Clinical trial NCT04119466: Stabilizing Training in Degenerative Disc Disease
Official title: Stabilizing Training Effects in Relation With Progression Level in Young Degenerative Disc Disease Individuals
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Degenerative Disc Disease
Protrusion
Extrusion of Migrated Disc
Hernia
Keywords: degenerative disc disease
stabilizing training
protrusion
extrusion
Lead sponsor: Wroclaw University of Health and Sport Sciences
Sponsor class: OTHER
First posted: 2019-10-08
Enrollment: 38
Sex: ALL
Minimum age (years): 20
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study evaluates efficacy of stabilizing training of deep core muscles in the lumbar spine in degenerative disc disease subjects, considering the progression level of degenerative disc disease: protrusion or extrusion.

Detailed description: Degenerative disc disease (DDD) is one of the causes of low back pain, and contributes to increasing the socio-economic problem. Depending on the reason for the dysfunction, various classifications describing the level of advancement are used. Literature on the subject commonly uses the division into protrusion and extrusion of the intervertebral disc, as approved by the American Society of Neuroradiology.

Stabilizing training is one of the forms of conservative treatment of lumbar pain, alongside manual treatment or techniques from the field of chiropractics or physiotherapy. It is thought that the proper stabilization of this region of the body is crucial for coping with pain.

Therefore, the aim of the study was to assess the effectiveness of stabilizing training of deep core muscles in the lumbar spine in subjects in the age of 20-35 years, considering the progression level of degenerative disc disease: protrusion or extrusion, on the basis of the clinical condition.

Eligibility criteria: All the subjects undergo imaging examination in the form of MRI, whose results will be interpreted by a radiologist. Each person will be classified according to the current damage to the intervertebral disc as recommended by the American Society of Neuroradiology: protrusion or extrusion of the intervertebral disc.

Inclusion Criteria:

* disc disease located in the lumbar region of the spine confirmed by the MRI
* subacute stage of the disease
* age 20-35 years

Exclusion Criteria:

* advanced degenerative-deformatory changes of the spine
* previous fracture of the spine
* neurologic deficits in lower limbs or pelvis
* spondylolisthesis
* transitional vertebra
* rheumatic diseases

Primary outcomes:
measure: The Oswestry Disability Index
timeFrame: 15 minutes
measure: Range of motion evaluation
timeFrame: 15 minutes
Secondary outcomes:
measure: The passive lumbar extension test
timeFrame: 10 minutes
measure: Straight leg raise test
timeFrame: 10 minutes
Other outcomes:
Locations:
city: Wrocław
country: Poland
facility: theMedicine
state: Lower Silesia
Study officials:
affiliation: University School of Physical Education, Wroclaw, Poland
name: Błażej Cieślik, PhD.
role: PRINCIPAL_INVESTIGATOR
affiliation: University School of Physical Education, Wroclaw, Poland
name: Tomasz Kuligowski, PhD.
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Dagenais S, Mayer J, Haldeman S, Borg-Stein J. Evidence-informed management of chronic low back pain with prolotherapy. Spine J. 2008 Jan-Feb;8(1):203-12. doi: 10.1016/j.spinee.2007.10.021.
citation: Daghighi MH, Pouriesa M, Maleki M, Fouladi DF, Pezeshki MZ, Mazaheri Khameneh R, Bazzazi AM. Migration patterns of herniated disc fragments: a study on 1,020 patients with extruded lumbar disc herniation. Spine J. 2014 Sep 1;14(9):1970-7. doi: 10.1016/j.spinee.2013.11.056. Epub 2013 Dec 18.