Development of a Fascial Training Based Mobile Application and Investigation of Its Effectiveness in Patients With Disc Herniation (Fascia-M)

Baskent University

Status: Invitation-only

Conditions: Lumbal Disc Herniation; Lumbar Disc Disease

Treatments: Other: Fascial exercise based mobile application; Other: lumbal stabilizasyon home brochure; Other: fascial exercise home brochure

Study type: Interventional

Funder types: Other

Identifiers

NCT07060235

BaskentU-FTR-FA-02

Details and patient eligibility

About

This study will compare three different groups for lumbar disc herniation. The first group will do fascia exercises via a mobile application, the second group will do fascia exercises via a home leaflet, and the third group will do lumbar stabilization exercises via a home leaflet. Since there is not yet a mobile application that includes fascia exercises, this application will be made available to patients for home use after it is developed during the study.

The physiotherapist will teach the exercises in the clinical setting in three different groups.

Full description

In the study, 20 people in three different groups with a drop-out rate of twenty percent will participate in the study. This number is 60 people in total.

In the study, fascia exercises will be applied at home with the mobile application named Fascia-M for the first group, fascia exercises will be applied at home with the home brochure for the second group, and lumbar stabilization exercises will be applied at home with the home brochure for the third group. Visual pain scale, Tampa kinesiophobia scale, SF-12 Quality of Life Questionnaire, Pittsburg Sleep Quality Scale, modified schober test, digital inclinometer measurements will be applied and evaluated by the physiotherapist before and after the study.

Enrollment: 1 estimated patient

Sex: All

Ages: 20 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Exclusion Criteria:

• Mobile on Android devices have the competence to use the application
• No neurological deficit
• painkillers during the treatment process
• They are volunteer individuals who do not use medication

İnclusion Criteria:

• speak Turkish, and have Turkish literacy.
• included lumbar
• diagnosed with disc herniation with doctor's diagnosis
• participants is between the ages of 20-55,
• able to use mobile technology
• willing to participate in the study individuals with

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

---

1 participants in 3 patient groups

Fascial exercise

Active Comparator group

Description:

Fascial exercises are a systematic set of movements and manual techniques that target the fascia-the body's connective tissue network-with the aim of improving or maintaining its elasticity, hydration, mobility, and functional integrity. These exercises seek to enhance gliding between fascial layers, reduce tissue restrictions, improve neuromuscular coordination, and alleviate chronic musculoskeletal pain.Fascia is not merely a passive structure; it functions as an active sensory organ containing proprioceptors, nociceptors, and mechanoreceptors. This exercise system will first be taught to the patient by a physiotherapist, then a home brochure will be given and the patient will be given 14 days to practice it at home.

Treatment:

Other: fascial exercise home brochure

Fascial exercise based mobile application

Active Comparator group

Description:

Individuals in this arm will do fascia exercises at home through a mobile application as home exercises. These exercises would be taught to the participant by the physiotherapist in the clinical setting and then the participant would be allowed to install a mobile application on their phone. The name of this mobile application is Fascia-M. This mobile application will be developed by the researcher of this study during the study process.

Treatment:

Other: Fascial exercise based mobile application

lumbal stabilization

Active Comparator group

Description:

Within the scope of this study, lumbar stabilization exercises will be applied to a specific group of participants within a home-based exercise program. The program is structured to support individuals' activities of daily living, maintain spinal health and improve muscle balance in the lumbar region. Lumbar stabilization exercises consist of controlled movements that target the deep spinal stabilizer muscles (especially m. transversus abdominis and m. multifidus) and contribute to maintaining the spine in a neutral position.

Treatment:

Other: lumbal stabilizasyon home brochure