The Effect of Breathing Exercise and Stabilization Exercise With Chronic Low Back Pain

Hasan Kalyoncu University

Status: Completed

Conditions: Anxiety; Sleep Hygiene; Low Back Pain

Treatments: Other: Lumbar stabilization exercises; Device: Conventional physical therapy; Other: Breathing exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05212753

2021/031

Details and patient eligibility

About

The aim of this study is to compare the effect of sleep hygiene, breathing exercises, and stabilization exercises on pain, sleep quality, and anxiety level in patients with non-specific chronic low back pain.

Full description

Addressing sleep problems in patients with chronic non-specific low back pain (LBP) can reduce chronic pain, the risk of developing depressive illness and improve pain-related quality of life.

Sleep is a concept that has physiological, psychological, and social dimensions. Sleep is one of the essential and indispensable daily life activities that affect individuals' quality of life and well-being. Decreasing pain is expected and likely to improve sleep quality. Still, it is unknown what will happen due to improving sleep quality to resolve the pain of unknown origin.

Education about sleep hygiene with physiotherapy has not been assessed before on individuals with nonspecific LBP. Since this training will require a lifestyle change, individuals should be warned not once but several times in a certain time, and this training should be reinforced. This will be an advantage for the patients receiving physiotherapy, and their therapists will support them in applying this training during the physiotherapy sessions.

In our study, individuals with nonspecific chronic low back pain will be divided into three groups using the blinding method as part of a randomized controlled trial.

The first group, as the conventional physical therapy group, will receive a hot pack and TENS only.

The second group, as the stabilization group, will receive lumbar stabilization exercises and the conventional physical therapy program.

The third group, as the breathing exercise group, will receive breathing exercises, including sleep hygiene and stabilization group program.

Enrollment: 48 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• individuals between the ages of 18-65
• Having low back pain for at least the last 3 months
• Pain at 4 out of 10 according to VAS (Visual Analogue Scale)

Exclusion criteria

• Radiculopathies
• Body mass index > 35
• Neurological, orthopedic, or cardiopulmonary diseases that will contraindicate exercise
• Treatment for pain in the last 3 months who have received
• individuals who can't cooperate and those who have problems adapting to exercises

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 3 patient groups

Conventional Physical Therapy Group

Active Comparator group

Description:

The conventional physical therapy group will receive Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application.

Treatment:

Device: Conventional physical therapy

Stabilization Group

Active Comparator group

Description:

The stabilization group will receive lumbar stabilization exercises and the conventional physical therapy program. That program includes lumbar stabilization exercises including activation of the transverses abdominals (TA) and multifidi muscles.

Treatment:

Other: Lumbar stabilization exercises

Device: Conventional physical therapy

Breathing Exercise Group

Active Comparator group

Description:

The breathing exercise group will receive breathing exercises including sleep hygiene, and the stabilization group program. Breathing exercises include diaphragmatic breathing and pursed-lip.

Treatment:

Other: Breathing exercises

Other: Lumbar stabilization exercises

Device: Conventional physical therapy