Investigation of The Effect of "Instrument-Assisted Soft Tissue Mobilization" in Individuals With Lumbar Disc Herniation
NCT Number: NCT06529926
Status: COMPLETED
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Instrument-assisted Soft Tissue Mobilization|Treatment|Exercise|Pain
Interventions: OTHER: Observational|OTHER: IASTM Technique Application
Sponsor: Inonu University
Sex: ALL
Age: ADULT
Enrollment: 40
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: TRIPLE (PARTICIPANT, CARE_PROVIDER, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2017-11-01
Completion Date: 2018-12-31
Locations: Inonu University, Malatya, 44280, Turkey

Summary:
Instrument-assisted soft tissue mobilization is an instrument-assisted soft tissue mobilization technique. It consists of stainless steel instrument designed to adapt to various tissues/shapes/curves of the body. The instruments were developed as an alternative to transverse friction massage. Stainless steel acts a bit like a diaposon when it comes into contact with fibrotic tissue. A resonance or reverberation in the instrument is created upon contact and transmitted through the instrument to the hands of the clinician. The application of heavy pressure (compared to light or medium pressure) using instruments has been proven to promote a greater fibroblastic response.

Instrument-assisted soft tissue mobilization is not used without insulation. It is imperative to use movement and strengthening in combination with soft tissue mobilization to promote tissue adaptation and remodeling. Mechanical loading has been shown to affect chondrocyte alignment and fibroblast activity with increased proteoglycan and collagen synthesis. The aim of this study was to investigate the effects of the IASTM technique on individuals of different ages diagnosed with LDH.

Primary Outcome Measures: Evaluation of Pain, Visual analog scale was used to evaluate the pain of the patients., Pre-treatment assessment.|Evaluation of Pain, Visual analog scale was used to evaluate the pain of the patients., After 4 weeks of treatment (Post-treatment assessment).|Evaluation of Pain, Visual analog scale was used to evaluate the pain of the patients., 2nd month post-treatment assessment.|Evaluation of Functional Status (Straight leg raise test), Straight leg raise test was used to evaluate the functional status of the patients., Pre-treatment assessment.|Evaluation of Functional Status (Straight leg raise test), Straight leg raise test was used to evaluate the functional status of the patients., After 4 weeks of treatment (Post-treatment assessment).|Evaluation of Functional Status (Straight leg raise test), Straight leg raise test was used to evaluate the functional status of the patients., 2nd month post-treatment assessment.|Evaluation of Functional Status (Slump test), Slump test was used to evaluate the functional status of the patients., Pre-treatment assessment.|Evaluation of Functional Status (Slump test), Slump test was used to evaluate the functional status of the patients., After 4 weeks of treatment (Post-treatment assessment).|Evaluation of Functional Status (Slump test), Slump test was used to evaluate the functional status of the patients., 2nd month post-treatment assessment.|Evaluation of Functional Status (5-min walking test), 5-min walking test was used to evaluate the functional status of the patients., Pre-treatment assessment.|Evaluation of Functional Status (5-min walking test), 5-min walking test was used to evaluate the functional status of the patients., After 4 weeks of treatment (Post-treatment assessment).|Evaluation of Functional Status (5-min walking test), 5-min walking test was used to evaluate the functional status of the patients., 2nd month post-treatment assessment.|Evaluation of Normal Joint ROM, Goniometer was used to evaluate the normal joint ROM of the patients., Pre-treatment assessment.|Evaluation of Normal Joint ROM, Goniometer was used to evaluate the normal joint ROM of the patients., After 4 weeks of treatment (Post-treatment assessment).|Evaluation of Normal Joint ROM, Goniometer was used to evaluate the normal joint ROM of the patients., 2nd month post-treatment assessment.|Evaluation of Quality of Life, Short Form-36 was used to evaluate the quality of life of the patients., Pre-treatment assessment.|Evaluation of Quality of Life, Short Form-36 was used to evaluate the quality of life of the patients., After 4 weeks of treatment (Post-treatment assessment).|Evaluation of Quality of Life, Short Form-36 was used to evaluate the quality of life of the patients., 2nd month post-treatment assessment.