Effects of Whole Body Vibrationin in Patients With Non-Specific Low Back Pain
NCT Number: NCT06552962
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Low Back Pain|Low Back Pain, Mechanical|Low Back Pain, Postural|Low Back Pain, Recurrent
Interventions: DEVICE: Whole body vibration|BEHAVIORAL: lumbar stabilization exercises
Sponsor: Istanbul University
Collaborators: Istinye University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 34
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (PARTICIPANT, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2024-07-25
Completion Date: 2025-01-05
Locations: Istinye University, Istanbul, 34010, Turkey

Summary:
After acute low back pain, one third of patients have chronic low back pain. A sedentary lifestyle is a leading cause of mechanical stress-related low back pain and exacerbates chronic low back pain. Balance disorders, postural adjustment disorder, abnormal spinal movements and related muscle imbalance are observed in individuals with chronic low back pain. Conservative treatment is mostly used in treatment. Langevin et al. stated that an abnormal and irregular thoracolumbar connective tissue structure is observed in chronic and recurrent low back pain. It has been said that physiotherapy and rehabilitation methods such as exercise therapy, massage, chiropractic and acupuncture provide changes in the biomechanical components of the affected connective tissue such as stiffness, viscoelasticity and density. Over the past 20 years, exercises with Whole Body Vibration (WBV) have begun to be used as an effective method for reducing pain. Exercises performed with WBV are thought to improve neuromuscular activation and increase muscle strength and joint stabilization. In non-specific chronic low back pain, increased tone is observed in the superficial back muscles. And based on this study, no study has been found examining the effect of vibratory exercise intervention on the tone of superficial back muscles that go into spasm due to pain. In this study, lumbar stabilization exercises, one of the most effective exercise methods in chronic low back pain, will be applied and exercises performed with vibration will have an additional effect.

It is aimed to reveal whether it creates or not. MyotonPRO (myometer) is a digital palpation device that can measure the viscoelastic properties of myofascial tissue. In measurements made with patients with chronic low back pain and healthy controls, While lumbar myofascial tissue elasticity was significantly low in patients; The tone of the lumbar extensor muscles was found to be significantly higher. However, this measurement has not been made before in studies conducted with WBV, which is one of the methods used to reduce pain in individuals with chronic low back pain.

The aim of this study is to reveal the effect of exercises performed with WBV on the myofascial tissue of the lumbar region and the tone of the superficial back muscles, on pain, function, muscle strength, balance, proprioception and endurance parameters compared to the group exercising only.

Primary Outcome Measures: MyotonPRO myofascial palpation device, The measurement will be made in the prone position, without active muscle contraction. Lumbar paraspinal muscle measurement will be made from a point one finger to the right/left of the L4 level.

F - Natural Oscillation Frequency \[Hz\], characterizing Tone or Tension S - Dynamic Stiffness \[N/m\] D - Logarithmic Decrement \[relative unit\], characterizing Elasticity R - Mechanical Stress Relaxation Time \[ms\] C - Ratio of Relaxation and Deformation time \[relative unit\], characterizing Creep, 6 weeks
Secondary Outcome Measures: Pain severity for lower back (Visual analog scale), Participants' pain intensity will be evaluated according to Visual Analog Scale. The score is from 0 to 10. The pain level increases from 0 to 10., 6 weeks|Low Back Function Assesment, The Oswestry Low Back Pain Disability Questionnaire is a 10-part index used to assess the functioning of patients affected by low back pain., 6 weeks|Quality of Life (SF-12 SHORT FORM), Measurement will be made with Short Form SF-12, which is the shortened version of the SF-36 Quality of Life Scale., 6 weeks|Lower Extremity Muscle Strength, Myometer is a muscle strength measurement device. Provides more objective data than manual muscle testing., 6 weeks|Abdominals, side abdominals and back extenstors Endurance, The endurance of the trunk muscles will be measured by lateral bridging, Sorensen and trunk flexors endurance test., 6 weeks|Dynamic Balance, Dynamic balance will be measured with the Y balance test., 6 weeks|Lumbar Proprioception, With the passive positioning technique, a certain angle is applied to the lumbar region with the patient's eyes closed.

The position is given passively and then the patient is asked to find the same angle without support, using the same extremity. The difference between the angles is recorded with a goniometer \[29\], 6 weeks|Static Balance, Static Balance and Single Leg Standing Test will be performed. This test is performed with eyes open and hands on hips., 6 weeks