Comparison of the Effects of External Focus and Internal Focus Instructions Applied Chronic Low Back Pain: RCT

NCT ID: NCT05722457

Last Updated: 2023-11-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 44 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-03-05
• Study Completion Date: 2023-07-20

Brief Summary

Postural control methods are impaired in people with chronic low back pain. While the person maintains balance with pain relief, fear of movement and pain increase with loss of balance. It was found that externally focused exercises are more effective than internal focus exercises in terms of motor control and motor learning. To investigate the place of externally focused balance exercises in conservative treatment of target low back pain. For this purpose, approval was obtained from the clinical research ethics committee of Kırşehir Ahi Evran University, Faculty of Medicine, with the decision numbered 2022-18/163.

Detailed Description

Focusing on the inside of the body while performing a movement is called "internal (internal focus)", focusing on the outside of the body is called "external (external focus)". Many previous studies have shown that external focus is substantially more effective than internal focus in the performance of a movement.In our randomized controlled study, there were two groups and 22 people were treated in each group. Volunteers between the ages of 18-65 who had low back pain for the last 3 months and had no musculoskeletal problems were included. Balances were evaluated with Biodex Balance Device, pain with Visual Analog Scale, performance with Physical Performance Test Battery, functional level with osvewstry disability index, posture, spinal mobility,postural endurance with spinal mouse device. 8 weeks of treatment were applied to both groups as external focus and control groups. Basically similar exercises were applied to both groups, and there were tasks in the exercises in the external focus group, and the focus were on the task other than the exercise.

The results of the study show that externally focused balance exercises are effective on dynamic balance, fall risk, stability limits, physical performance, posture, spinal mobility, and postural endurance in individuals with CLBP.

Conditions

Physical Therapy Techniques

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Investigation of the Effects of External Focused Ex. on Functionality in Individuals

Sub-branches of the study are planned as Investigation of the Effects of External Focused Dynamic Balance Training on Functionality in Individuals with Chronic Low Back Pain. Sub-branches of the study are planned as Investigation of the Effects of External Focused Dynamic Balance Training on Functionality in Individuals with Chronic Low Back Pain.

Group Type: OTHER

external focus task focus in addition to physiotherapy and rehabilitation exercises

Intervention Type: OTHER

The first study on the external focus was made in 1998 by Wulf, Ho ¨ß, \& Prinz, (1998). Focusing on the inside of the body while performing a movement is called "internal (internal focus)", focusing on the outside of the body is called "external (external focus)". Previous studies have shown that external focus is substantially more effective than internal focus in the performance of a movement.

Investigation of the Effects of İnternal Focused Ex. on Functionality in Individuals

Sub-branches of the study are planned as Investigation of the Effects of internal Focused Dynamic Balance Training on Functionality in Individuals with Chronic Low Back Pain. Sub-branches of the study are planned as Investigation of the Effects of İnternal Focused Dynamic Balance Training on Functionality in Individuals with Chronic Low Back Pain.

Group Type: OTHER

internal focus task focus in addition to physiotherapy and rehabilitation exercises

Intervention Type: OTHER

he first study on the external focus was made in 1998 by Wulf, Ho ¨ß, \& Prinz, (1998). Focusing on the inside of the body while performing a movement is called "internal (internal focus)", focusing on the outside of the body is called "external (external focus)". Previous studies have shown that external focus is substantially more effective than internal focus in the performance of a movement.

Interventions

external focus task focus in addition to physiotherapy and rehabilitation exercises

The first study on the external focus was made in 1998 by Wulf, Ho ¨ß, \& Prinz, (1998). Focusing on the inside of the body while performing a movement is called "internal (internal focus)", focusing on the outside of the body is called "external (external focus)". Previous studies have shown that external focus is substantially more effective than internal focus in the performance of a movement.

Intervention Type: OTHER

internal focus task focus in addition to physiotherapy and rehabilitation exercises

he first study on the external focus was made in 1998 by Wulf, Ho ¨ß, \& Prinz, (1998). Focusing on the inside of the body while performing a movement is called "internal (internal focus)", focusing on the outside of the body is called "external (external focus)". Previous studies have shown that external focus is substantially more effective than internal focus in the performance of a movement.

Intervention Type: OTHER

Other Intervention Names

ext focus; internal focus

Eligibility Criteria

Inclusion Criteria

• Those with ongoing low back pain symptoms in the last three months (diagnosed with chronic low back pain),
• Individuals between the ages of 18-65
• Pain level 3 or more according to VAS
• Individuals who volunteer to participate in the study will be included.

Exclusion Criteria

• Individuals with lower extremity and spine orthopedic and neurological disorders,
• Having a musculoskeletal injury in the last 9 months,
• Surgery, injection, etc. for low back pain in the last 3 months. with a history of treatment
• Those who are doing any sports activity,

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kirsehir Ahi Evran Universitesi

OTHER

Sponsor Role: lead

Responsible Party

Safak Kuzu

Research Assistant/Araştırma Görevlisi

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

anıl özüdoğru

Role: PRINCIPAL_INVESTIGATOR

Kırşehir Ahi Evran University School of Physical Therapy and Rehabilitationaozudogru@hotmail.com

Locations

Kirşehir Ahi Evran Univercity

Kırşehir, Kirşehi̇r, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Wulf G, Lauterbach B, Toole T. The learning advantages of an external focus of attention in golf. Res Q Exerc Sport. 1999 Jun;70(2):120-6. doi: 10.1080/02701367.1999.10608029.

Reference Type: BACKGROUND

PMID: 10380243 (View on PubMed)

Other Identifiers

0000-0003-0145-3565

Identifier Type: -

Identifier Source: org_study_id