Chronic Low Back Pain
Conditions
Keywords
exercise, pain, yoga
Brief summary
Identification of the effects of yoga, stabilization exercise and home exercise approaches on pain, function,stress and quality of life in individuals with low back pain.
Detailed description
44 patients participating in the study were divided three groups. The patients in the stabilization exercise group were instructed to perform hotpack, Trans-cutaneous Electric Nerve Stimulation (TENS) and spinal stabilization exercises, the patients in the yoga group were instructed to perform yoga program consisting of breathing, relaxation and flexibility exercises. The patients in the home exercise group were instructed to perform stabilization exercise. The severity of the pain evaluated through visual analog scale, functional status and quality of life evaluated through Oswestry Disability Index(ODI), Nottingham Health Profile (NHP), respectively. Assessments were repeated before and after the treatment.
Interventions
OTHERexercise
All exercises programs applied three sessions per week, totally six week.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Must be pain at least 3 months * Must be visual analog scale rating 3 or more
Exclusion criteria
* History of any lumbar spine surgery * Severe/progressive scoliosis * Spinal stenosis * Spondylolisthesis * Cancer * Diabetes * Metabolic syndrome * History of exercise programs or yoga at least 12 weeks before the onset of study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in pain severity | change from baseline in pain severity at 6 weeks. | Patients' average resting and activity pain intensities assessed by Visual Analog Scale. The visual analog scale is an 11-point scale ranging from 0 to 10, in which 0 defines absence of pain and 10 describes unbearable pain. Participants asked to rate the average pain levels a horizontal 10 cm straight line on a white sheet from, before and after treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in quality of life | Change from baseline in life quality levels at 6 weeks. | Health-related quality of life assessed by Nottingham Health Profile (NHP). The NSP contain 38 questions in 6 subareas: pain, physical abilities, energy level, sleep, social isolation and emotional reaction. The scores range from 0 to 100, with each question assigned a weighted value; the sum of all weighted values in a given subarea adds up to 100. Lower scores denoting a better quality of life. |
| Changes of functional status | change from baseline in functional status at 6 weeks | Patient's permanent functional disability measured by Oswestry Disability Index. The scale is considered the 'gold standard' of low back functional outcome tools. This scale contain questions related to functional activities of pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sex life, social life and travelling.Interpretation of scale are 0% to 20% for minimal disability, 21% to 40% for moderate disability, 41 % to 60 % for severe disability 61% to 80 % for crippled and 81 % to 100 % Bed-bound. |
| Changes of stress level | change from baseline in stress level at 6 weeks | Patients' stress levels were measured with State Trait Anxiety Inventory. State anxiety scale questions how does a person feel in a given moment and situation, mean while trait anxiety scale questions how does a person usually feel without depending on situation and moment. Scale contain 40 questions, minimum and maximum score 20-80, respectively. Scores below 36 accepted as no-anxiety, between 37-42 accepted as low-anxiety, 42 and above accepted as high-anxiety. |
| Changes of stress related biomarkers | change from baseline in serum level at 6 weeks | Venous blood samples were taken from antecubital area between 08.30-09.00 am and stress related markers (DHEA(S) and cortisol) were analyzed. All analyses were performed in the same laboratory. |
Countries
Turkey (Türkiye)
Outcome results
None listed