Mechanical Low Back Pain
Conditions
Keywords
Mechanical Low Back Pain, Inspiratuar Muscle Training, Core Stabilization Exercise
Brief summary
There are many conservative treatment methods for the treatment of mechanical low back pain and they continue to be developed. The aim of this study is to examine the effects of inspiratory muscle training, which can be added to these treatment methods, on muscle endurance, functional capacity, pain intensity, disability, quality of life and sleep quality in people with mechanical low back pain.
Detailed description
When initial assessment will be completed, patients will be assigned to one of two possible sequences by simple randomization: study group (SG) or control group (CG). All participants will receive the core stabilization exercise program designed for mechanical low back pain for 8 weeks. Additionally, the study group will receive inspiratory muscle training for 8 weeks. All studies will be evaluated both at the beginning and end of the study in terms of pain, quality of life, sleep quality, disability level, muscle endurance and functional capacity. All data will be collected by the same physiotherapist at baseline and at the end of the study (8 weeks). The same physiotherapist will also supervise the exercises and inspiratory training.
Interventions
The core stabilization exercise program, which is individually prescribed and structured, will be applied for 8 weeks. The level of exercises will be increased over time according to the patient's condition. Exercises will be taught to patients. It will be carried out under the supervision of a physiotherapist three days a week for 8 weeks. On the remaining days, the patient will be asked to do it himself.
Sponsors
Study design
Eligibility
Inclusion criteria
* To be between the ages of 18-65 * Applying to the physical therapy unit with the diagnosis of mechanical low back pain (Lumbal disc herniation, spinal stenosis, spondylolisthesis, facet joint pain, discogenic pain, sacroiliac joint pain, myofascial pain, lumbar osteoarthrosis) * Ability to adapt to exercise commands and understand assessment questions * Volunteering to participate in research
Exclusion criteria
* Those with cooperation and communication problems * Complaining of acute or chronic musculoskeletal pain other than low back pain * Having a chronic disease (hypertension, diabetes, chronic obstructive pulmonary disease (COPD), previous cerebrovascular accident (CVO), heart, neurological and rheumatological problems) * Sequestrated and extruded hernia * Receiving physical therapy in the last 2 months * Having a history of recent surgery (spine, abdomen, upper and lower extremity surgeries) * Being obese (Body mass index ≥30 kg/m2) * Contagious and vascular diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | 8 weeks | Pain intensity will be measured with this scale. |
| Oswestry Disability Index | 8 weeks | Disability level will be measured with this scale |
| Maximum Inspiratuar Pressure | 8 weeks | It will be used to evaluate participants' inspiratory muscle strength. |
| Core Activation | 8 weeks | It will be used to evaluate the participants' core muscle strength. |
| 2 Minute Walking Test | 8 weeks | It will be used to evaluate the functional capacity of participants. |
| Pittsburgh Sleep Quality Index | 8 weeks | It will be used to evaluate participants' sleep quality. |
| Short-Form 12 | 8 weeks | It will be used to evaluate participants' quality of life. |
Countries
Turkey (Türkiye)