Development of a Fascial Training Based Mobile Application and Investigation of Its Effectiveness in Patients With Disc Herniation

NCT ID: NCT07060235

Last Updated: 2025-09-23

Basic Information

• Recruitment Status: ENROLLING_BY_INVITATION
• Clinical Phase: NA
• Total Enrollment: 1 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-02-01
• Study Completion Date: 2026-12-15

Brief Summary

This study will compare three different groups for lumbar disc herniation. The first group will do fascia exercises via a mobile application, the second group will do fascia exercises via a home leaflet, and the third group will do lumbar stabilization exercises via a home leaflet. Since there is not yet a mobile application that includes fascia exercises, this application will be made available to patients for home use after it is developed during the study.

The physiotherapist will teach the exercises in the clinical setting in three different groups.

Detailed Description

In the study, 20 people in three different groups with a drop-out rate of twenty percent will participate in the study. This number is 60 people in total.

In the study, fascia exercises will be applied at home with the mobile application named Fascia-M for the first group, fascia exercises will be applied at home with the home brochure for the second group, and lumbar stabilization exercises will be applied at home with the home brochure for the third group. Visual pain scale, Tampa kinesiophobia scale, SF-12 Quality of Life Questionnaire, Pittsburg Sleep Quality Scale, modified schober test, digital inclinometer measurements will be applied and evaluated by the physiotherapist before and after the study.

Conditions

Lumbar Disc Disease; Lumbal Disc Herniation

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Fascial exercise

Fascial exercises are a systematic set of movements and manual techniques that target the fascia-the body's connective tissue network-with the aim of improving or maintaining its elasticity, hydration, mobility, and functional integrity. These exercises seek to enhance gliding between fascial layers, reduce tissue restrictions, improve neuromuscular coordination, and alleviate chronic musculoskeletal pain.Fascia is not merely a passive structure; it functions as an active sensory organ containing proprioceptors, nociceptors, and mechanoreceptors.

This exercise system will first be taught to the patient by a physiotherapist, then a home brochure will be given and the patient will be given 14 days to practice it at home.

Group Type: ACTIVE_COMPARATOR

fascial exercise home brochure

Intervention Type: OTHER

Fascia exercises are taught by the physiotherapist in the clinical setting and if the exercises are performed incorrectly, intervention is made and the correct exercise is taught. At home, the individual is motivated and monitored with an exercise diary. He/she remembers the exercises from the home brochure.

Fascial exercise based mobile application

Individuals in this arm will do fascia exercises at home through a mobile application as home exercises. These exercises would be taught to the participant by the physiotherapist in the clinical setting and then the participant would be allowed to install a mobile application on their phone. The name of this mobile application is Fascia-M. This mobile application will be developed by the researcher of this study during the study process.

Group Type: ACTIVE_COMPARATOR

Fascial exercise based mobile application

Intervention Type: OTHER

Fascia exercises are taught by the physiotherapist in the clinical setting and if the exercises are performed incorrectly, intervention is made and the correct exercise is taught. At home, the individual is motivated and monitored with an exercise diary. Performs the exercises by watching videos on the mobile application. The physiotherapist intervenes in motivation with instant notifications via the mobile application.

lumbal stabilization

Within the scope of this study, lumbar stabilization exercises will be applied to a specific group of participants within a home-based exercise program. The program is structured to support individuals' activities of daily living, maintain spinal health and improve muscle balance in the lumbar region. Lumbar stabilization exercises consist of controlled movements that target the deep spinal stabilizer muscles (especially m. transversus abdominis and m. multifidus) and contribute to maintaining the spine in a neutral position.

Group Type: ACTIVE_COMPARATOR

lumbal stabilizasyon home brochure

Intervention Type: OTHER

Participants assigned to the intervention group will receive a structured home-based lumbar stabilization exercise program designed to improve spinal stability, core muscle control, and functional performance. The program will target deep trunk stabilizer muscles, including the transversus abdominis and multifidus, through low-load, motor control-based exercises.

The intervention will last for 14 days, with exercises to be performed 3 times for everyday, Each session will last approximately 20-30 minutes and consist of:

Warm-up (1 minutes): Breathing exercises and gentle mobility

Core Stabilization (15-20 minutes): Exercises such as abdominal hollowing, bridging, bird-dog, side plank, and dead bug - progressing from static holds to dynamic movements as tolerated

Cool-down (1 minutes): Light stretching and relaxation

Interventions

fascial exercise home brochure

Fascia exercises are taught by the physiotherapist in the clinical setting and if the exercises are performed incorrectly, intervention is made and the correct exercise is taught. At home, the individual is motivated and monitored with an exercise diary. He/she remembers the exercises from the home brochure.

Intervention Type: OTHER

Fascial exercise based mobile application

Fascia exercises are taught by the physiotherapist in the clinical setting and if the exercises are performed incorrectly, intervention is made and the correct exercise is taught. At home, the individual is motivated and monitored with an exercise diary. Performs the exercises by watching videos on the mobile application. The physiotherapist intervenes in motivation with instant notifications via the mobile application.

Intervention Type: OTHER

lumbal stabilizasyon home brochure

Participants assigned to the intervention group will receive a structured home-based lumbar stabilization exercise program designed to improve spinal stability, core muscle control, and functional performance. The program will target deep trunk stabilizer muscles, including the transversus abdominis and multifidus, through low-load, motor control-based exercises.

The intervention will last for 14 days, with exercises to be performed 3 times for everyday, Each session will last approximately 20-30 minutes and consist of:

Warm-up (1 minutes): Breathing exercises and gentle mobility

Core Stabilization (15-20 minutes): Exercises such as abdominal hollowing, bridging, bird-dog, side plank, and dead bug - progressing from static holds to dynamic movements as tolerated

Cool-down (1 minutes): Light stretching and relaxation

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• speak Turkish, and have Turkish literacy.
• included lumbar
• diagnosed with disc herniation with doctor's diagnosis
• participants is between the ages of 20-55,
• able to use mobile technology
• willing to participate in the study individuals with

Exclusion Criteria

• Mobile on Android devices have the competence to use the application
• No neurological deficit
• painkillers during the treatment process
• They are volunteer individuals who do not use medication

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Baskent University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Başkent Universty

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Study Documents

Document Type: statics

fascia and mobile app

View Document

Related Links

https://www.anatomytrains.com/fascialfitness/fascial_fitness1.pdf

fascial fıtness

Other Identifiers

BaskentU-FTR-FA-02

Identifier Type: -

Identifier Source: org_study_id