Effect of PNF and Lumbar Stabilization Exercises on Muscle Strength and Endurance in Lumbar Disc Hernia

NCT03651440 | Completed

• 1 other identifier: KA14/36
• Study Type: interventional
• Target: 64
• Locations: 0 countries
• Sites: N/A

Brief Summary

Background/Objective: This study investigates the effect of lumbar stabilization and proprioceptive neuromuscular facilitation (PNF) training on muscle strength and muscle endurance. Methods: Sixty-four participants between the ages of 15 and 69 years, graded "protrusion and bulging lumbar herniation" according to the Macnab Classification, were divided into four groups of 16: lumbar stabilization training (strength training, 5 days/week for 4 weeks); PNF training (5 days/week for 4 weeks); physical therapy (hot pack, TENS, ultrasound, 5 days/week for 4 weeks); and control (without any application). Sociodemographic features were recorded and muscle strength tested. Before and after exercise, a visual analog scale (VAS) and Oswestry Disability Index (ODI) were measured by a physical therapist. After 4 weeks, the evaluations were repeated. Results: There were significant increases in muscle strength and muscle endurance in the lumbar stabilization group, who also showed significant improvement in pain intensity at rest and during activity, and in ODI (p\<0.05). Similar results were observed in the PNF group (p\<0.05), although not to the same extent. Patients undergoing physical therapy showed significant differences only in pain intensity at rest, at activity, and in ODI (p\<0.05). Conclusion: Undertaking an appropriate physiotherapy and rehabilitation program aiming to reduce waist circumference of patients with low muscle strength and low muscle endurance will help to increase muscle strength and endurance and reduce pain, and contribute toward the correction of functional disabilities.

Conditions

Lumbar Disc Herniation

Keywords

Disc herniation; Endurance; Lumbar stabilization exercise; PNF; Strength

Outcome Measures

Primary Outcomes (1)

• visual analog scale

  . A standard visual analog scale (VAS) was a used to assess pain. The patients graded their low back pain on a 10-point scale, anchored with the descriptors "no pain" at one end and "pain as bad as it could possibly be" at the other. Maximum pain severity was assessed by a blind-testing physician using the standard VAS

  4 weeks

Secondary Outcomes (1)

• Oswestry Disability Index

  4 weeks

Study Arms (4)

lumbar stabilization training

EXPERIMENTAL

lumbar stabilization training exercises

Other: lumbar stabilization training

PNF training

EXPERIMENTAL

PNF training exercises

Other: PNF

physical therapy

EXPERIMENTAL

HP,TENS US

Other: Physical Therapy

control

SHAM COMPARATOR

NO APPLİCATİON

Other: Control

Interventions

PNF OTHER

PNF

PNF training

lumbar stabilization training OTHER

lumbar stabilization training

lumbar stabilization training

Physical Therapy OTHER

Physical Therapy

physical therapy

Control OTHER

Control group

control

Eligibility Criteria

• Age: 15 Years - 69 Years
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Subjects who were graded as "protrusion and bulging lumbar herniation" according to the Macnab Classification.

You may not qualify if:

• Subjects with acute radicular signs or symptoms and those who had radiographic evidence of inflammatory disease affecting the spine, tumor, fracture, spondylolysis, spondylolisthesis, or scoliosis.

Sponsors & Collaborators

• Baskent University: lead

MeSH Terms

Conditions

Intervertebral Disc Displacement

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• mitat koz, Prof.Dr.

  Ankara University

  STUDY DIRECTOR

• nilay comuk balcı, Assoc. Prof

  Baskent University

  PRINCIPAL INVESTIGATOR

• nuri çetin, MD.Prof.Dr.

  Baskent University

  PRINCIPAL INVESTIGATOR

• atakan yılmaz, Pt

  Baskent University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: associate professor

Study Record Dates

• First Submitted: August 8, 2018
• First Posted: August 29, 2018
• Study Start: May 1, 2014
• Primary Completion: January 1, 2015
• Study Completion: January 1, 2015
• Last Updated: August 29, 2018

Record last verified: 2018-08