The Effect of Manual Therapy on Psychological Factors and Quality of Life in Lumbal Disc Herniation Patients
Condition: Intervertebral Disc Displacement; Lumbar Disc Herniation; Psychological; Quality of Life
MeSH terms: Intervertebral Disc Displacement; Hernia
Study type: Interventional

Summary: 
      When the literature is examined, there are studies examining the relationship between low
      back pain and anxiety depression, quality of life and LDH in patients with lumbar disc
      herniation. There are many studies on the clinical use of manual therapy methods in LDH. Most
      of these studies examine the effect of manual therapy on pain and functional level. However,
      there are hardly any studies examining the effect of manual therapy on quality of life and
      psychological factors in LDH patients.

      The aim of our study is to examine the effect of mobilization, which is a manual therapy
      application, on psychological factors (kinesiophobia, pain catastrophic thought, anxiety and
      depression) and quality of life in LDH patients.
    

Detailed description: 
      There are various treatment options that can be applied to patients with lumbar disc
      herniation (LDH). These are basically divided into 2 categories: surgical and conservative
      treatment. Conservative treatment methods in the treatment of LDH aim to prevent the disease
      from transitioning to interventional methods and / or surgical treatment and to improve the
      complaints that negatively affect the quality of life. Conservative treatment; It includes
      informing the patient, bed rest, drug treatments, exercise, thermotherapy, electrotherapy,
      traction, orthoses, back school and manual therapy applications. Manual therapy; It is used
      to reduce pain, provide joint and tissue mobility, inhibit sympathetic reflex activity,
      normalize muscle tone and dissolve adhesions. Manual therapy is the manual treatment of the
      spine with two different applications such as manipulation and mobilization.

      The clinical effects of manual therapy in LDH patients were examined. The aim of this study
      was to investigate the effect of manual therapy on psychological factors and quality of life
      in patients with lumbar disc herniation.
    

Intervention name(s): Manual Therapy; Exercise
Intervention type(s): Behavioral; Behavioral
Intervention description(s): Mobilization applications are passive movements that do not involve pushing or stimuli, applied within the range of motion or up to the physiological range of motion; It is an approach that is combined with diaphragmatic breathing, activating the passive-active musculoskeletal and neural systems. In this approach, transversus abdominis and multifudus muscles are activated as deep core muscles.
Other intervention name(s): Lumbal Spinal Mobilization; Stabilization Exercise
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This study was designed as a double-blind randomized controlled clinical trial. In order to carry out the prospectively designed study, ethics committee approval was obtained from the Non-Interventional Clinical Research Ethics Committee of Muş Alparslan University with the decision numbered 21 taken at the meeting dated 29.12.2020 and numbered 15. Informed consent was obtained from all patients included in the study before the study.
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Lumbar disc herniation; Manual therapy; Kinesiophobia; Anxiety and depression; Pain catastrophe