Different Learning Methods of Motor Control Exercises

NCT03984903 | Completed DMC

• 1 other identifier: KA-180060
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluates the effects of self-learning exercise from multimedia content on pain and disability in patients with low back pain.

Conditions

Back Pain Without Radiation

Keywords

Back Pain without Radiation; Low Back Pain, Mechanical

Outcome Measures

Primary Outcomes (3)

• Change from Baseline Pain Level at Eight Week and Third Month

  Full Scale Name: Visual Analog Scale Pain change will be measured throughout Study and Follow-up with Visual Analog Scale. This scale is a 100 millimeter line drawn horizontally on an A4 sheet of paper. The left end of the line shows "no pain at all", the right end shows "my pain is as bad as it could be", while the remaining part shows the intermediate values. So minimum score was 0, and maximum score was 100. The patient is asked to mark the severity of the pain on the chart. Validity and reliability were made. The minimal clinical significance difference in chronic low back pain was 20 millimeters.

  At baseline, eighth week and third month

• Change from Baseline Disability Score Level at Eight Week and Third Month

  Full Scale Name: Turkish version of the Oswestry Disability Index (ODI) (2.0) The last reliable and validate Turkish Version of Oswestry Disability Index will be used. This version contains 10 multiple-choice questions that question how low back pain affects a person in his or her daily life. Each question has 6 options. As the disability increases, the score of each problem increases. In the worst case you can get 50 points. The last point is the patient's score 100.

  At baseline, eighth week and third month

• Change in Exercise Adherence Level between Eight Week and Third Month

  The Exercise Adherence Rating Scale (EARS), which evaluates exercise compliance, will be administered 2 times to determine change at eight weeks and third month. This scale consists of 3 parts: A, B, C. Section A, consists of 6 items not included in the scale scoring. Section B consists 6 items, and every item have five point likert scale and describes how to do the recommended home exercise. Minimum point for this section 0, and maximum point is 24. The higher score shown exercise adherece is high. Section C is the section that evaluates the reason for the absence of compliance with the recommended home exercise and contains 10 items, every item have five point likert scale. Sections are calculated to result in a possible score between 0 and 40. The higher score shown exercise adherece is high.

  At eighth week and third month

Secondary Outcomes (1)

• Change from Baseline Walking Parameters at Eight Week and Third Month

  At baseline, eighth week and third month

Study Arms (2)

Face-to-face Learning Group

ACTIVE COMPARATOR

Other: Face-to-face Learning of Exercises; Other: Manual Therapy; Other: Home Exercise Program

Multimedia Learning Group

EXPERIMENTAL

Other: Multimedia Learning of Exercises; Other: Manual Therapy; Other: Home Exercise Program

Interventions

Multimedia Learning of Exercises OTHER

Patients learn exercise from multimedia content.

Multimedia Learning Group

Face-to-face Learning of Exercises OTHER

Physiotherapist teach exercises to patients

Face-to-face Learning Group

Manual Therapy OTHER

Myofascial Release Techniques and Joint Mobilizations to the Lumbal Area

Face-to-face Learning Group; Multimedia Learning Group

Home Exercise Program OTHER

Patients do at least 20 minutes motor control exercise in a day at home.

Face-to-face Learning Group; Multimedia Learning Group

Eligibility Criteria

• Age: 25 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Chronic (\>3 month), non-specific low back pain
• years old
• Have a capacity can understand exercise instructions (Montreal Cognitive Assessment \> 21)
• Being a computer literate

You may not qualify if:

• Root nerve signs
• Cauda equina syndrome
• Fracture in the vertebra
• Tumour
• Have a neurologic disease
• History of spine surgery
• Knowing motor control exercises
• Visual impairment
• Hearing loss

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University

Ankara, Samanpazari, 06100, Turkey (Türkiye)

Location

Related Publications (3)

• Balague F, Mannion AF, Pellise F, Cedraschi C. Non-specific low back pain. Lancet. 2012 Feb 4;379(9814):482-91. doi: 10.1016/S0140-6736(11)60610-7. Epub 2011 Oct 6.

  PMID: 21982256 BACKGROUND

• Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G; COST B13 Working Group on Guidelines for Chronic Low Back Pain. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006 Mar;15 Suppl 2(Suppl 2):S192-300. doi: 10.1007/s00586-006-1072-1. No abstract available.

  PMID: 16550448 BACKGROUND

• Saragiotto BT, Maher CG, Yamato TP, Costa LO, Menezes Costa LC, Ostelo RW, Macedo LG. Motor control exercise for chronic non-specific low-back pain. Cochrane Database Syst Rev. 2016 Jan 8;2016(1):CD012004. doi: 10.1002/14651858.CD012004.

  PMID: 26742533 BACKGROUND

MeSH Terms

Conditions

Back Pain; Low Back Pain

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: May 30, 2019
• First Posted: June 13, 2019
• Study Start: June 30, 2019
• Primary Completion: September 30, 2019
• Study Completion: October 30, 2019
• Last Updated: February 28, 2023

Record last verified: 2023-02

Locations

TU (1)