The Effect of Core Stabilization Exercises on Balance and Quality of Life in Chronic Period in Individuals With Lumbar Disc Herniation

NCT05634330 | Completed

• 1 other identifier: HasanKU AU-001
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The Effect of Core Stabilization Exercises on Balance and Quality of Life in Chronic Period in Individuals With Lumbar Disc Herniation

Conditions

Lumbar Disc Herniation; Balance; Distorted

Keywords

Lumbar Disc Herniation,; Chronic Period, Balance,; Core Stabilization,; Proprioceptive Sense

Outcome Measures

Primary Outcomes (13)

• Change from baseline in static balance on Diasu Gait Analysis Device at Week 8

  To evaluate static balance looking at oscillation length in 1 minute Change= (Week 8 score - Baseline score)

  baseline and Week 8

• Change from baseline in weight bearing on Diasu Gait Analysis Device at Week 8

  To evaluate weight bearing looking at weight percent for each foot Change= (Week 8 score - Baseline score)

  baseline and Week 8

• Change from baseline in static and dynamic balance on Berg Balance Test at Week 8

  To evaluate static and dynamic balance. It consists of evaluating 14 activities implemented by direct observation of performance. Each item is scored between 0-4. 0 represents the worst and 4 the best. The total highest score is 56. Scores of 45 and below indicate a risk of falling. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in dynamic balance and functionality on Timed Up and Go Test at Week 8

  To evaluate dynamic balance and functionality. The person is asked to get up from the stool, to walk with a safe and normal walking speed, to turn and to sit on the stool again. The distance between two stools is fixed at 3 meters. The application time is recorded in seconds. A shorter duration indicates better balance and mobility. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in dynamic balance and functionality on Y Balance Test at Week 8

  To evaluate dynamic balance and functionality. While standing on one foot, he is asked to take steps with the other foot first anteriorly, then posterolaterally, and finally in the posteromedial direction. At this time, care must be taken that the foot on the ground does not rise from the ground and the balance is not disturbed. The test is repeated 3 times in each direction and the average is taken and recorded in cm. The same measurement is applied to the other foot in the same way. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in dynamic balance and functionality on Functional Reach Test at Week 8

  To evaluate dynamic balance and functionality. The individual is asked to stand upright for the test and to extend the arm to be measured forward. As the starting point, the 3rd fingertip strip is brought to the 0 point on the tape measure. The tape measure is fixed by the physiotherapist and the patient is asked to lie on the tape measure without losing the contact of the feet with the ground. The test is repeated 3 times and the best distance is recorded in cm. The test is repeated 3 times and the best distance is recorded in cm for the right and left measurement. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in dynamic balance and for assessing falls on Tinetti Fall Efficiency Scale at Week 8

  To evaluate dynamic balance and for assessing falls. It is a questionnaire consisting of 10 questions measuring A score between 1-10 is given. 1 is scored as very safe and 10 is scored as very high fear of falling. The total highest score is recorded as 100. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in pain on Mcgill pain Scale at Week 8

  To evaluate pain degree. It is a questionnaire that questions the severity of the pain, its location, its first relationship over time, the sensation it creates in people, and whether it is livable pain for individuals. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in pain on Visual Analog Scale at Week 8

  To evaluate pain degree. A score between 0-10 is given. 0 means no pain and 10 is scored as excruciating pain. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in proprioceptive sensation on ankle joint position sense at Week 8

  To evaluate proprioceptive sensation, ankle joint position sense was measured in standing, neutral position (0˚) and angular measurement in 10˚ dorsiflexion. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in quality of life and functionality on Nottingham Health Profile at Week 8

  To assess quality of life and functionality. It is a scale that questions psychological well-being from different aspects such as physical activity, pain, emotional state, sleep, social life, energy. Short answers are given as yes or no. A person can get a maximum of 600 points. An increase in the score obtained means that the level of quality of life decreases. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• Change from baseline in quality of life and functionality on Oswestry Disorder Scale at Week 8

  To assess quality of life and functionality. It is a questionnaire consisting of 10 items. The person can get points between 0-10 from each item. 0 represents the best level and 5 represents the worst level. The total score is a maximum of 100. As the score increases, it is shown that the functionality of the person worsens and the level of disability increases. Change= (Week 8 score - Baseline score)

  Baseline and Week 8

• A self-prepared form

  For patient demographic information,

  Baseline

Study Arms (2)

treatment group

EXPERIMENTAL

treatment group: core stabilization exercises used to improve balance

Other: exercise treatment

control group

NO INTERVENTION

this group members have continued their normal lives

Interventions

exercise treatment OTHER

core stabilization exercise

treatment group

Eligibility Criteria

• Age: 45 Years - 65 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals aged 45 and over with a diagnosis of Lumbar Disc Herniation,
• Not having any communication barriers (sight, hearing, hearing),
• Have not undergone any surgical procedure in the last 6 months,
• Patients who volunteered to participate in the study

You may not qualify if:

• Those who do not want to participate in the study,
• Individuals whose age is unsuitable,
• Individuals who continue to receive a therapeutic exercise therapy,
• Individuals with a neurological condition that may affect ankle muscle strength and sensation

Sponsors & Collaborators

• Hasan Kalyoncu University: lead

Study Sites (1)

As Physiotherapy Office

Gaziantep, Gazi̇antep, 27000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Intervertebral Disc Displacement

Condition Hierarchy (Ancestors)

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

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: Principal investigator

Model Details: two group. one of group for exercise and the other group is for control

Study Record Dates

• First Submitted: October 15, 2022
• First Posted: December 2, 2022
• Study Start: June 15, 2021
• Primary Completion: April 15, 2022
• Study Completion: June 30, 2022
• Last Updated: December 2, 2022

Record last verified: 2022-11

Locations

TU (1)