The Effect of Hyperextension Exercises In Lumbal Disc Hernia

NCT ID: NCT06158685

Last Updated: 2023-12-06

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-01

Study Completion Date

2019-01-01

Brief Summary

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The aim of this study was to examine the short-term effect on pain severity, disability level, flexibility and performance level of McKenzie hyperextension exercises applied in addition to conventional physiotherapy approaches in patients diagnosed with LDH.

A total of 48 consecutive female patients diagnosed with LDH at L4-S1 were randomly separated into 2 groups of 24 as the study group and control group. The control group subjects were applied with 15 sessions of conventional physiotherapy consisting of hotpack, ultrasound, and TENS. The study group subjects received 15 sessions of McKenzie hyperextension exercises in addition to the conventional physiotherapy program.

Detailed Description

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Aim: The aim of this study was to examine the short-term effect on pain severity, disability level, flexibility and performance level of McKenzie hyperextension exercises applied in addition to conventional physiotherapy approaches in patients diagnosed with LDH.

Method: A total of 48 consecutive female patients diagnosed with LDH at L4-S1 were randomly separated into 2 groups of 24 as the study group and control group. The control group subjects were applied with 15 sessions of conventional physiotherapy consisting of hotpack, ultrasound, and TENS. The study group subjects received 15 sessions of McKenzie hyperextension exercises in addition to the conventional physiotherapy program. Before treatment, immediately after treatment, and at 3 months after the end of treatment, the two groups were compared in respect of pain severity (Visual Analog Scale- VAS), performance level (Half-Squat Test and The 5 Times Sit-Stand Test), flexibility level (Modified Sit And Reach Test), and disability level (Oswestry Disability Index - ODI).

Conditions

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Female Patients Diagnosed With LDH at L4-S1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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control group

The control group subjects were applied with 15 sessions of conventional physiotherapy consisting of hotpack, ultrasound, and TENS.

Group Type ACTIVE_COMPARATOR

Control Group

Intervention Type OTHER

Treatment: Conventional physiotherapy program

* Components:

* Hot pack was applied to the lumbar region for 20 minutes
* Ultrasound (ITO device) at 1 MHz and 1.5 W/cm2 for 5 minutes
* Transcutaneous Electrical Nerve Stimulation (TENS) at 50-100 Hz for 20 minutes
* Researcher Consistency: All treatments and evaluations for both groups were performed by the same researcher.
* Session Duration: An average of 45 minutes per session
* Frequency: 5 days a week
* Duration: 3 consecutive weeks
* Total Sessions: 15

study group

The study group subjects received 15 sessions of McKenzie hyperextension exercises in addition to the conventional physiotherapy program.

Group Type EXPERIMENTAL

Study Group

Intervention Type OTHER

Treatment: Hyperextension exercises as described by McKenzie (in addition to the conventional physiotherapy program)

McKenzie Hyperextension Exercises:

* Exercises:

1. Prone position, arms by the side, deep breath, relax back muscles, holding for 2-3 minutes.
2. Prone position, raise trunk by raising head above forearms, elbows at shoulder level, maintaining for 2-3 minutes (10 repetitions).
3. Prone position, hands at elbow level, straighten elbows, raise the upper body from the floor and backwards as far as pain permits, holding for 2-3 seconds (10 repetitions).
4. Standing with feet shoulder-width apart, hands on waist, leaning backwards as far as possible from the lumbar region without bending knees, holding for 2-3 seconds (10 repetitions).

Additional Information:
* Researcher Consistency: All treatments and evaluations were performed by the same researcher.

Frequency: 5 days a week Duration: 3 consecutive weeks

Interventions

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Study Group

Treatment: Hyperextension exercises as described by McKenzie (in addition to the conventional physiotherapy program)

McKenzie Hyperextension Exercises:

* Exercises:

1. Prone position, arms by the side, deep breath, relax back muscles, holding for 2-3 minutes.
2. Prone position, raise trunk by raising head above forearms, elbows at shoulder level, maintaining for 2-3 minutes (10 repetitions).
3. Prone position, hands at elbow level, straighten elbows, raise the upper body from the floor and backwards as far as pain permits, holding for 2-3 seconds (10 repetitions).
4. Standing with feet shoulder-width apart, hands on waist, leaning backwards as far as possible from the lumbar region without bending knees, holding for 2-3 seconds (10 repetitions).

Additional Information:
* Researcher Consistency: All treatments and evaluations were performed by the same researcher.

Frequency: 5 days a week Duration: 3 consecutive weeks

Intervention Type OTHER

Control Group

Treatment: Conventional physiotherapy program

* Components:

* Hot pack was applied to the lumbar region for 20 minutes
* Ultrasound (ITO device) at 1 MHz and 1.5 W/cm2 for 5 minutes
* Transcutaneous Electrical Nerve Stimulation (TENS) at 50-100 Hz for 20 minutes
* Researcher Consistency: All treatments and evaluations for both groups were performed by the same researcher.
* Session Duration: An average of 45 minutes per session
* Frequency: 5 days a week
* Duration: 3 consecutive weeks
* Total Sessions: 15

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* The patients included were diagnosed on MRI with L4-S1 LDH (bulging level),
* were taking no drugs other than simple painkillers,
* had LDH symptoms ongoing for at least 3 months.

Exclusion Criteria

* Patients were excluded from the study if they had a history of lumbar spinal surgery,
* had any disease involving the lumbar spine other than LDH (piriformis syndrome, infection, spondylosis, spondylolysis, spondylolisthesis, ankylosing spondylitis, spinal stenosis, facet syndrome, spinal malignancy, osteoporosis),
* severe neurological loss,
* diabetes mellitus, or were pregnant.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Kahramanmaras Sutcu Imam University

OTHER

Sponsor Role collaborator

Mehmet GÖĞREMİŞ

OTHER

Sponsor Role lead

Responsible Party

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Mehmet GÖĞREMİŞ

The Effect of Hyperextension Exercises on Pain, Disability, Flexibility and Performance Level in Patients With Lumbar Disc Herniation

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ejder Berk

Role: STUDY_CHAIR

Kahmanamaras Sutcü İmam University

Locations

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KahramanmarasISU

Kahramanmaraş, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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fztmehmetgogremis123

Identifier Type: -

Identifier Source: org_study_id