Rehabilitation in Lumbar Disc Herniation

Marmara University

Status: Not yet enrolling

Conditions: Symptomatic Lumbar Disc Herniation

Treatments: Behavioral: Exercise group (written form); Behavioral: Exercise group (video based)

Study type: Interventional

Funder types: Other

Identifiers

NCT05544331

09.2021.351

Details and patient eligibility

About

The aim of this study is to compare the effects of written and video based home exercise program in patients with symptomatic lumbar disc herniation on pain level, function and quality of life.

Full description

45 symptomatic lumbar disc herniation patients, who are in chronic period and aged between 18-65 years, will be included. The participants will be randomised into three groups. 15 patients will be included in the written home exercise group,15 patients will be in video based home exercise group and 15 patients in the control group. In the written exercise group and video based exercise group, exercise programs will be 8 weeks. In the control group, the exercise protocol will not be performed during 8 weeks.

The outcomes will include the quality of life, pain level, functional capacity, kinesiophobia. In the exercise groups, the evaluations will be made in the first interview (before exercise program), at the end of 8 weeks of exercise (when the exercise program is completed) and in 12th weeks (4 weeks after the exercise program completion). Evaluations in the control group will be carried out at the first interview, at the 8th week, 12th weeks.

Enrollment: 45 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged between of 18-65 years
• Having been diagnosed with a lumbar disc herniation
• No need for surgery due to lumbar disc herniation
• Having pain in the lower back or leg for at least 12 weeks
• Not using corticosteroids
• To be oriented and cooperative
• To be volunteer to participate in the study

Exclusion criteria

• Having undergone lumbar spine surgery
• Having undergone lower extremity, upper extremity, spine surgery in the last 1 year
• Presence of lumbar stenosis
• Analgesic addiction, or any addiction
• Presence of tumor
• Presence of metastases
• Presence of rheumatological diseases
• The presence of scoliosis, congenital deformity
• Presence of leg length discrepancy
• Being pregnant
• To have uncontrolled hypertension
• To have exercise-dependent angina

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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45 participants in 3 patient groups

Written exercise group

Experimental group

Description:

The exercise program will consist of core stabilization exercises, which target various trunk muscles to optimize segmental control, spinal stability, spinal stiffness, orientation and the interoperability of these features. The exercise program will be in writing form, which is a common home exercise program type.

Treatment:

Behavioral: Exercise group (written form)

Video based exercise group

Experimental group

Description:

The exercise program will consist of core stabilization exercises, which provide segmental control optimization, spinal stabilization, spinal stiffness, orientation and the interoperability of these features. The exercise program will be given patients as video records, which provide visual and auditory feedbacks.

Treatment:

Behavioral: Exercise group (video based)

Control group

No Intervention group

Description:

The patients, who are referred and will wait for the exercise program in their routine daily life. Measurements will be performed at the same time frame in experimental group. After the 12 weeks of follow up period, they will join the exercise program.