group for 8 weeks / 2 days a week, approximately 50-60 minutes a day under the supervision of a physiotherapist.
Spinal stabilization exercises will be progressed in 3 phases by gradually increasing the difficulty.
Other: Spinal Stabilization Exercise
Spinal Stabilization Exercise
- Pain Intensity [ Time Frame: 15 minutes, through study completion, an average of 8 weeks, Change from pain intensity ]Pain intensity of participants will be evaluated with visual analog scale (VAS). Paricipants asked to mark the intensity of pain on a 10 cm long line, explaining that the leftmost of the line does not have pain, that the pain increases while moving to the right, and that the pain is unbearable on the far right. VAS scored between 0-10 cm.
- Disability Severity [ Time Frame: 5 minutes, through study completion, an average of 8 weeks, Change from disability ]
Patient's pain related functional status will be measured by Oswestry Disability Index. The scale is considered the 'gold standard' of low back functional outcome tools. This scale contain questions related to functional activities of pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life and travelling. Interpretation of scale are 0% to 20% for minimal disability, 21% to 40% for moderate disability, 41 % to 60 % for severe disability 61% to 80 % for crippled and 81 % to 100 % Bed-bound. The Oswestry Disability Index is scored between 0-50 points. An increase in score indicates a poor result.
Patient's back-related functional performance will be evaluated with Back Performance Scale. Each question is scored between 0 and 3. The total score recorded. The Back Performance Scale test is scored between 0-15 points. An increase in score indicates a poor result.
- Funcitonal Performance [ Time Frame: 10 minutes, through study completion, an average of 8 weeks, Change from Functional status and performance ]Patient's back-related functional performance will be evaluated with Back Performance Scale. Each question is scored between 0 and 3. The total score recorded. The Back Performance Scale test is scored between 0-15 points. An increase in score indicates a poor result.
- Deep muscle activation [ Time Frame: 5 minutes, through study completion, an average of 8 weeks, Change from deep muscle activation ]To evaluate the transversus abdominis muscle activation, the stabilizer biofeedback device is placed under the abdomen, just below the spina iliaca anterior superior, while the patient is in the prone position. The cuff of the device is inflated to 70 mmHg, the patient is asked to breathe and pull the abdomen up and in while exhaling, but the patient is warned not to make pelvis and spine movement. In the meantime, how much the pressure has changed is observed from the stabilizer device. In the test, the average of 3 repetitions will be recorded. With successful measurement, the pressure is expected to drop between 6 and 10 mm-Hg.
- Kinesiophobia [ Time Frame: 5 minutes, through study completion, an average of 8 weeks, Change from kinesiophobia ]Fear-Avoidance-Beliefs Questionnaire will be applied to evaluate kinesiophobia which is fear of movement due to low back pain. This questionnaire has 2 sub-sections related to physical activity and work. There are 4 questions scored in the physical activity section and 7 questions in the work section. 0-6 points are obtained for each question. The total score will be recorded. Physical Activity sub-section scored between 0-24 points. Work sub-sections scored between 0-42 points. The higher the score, the higher the kinesiophobia.
- Sleep quality [ Time Frame: 5 minutes, through study completion, an average of 8 weeks, Change from Baseline sleep quality ]The Pittsburg Sleep Quality Index will be used to evaluate sleep quality. This questionnaire evaluates sleep quality and disturbance over the past month. The scale consists of 7 subcomponents: Subjective Sleep Quality, Sleep Latency, Sleep Duration, Habitual Sleep Efficiency, Sleep Disturbances, Use of Sleeping Medication, and Daytime Dysfunction. Each component is scored between 0-3 points. The total score of the 7 components gives the total score of the scale. The total score ranges from 0-21. A total score greater than 5 indicates "poor sleep quality".
- Metabolic Capacity [ Time Frame: 15 minutes, through study completion, an average of 8 weeks, Change from Baseline metabolic capacity. ]Metabolic capacity evaluation will be performed according to 6 Minute Walk Test. Individuals are asked to walk as fast as possible for 6 minutes without running on the 30 m long corridor. The test is started, the number of rounds is recorded while the patient is walking. Heart rate, blood pressure, oxygen saturation and respiratory frequency will be evaluated and recorded at first, at the end of the test and one minute after. Walking distance is recorded in meters.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04787094
|Contact: Yasemin ö Özel Aslıyüce, Prof.||05061437309 ext email@example.com|
|Ankara, Altındağ, Turkey, 06100|
|Contact: Özlem Ülger, Professor 05324027876 firstname.lastname@example.org|
|Principal Investigator:||Özlem Ülger, Prof||Hacettepe University|