The Effect of Deep Oscillation and Myofascial Relaxation With Chronic Nonspecific Low Back Pain
NCT ID: NCT04759404
Last Updated: 2022-08-11
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
72 participants
INTERVENTIONAL
2021-02-15
2021-05-15
Brief Summary
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Detailed Description
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In addition, low back pain problem is divided into three groups according to the duration of the pain as acute (\<6 weeks), subacute (6-12 weeks) and chronic (\> 12 weeks) low back pain. Chronic low back pain, which constitutes one third of all back problems, is known as moderate back pain that lasts more than 12 weeks and continues one year after the onset of acute pain. A definite etiological factor can be defined in only 15% of low back pain. It is known that individuals' sociodemographic characteristics, psychosocial factors, occupational factors, erroneous posture postures and recurrent microtraumas can cause back pain. In addition to these, when looking at the studies conducted, it is seen that spasm in lumbar muscles, loss of flexibility and increase in lumbal lordosis cause low back pain.
Low back pain can be treated with pharmacological and non-pharmacological methods. Non-pharmacological methods include various treatments such as physiotherapy, psychological therapy and acupuncture; Pharmacological treatment methods include anti-inflammatory drugs, opioids and antidepressants. It is suggested that pharmacological treatment methods have a short-term effect on low back pain and create a placebo effect in individuals. Studies have shown that physiotherapy programs that include treatment methods such as exercise, Tai Chi, yoga, acupuncture, pilates, core stabilization exercises, Transcutaneous Electrical Nerve Stabilization (TENS) are effective in reducing muscular spasm and pain.
Myofascial release is a manual treatment method that involves low pressure, long-term stretching of the soft tissue in the painful area to restore the normal length of the facial tissue, reduce pain and increase functionality. It has been shown that myofascial relaxation therapy, which is applied in musculoskeletal disorders and observed to provide relaxation by stimulating the neuromuscular system, has been shown to reduce back pain and increase the flexibility of the lumbar muscles.
Deep oscillation therapy, which increases tissue nutrition and has an anti-inflammatory effect as a result of electrostatic currents that cause a gentle and deep effective fluctuation in the tissue, provides a positive effect on pain reduction and also on muscle relaxation. In deep oscillation treatment, the body tissue of the individual is used as an electrode, while the probe used by the physiotherapist for the area to be applied is used as another electrode. Although there are no studies determining the effects of deep oscillation therapy on the lumbar region muscles, it was seen that deep oscillation application had an acute effect on muscle relaxation in the comparison of deep oscillation and ultrasound treatments performed due to the decrease in the flexibility of the hamstring muscles.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Deep Oscillation Group
Individuals in the deep oscillation group will be treated by the researcher. During the application, individuals will be positioned face down on the stretcher. After the powder is applied to the lumbar region, deep oscillation treatment with a frequency of 80% -100% with a frequency of 145-150 Hz for the first 10 minutes and 55-60 Hz for 5 minutes will be applied with the Physiomed Deep Oscilation device. Each individual will be given a home exercise program (stretching and strengthening for waist, back and abdominal) consisting of stretching and strengthening. Individuals will be asked to come to the center where the research will take place, for a total of six sessions for two weeks, three times a week.
Deep Oscillation Treatment
Deep oscillation to the lumbar region and stretching and strengthening exercise for waist, back and abdominal
Myofascial Release Group
Individuals in the myofascial relaxation group will be treated by the researcher. During the application, individuals will lie face down on the stretcher. Myofascial release therapy will be applied in the lumbar region and each individual will be given home exercise (stretching and strengthening for waist, back and abdominal). Individuals will be asked to come to the center where the research will be conducted for a total of six sessions for two weeks, three times a week.
Myofascial Release Treatment
Myofascial release to the lumbar region and stretching and strengthening exercise for waist, back and abdominal
Control Group
No interventions assigned to this group
Interventions
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Deep Oscillation Treatment
Deep oscillation to the lumbar region and stretching and strengthening exercise for waist, back and abdominal
Myofascial Release Treatment
Myofascial release to the lumbar region and stretching and strengthening exercise for waist, back and abdominal
Eligibility Criteria
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Inclusion Criteria
* Getting 4 and above in the Roland Morris Disability Questionnaire
* Being 18 years or older
* Agree to voluntarily participate in the study
Exclusion Criteria
* Having a heart disease or pacemaker
* Hypersensitivity to electrostatic waves
* Having an infectious skin condition
* Having vertebrobasilar insufficiency
* Having knee pain complaints
* Being diagnosed with coronavirus
* Physical therapy for back pain in the last 6 months
18 Years
ALL
No
Sponsors
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Bahçeşehir University
OTHER
Responsible Party
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Ebru Beyza ŞAHİN
Physical Therapist
Principal Investigators
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Leyla Ataş Balcı, Assist Prof
Role: STUDY_DIRECTOR
Bahçeşehir University
Locations
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Private Mediworld Medical Center
Istanbul, Bayrampaşa, Turkey (Türkiye)
Countries
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Other Identifiers
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1505183
Identifier Type: -
Identifier Source: org_study_id
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