Rehabilitation Programs in Grade I-II Spondylolisthesis

NCT07419256 | Completed

• 1 other identifier: Rdzanek-Spondylolisthesis-2021
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

This interventional clinical study evaluated the effectiveness of two different 4-week rehabilitation programs in older adults aged 60-75 years with radiologically confirmed grade I or II spondylolisthesis. Participants were assigned to one of two parallel treatment groups. One group received a standardized kinesiotherapy program combined with physical therapy modalities, while the second group received the same kinesiotherapy program combined with myofascial trigger point therapy. Treatment effectiveness was assessed using pain intensity, functional disability, postural stability, and trunk muscle strength measures.

Conditions

Low Back Pain; Spondylolisthesis

Keywords

low back pain; rehabilitation; kinesiotherapy; physical therapy; myofascial trigger point therapy; Oswestry Disability Index; postural stability; spondylolisthesis

Outcome Measures

Primary Outcomes (2)

• Pain intensity

  Pain intensity assessed using the Visual Analogue Scale (VAS). The patient points with their finger on the scale to indicate the intensity of pain from 0 (no pain) to 10 (the most severe pain imaginable).

  Baseline (before the rehabilitation program), immediately after completion of the 4-week intervention, and 6 weeks after the end of the program.

• Functional disability

  Functional disability assessed using the Oswestry Disability Index (ODI). A Polish translation of the questionnaire consisting of 10 questions concerning activities of daily living was used. For each question, there are 6 possible scores from A to F. Responses are classified from 0 to 5 points, respectively. The test result is the sum of points from all questions in the questionnaire. The higher the score (maximum being 50, minimum 0) the more severe the disability.

  Baseline (before the rehabilitation program), immediately after completion of the 4-week intervention, and 6 weeks after the end of the program.

Secondary Outcomes (2)

• Trunk muscle strength

  Baseline, immediately after completion of the 4-week intervention, and 6 weeks after the end of the program.

• Postural stability on a force platform interpreted from meassurement of shift of the center of foot-pressure on the ground, expressed in millimeters.

  Baseline, immediately after completion of the 4-week intervention, and 6 weeks after the end of the program.

Study Arms (2)

Kinesiotherapy plus Physical Therapy

EXPERIMENTAL

Participants received a standardized kinesiotherapy exercise program combined with physical therapy modalities over a 4-week rehabilitation period.

Other: Kinesiotherapy; Other: Physical Therapy

Kinesiotherapy plus Myofascial Trigger Point Therapy

EXPERIMENTAL

Participants received the same standardized kinesiotherapy exercise program as the first group, combined with myofascial trigger point therapy instead of physical therapy, over a 4-week rehabilitation period.

Other: Kinesiotherapy; Other: Myofascial Trigger Point Therapy

Interventions

Kinesiotherapy OTHER

A standardized therapeutic exercise program delivered over 4 weeks, aimed at improving trunk muscle strength, stability, and functional performance in participants with grade I-II spondylolisthesis.

Kinesiotherapy plus Myofascial Trigger Point Therapy; Kinesiotherapy plus Physical Therapy

Physical Therapy OTHER

Physical therapy modalities provided as part of the rehabilitation program in addition to kinesiotherapy, delivered over a 4-week period.

Kinesiotherapy plus Physical Therapy

Myofascial Trigger Point Therapy OTHER

Manual myofascial trigger point therapy provided as part of the rehabilitation program in addition to kinesiotherapy, delivered over a 4-week period.

Kinesiotherapy plus Myofascial Trigger Point Therapy

Eligibility Criteria

• Age: 60 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 60-75 years.
• Radiologically confirmed grade I or II spondylolisthesis (ICD-10: M43.1).
• No neurological symptoms.
• Pain intensity tolerated by the patient.
• Written informed consent.

You may not qualify if:

• Epilepsy.
• Vertebral fractures.
• Previous spine surgery.
• Dizziness.
• Internal organ diseases under specialist treatment.
• Cardiovascular and pulmonary diseases.
• Vestibular system disorders.

Sponsors & Collaborators

• Józef Piłsudski University of Physical Education: lead

Study Sites (1)

Independent Public Trust of Ambulatory Care Units Warszawa Praga-Północ Warsaw, Poland

Warsaw, Poland

Location

Related Publications (1)

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  BACKGROUND

MeSH Terms

Conditions

Low Back Pain; Spondylolisthesis

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Spondylolysis; Spondylosis; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Therapeutics; 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: Principal Investigator

Model Details: Participants were assigned to one of two parallel intervention groups receiving different rehabilitation programs.

Study Record Dates

• First Submitted: February 2, 2026
• First Posted: February 18, 2026
• Study Start: October 1, 2020
• Primary Completion: June 1, 2021
• Study Completion: June 30, 2021
• Last Updated: February 18, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

PL (1)