Clinical trial NCT06212011: Effect of Neuromuscular Electrical Stimulation Applied to the Lumbar Multifidus Muscle on Sit to Stand Kinematics in Individuals With Low Back Pain
Official title: Investigation on the Effect of Functional Neuromuscular Electrical Stimulation Technique Applied to the Lumbar Multifidus Muscle On Body Kinetics and Kinematics During Sit to Stand Activity In Individuals With Nonspecific Low Back Pain
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Low Back Pain
Keywords: low back pain
electric stimulation
sit to stand
kinetic
kinematic
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2024-01-18
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The goal of this randomized controlled trial, is to investigate the effect of functional NMES and conventional NMES applied to the lumbar multifidus muscle on body kinematic and kinetic values during the sit-to-stand in individuals with non-specific low back pain. Our study will include 24 participants between the ages of 18-65. Which physiotherapy intervention will be applied to the participants will be determined by the block randomization method, using a table of random numbers. After randomization; NMES to the participants' lumbar multifidus muscle during physiotherapy intervention will be applied in two groups; In the first group, NMES will be applied with the conventional technique during prone position and in the second group, NMES will be applied with the functional technique during the sit-to-stand activity. Evaluations will be made twice for each participant- before and after the intervention. During the evaluation, data regarding the change in body kinetics and kinematics of individuals during the sit-to-stand activity will be recorded with a Vicon camera system. For secondary outcome measures, a visual analog scale will be used to evaluate pain, the Roland Morris Disability Questionnaire and the Oswestry Disability Index will be used to evaluate functional status, and the Tampa Kinesiophobia Scale will be used to evaluate fear-avoidance behavior.


Eligibility criteria: Inclusion Criteria:

* History of chronic low back pain (12 weeks\<)
* Pain in the lumbar and/or hip area (VAS\>3)
* Volunteering to participate in the study

Exclusion Criteria:

* History of neurological, metabolic, cardiovascular disease
* Having had spinal surgery, specific lumbar pathology, scoliosis, pregnancy, history of systemic or degenerative disease
* Musculoskeletal system pathology in the last year
* Body mass index being over 30 kg/m2
* Continuing any exercise program

Primary outcomes:
measure: Changes in kinematics of the Lumbar Spine and Hip During sit-to-stand activity
timeFrame: Baseline and first week after 8-week intervention
measure: Changes in ground reaction force during sit-to-stand activity
timeFrame: Baseline and first week after 8-week intervention
Secondary outcomes:
measure: Hip and Lumbar spine range of motion
timeFrame: Baseline and first week after 8-week intervention
measure: Shortness of the hip flexor, knee flexor and plantar flexor muscles
timeFrame: Baseline and first week after 8-week intervention
measure: Beighton test
timeFrame: Baseline and first week after 8-week intervention
measure: Visual analogue scale
timeFrame: Baseline and first week after 8-week intervention
measure: Oswestry Disability Index
timeFrame: Baseline and first week after 8-week intervention
measure: Roland-Morris Disability Questionnaire
timeFrame: Baseline and first week after 8-week intervention
measure: Tampa Kinesiophobia Scale
timeFrame: Baseline and first week after 8-week intervention
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University
Study officials:
References: