Stabilizing Training in Degenerative Disc Disease

Wroclaw University of Health and Sport Sciences

Status: Completed

Conditions: Extrusion of Migrated Disc; Degenerative Disc Disease; Hernia; Protrusion

Treatments: Behavioral: Stabilizing training

Study type: Interventional

Funder types: Other

Identifiers

NCT04119466

MED23/2019

Details and patient eligibility

About

This study evaluates efficacy of stabilizing training of deep core muscles in the lumbar spine in degenerative disc disease subjects, considering the progression level of degenerative disc disease: protrusion or extrusion.

Full description

Degenerative disc disease (DDD) is one of the causes of low back pain, and contributes to increasing the socio-economic problem. Depending on the reason for the dysfunction, various classifications describing the level of advancement are used. Literature on the subject commonly uses the division into protrusion and extrusion of the intervertebral disc, as approved by the American Society of Neuroradiology.

Stabilizing training is one of the forms of conservative treatment of lumbar pain, alongside manual treatment or techniques from the field of chiropractics or physiotherapy. It is thought that the proper stabilization of this region of the body is crucial for coping with pain.

Therefore, the aim of the study was to assess the effectiveness of stabilizing training of deep core muscles in the lumbar spine in subjects in the age of 20-35 years, considering the progression level of degenerative disc disease: protrusion or extrusion, on the basis of the clinical condition.

Enrollment: 38 patients

Sex: All

Ages: 20 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

All the subjects undergo imaging examination in the form of MRI, whose results will be interpreted by a radiologist. Each person will be classified according to the current damage to the intervertebral disc as recommended by the American Society of Neuroradiology: protrusion or extrusion of the intervertebral disc.

Inclusion Criteria:

• disc disease located in the lumbar region of the spine confirmed by the MRI
• subacute stage of the disease
• age 20-35 years

Exclusion Criteria:

• advanced degenerative-deformatory changes of the spine
• previous fracture of the spine
• neurologic deficits in lower limbs or pelvis
• spondylolisthesis
• transitional vertebra
• rheumatic diseases

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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38 participants in 2 patient groups

Protrusion Group

Experimental group

Description:

20 session of stabilizing training based on the principles developed by Richardson over four weeks.

Treatment:

Behavioral: Stabilizing training

Extrusion Group

Experimental group

Description:

20 session of stabilizing training based on the principles developed by Richardson over four weeks.

Treatment:

Behavioral: Stabilizing training