Low Back Pain
Conditions
Brief summary
This randomized controlled study aims to investigate the effects of a sensorimotor training protocol using a mobilized balance platform device on proprioceptive system function, movement control, balance, physical performance, pain severity, and quality of life in patients with chronic low back pain. A total of 44 patients with chronic low back pain will be recruited from the outpatient clinic of Gaziler Physical Medicine and Rehabilitation Training and Research Hospital. Participants will be randomly assigned to either a sensorimotor training group or a control group. The intervention group will receive sensorimotor training using the Huber 360 balance system, while the control group will perform a home exercise program including stretching, spinal mobility, lumbopelvic control, and balance exercises. Pain severity, proprioception, functional status, balance, physical performance, and quality of life will be assessed before and after treatment by an assessor blinded to group allocation.
Interventions
DEVICEHuber 360 Sensorimotor Training
Participants will receive sensorimotor training using the Huber 360 balance system. The protocol will include progressive rotational and oscillatory exercises designed to improve proprioception, balance, neuromuscular control, and movement control in patients with chronic low back pain. Sessions will be performed for 30 minutes, twice weekly for 5 weeks.
BEHAVIORALHome Exercise Program
Participants will perform a home exercise program including warm-up and stretching exercises, spinal mobility exercises, lumbopelvic control exercises, and balance exercises. The program will be performed for 30 minutes per session, twice weekly for 5 weeks.
Sponsors
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Individuals aged between 18 and 55 years * Presence of chronic low back pain lasting at least 3 months * Pain intensity score of 3 or higher on the Visual Analog Scale (VAS) * Individuals with sufficient cognitive ability to understand and follow study procedures * Willingness to participate voluntarily in the study
Exclusion criteria
* Participation in a similar training program within the last 12 months * History of lower extremity or spinal surgery * Presence of non-mechanical low back pain, inflammatory disease, or tumor * Uncontrolled hypertension or cardiac disease * History of malignancy * Presence of radicular symptoms associated with low back pain * Progressive neurological deficits * Neurogenic claudication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lumbar Proprioception Assessment | Before treatment and immediately after completion of the 5-week intervention program | Lumbar proprioception will be assessed using lumbar repositioning tests at 60 degrees flexion and 15 degrees extension. Participants will be asked to reproduce target lumbar positions, and the angular repositioning error will be recorded. Lower repositioning error values indicate better lumbar proprioceptive accuracy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Severity Assessed by Visual Analog Scale | Before treatment and immediately after completion of the 5-week intervention program | Pain intensity will be assessed using a 10-cm Visual Analog Scale (VAS). Scores range from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain severity. |
| Functional Status Assessed by Oswestry Disability Index | Before treatment and immediately after completion of the 5-week intervention program | Functional disability related to low back pain will be assessed using the Oswestry Disability Index (ODI). Higher scores indicate greater disability. |
| Balance and Limits of Stability Assessed by Huber 360 | Before treatment and immediately after completion of the 5-week intervention program | Static balance, dynamic balance, and limits of stability will be assessed using the Huber 360 balance system. Better balance performance and improved stability limits indicate better postural control. |
| Lumbar Flexion Range of Motion | Before treatment and immediately after completion of the 5-week intervention program | Physical performance will be assessed using a Physical Performance Test Battery including lumbar flexion range of motion, 50-step walking test, 5-minute walking test, five-repetition sit-to-stand test, ten-repetition trunk flexion test, and forward reaching with weight. |
| Quality of Life Assessed by Short Form-36 | Before treatment and immediately after completion of the 5-week intervention program | Quality of life will be assessed using the Short Form-36 (SF-36). Higher scores indicate better health-related quality of life. |
| 50-Step Walking Test | Before treatment and immediately after completion of the 5-week intervention program | he time required to complete the 50-step walking test will be recorded in seconds |
| Five-Minute Walking Test | Before treatment and immediately after completion of the 5-week intervention program | The time required to complete five sit-to-stand repetitions will be recorded in seconds. |
| Ten-Repetition Trunk Flexion Test | Before treatment and immediately after completion of the 5-week intervention program | The time required to complete ten trunk flexion repetitions will be recorded in seconds. |
| Forward Reaching with Weight Test | Before treatment and immediately after completion of the 5-week intervention program | Forward reaching distance while holding weight will be measured in centimeters. |
Countries
Turkey (Türkiye)
Contacts
CONTACTSefa GÜMRÜK ASLAN
Outcome results
None listed