Kinesiophobia, Low Back Pain
Conditions
Keywords
pain, Neuromuscular Stabilization exercises, Kinesiophobia, surgical
Brief summary
The aim of the study is to investigate the effects of dynamic neuromuscular stabilization exercises on pain, functionality and fear in individuals who have undergone lumbar disc herniation surgery.
Detailed description
The research was planned as a randomized controlled trial, which is a quantitative study. Participants will be divided into 2 groups as control and exercise groups by simple randomization method. The individuals in the control group of the study will not be given any exercise program after surgery. A home exercise program created with Dynamic Neuromuscular Stabilization exercises after surgery will be applied to the individuals in the intervention group. Data collection will be carried out through an online survey. The scales and forms to be used before and after the treatment are respectively: 1. Oswestry Low Back Pain Disability Questionnaire 2. International Physical Activity Questionnaire (Short Form) 3. Questionnaire for Fear of Daily Living Activities The questionnaires will be uploaded to the Google Forms database and the participants will be accessed via e-mail or mobile phone applications. . They will be asked to fill out the questionnaires before starting the post-surgical exercise program and the exercise program will be explained practically before discharge. The exercises will be planned 3 times a week and for 8 weeks.
Interventions
OTHERexercise
The dynamic neuromuscular stabilization group will receive developmental postures based on developmental kinesiology. It will involve a supine 3month Position, side-lying Position, Quadruped, oblique sitting, bear position, squat Position. Each position will be performed for 30-60 s for five reps, active exercise 5-10 reps under supervision for two days/week, and unsupervised for 3 days/week for 8 weeks
OTHERcontrol
No intervention will be made.
Sponsors
Uskudar University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
The dynamic neuromuscular stabilization exercises
Eligibility
Sex/Gender
ALL
Age
35 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Had symptomatic lumbar disc herniation confirmed via MRI requiring surgical intervention. * Were 35-50 years old and in a stable postoperative condition. * Could follow written and verbal instructions and had access to internet-connected devices for virtual monitoring. * Provided informed consent for participation in the study.
Exclusion criteria
Participants were excluded if they: * Had undergone previous spinal surgery or had other spinal conditions such as spondylolisthesis, spinal stenosis, or instability unrelated to the current lumbar disc herniation. * Presented with significant musculoskeletal disorders unrelated to lumbar disc herniation (e.g., severe osteoarthritis, fibromyalgia * Had diagnosed neurological, rheumatological, or systemic diseases such as rheumatoid arthritis, lupus, or multiple sclerosis. * Experienced functional impairments due to conditions like severe cardiovascular disease or uncontrolled diabetes. * Reported cognitive, psychological, or mental health issues that could interfere with adherence to the protocol. * Had medical contraindications to active exercise (e.g., recent myocardial infarction or uncontrolled hypertension * Demonstrated unwillingness or inability to adhere to the prescribed exercise regimen.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Oswestry Disability Index | 8 weeks | The questionnaire includes ten topics related to pain severity, weight lifting, self-care, walking, sitting, sexual function, standing, social life, sleep quality, and ability to travel. expression follows. The patient then checks for the expression that most closely resembles his condition. Each question is scored on a scale of 0-5, with the first statement being zero and indicating the least disability, and the last statement being scored as 5 indicating the most severe disability. The scores of all answered questions are added up, then multiplied by two to get the index (range 0 to 100). Zero equals no obstacle and 100 is the maximum possible obstacle. |
| International Physical Activity Questionnaire Short Form (IPAQ-SF) | 8 weeks | It consists of 7 questions. The questions provide information about time spent walking, time spent in moderate and vigorous activities, and time spent sitting. Calculation of the short form's total score includes the sum of time (minutes) and frequency (days) of walking, moderate-intensity activity, and vigorous activity. The energy required for activities is calculated with the metabolic equivalent (MET) -minute score. Standard MET values have been established for these activities. These are; Sitting 1.5 MET, Walking 3.3 MET, Moderate-intensity physical activity 4.0 MET, Vigorous physical activity 8.0 MET. Daily and weekly physical activity using these values level is calculated. |
| Fear of Daily Living Activities Questionnaire | 8 weeks | In the questionnaire consisting of 10 questions, the participant is asked to score each question between 0 and 100. No fear of the activity is set to 0 and excessive fear of the activity is 100. In addition, the participants are asked to add 2 different activities that are not included in the survey but cause fear. |
| visual analogue scale | 8 weeks | 1=no pain, 10=worst pain |
Countries
Turkey (Türkiye)
Contacts
STUDY_CHAIRBüşra ARISÜT
Uskudar University
Outcome results
None listed