The Efficacy Of Instrument-Assisted Soft Tissue Mobilization At Lumbar Region Disc Herniations
Condition: Lumbar Disc Herniation; Instrument-assisted Soft Tissue Mobilization
MeSH terms: Intervertebral Disc Displacement; Hernia
Study type: Interventional

Summary: 
      This study was carried out to investigate the effect of instrument-assisted soft tissue
      mobilization in patients with lomber region disc herniation. 60 patients with lumbar disc
      herniation between the ages of 30-65 were included in the study. Following the evaluation,
      the patients were divided into two groups by closed envelope method; control group (n=30) and
      experimental group (n=30). In both groups, 4 weeks (20 sessions) hot pack (hotpack),
      conventional transcutaneous electrical nerve stimulation (TENS), therapeutic physical therapy
      program with therapeutic ultrasound applications were performed. In addition to this program,
      Instrumental Assisted Soft Tissue Mobilization (IASTM) was applied to the experimental group
      in 12 sessions of 3 times a week. This technique was performed by using stainless steel tools
      of different sizes and shapes. IASTM treatment was performed (including SWEEP-FAN-BRUSH-SWEEP
      technique, 45° angle with the skin, by 8-10 repetitions) for the ilicostalis lumborum,
      priformis, gluteus medius, erector spines, quadratus lumborum muscles, superficial and deep
      fascia. Depression levels of the patients were evaluated with Beck Depression Scale, before
      the treatment and after 4 weeks pain severity, VAS pain scale, functional status with
      Oswestry Scale, quality of life with Short Form-36 (SF-

      36) and normal range of motion with goniometer. The results were analyzed by using SPSS v.20
      program. In all analyzes, the significance ratio was accepted as p <0.05. At the end of the
      four-week treatment program, significant improvements were observed in VAS levels, normal
      joint movements (flexion, extension, right-left lateral flexion, rotation) in both groups (p
      <0.05). Oswestry and Beck Depression Scale scores showed significant improvement merely in
      the experimental group compared to the control group (p <0.05). There was no significant
      difference in VAS values, normal joint motion and Oswestry scale while there was no notable
      difference in SF-36 and Beck Depression Scale. As a result of the study, it was concluded
      that IASTM is a more effective method on normal range of motion and functionality in
      comparison with traditional physiotherapy program in patients with lumbar disc herniation and
      it can be used as an alternative method in patients during the physiotherapy and
      rehabilitation program if needed.
    


Intervention name(s): Instrument-assisted soft tisue mobilization; Traditional physiotherapy
Intervention type(s): Other; Other
Intervention description(s): All patients in the experimental group were given a traditional physiotherapy program applied in lumbar disc herniation for 4 weeks (20 sessions) and 5 days a week.
In addition to the traditional physiotherapy program, the patients in the experimental group were subjected to tool-assisted soft tissue mobilization 3 times a week (12 sessions with 1 day interval).
All evaluations were repeated to all patients in the experimental and control groups after four weeks.; All patients in the control group were given a traditional physiotherapy program applied in lumbar disc herniation for 4 weeks (20 sessions) and 5 days a week.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: pain; instrument-assisted soft tissue mobilization; depression; functionality; lumbar disc herniation; quality of life