Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT04759404 |
| Other study ID # |
1505183 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
February 15, 2021 |
| Est. completion date |
May 15, 2021 |
Study information
| Verified date |
August 2022 |
| Source |
Bahçesehir University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
In our study, it was aimed to investigate the effects of deep oscillation and myofascial
release on pain, functionality and quality of life in individuals with chronic nonspecific
low back pain. 72 individuals who voluntarily agree to participate in the study will be
included. Participants will be randomly divided into three groups, the deep oscillation
group, myofascial release and the control group. Home exercises including stretching and
strengthening for waist, back and abdominals will be given to all groups. However, in
addition to the deep oscillation group, deep oscillation will be applied to the lumbar region
and myofascial relaxation will be applied to the lumbar region for the myofascial group.
Individuals will be asked to come to the center where the research will be conducted for a
total of six sessions for two weeks, three times a week. Participants' pain will be evaluated
with Visual Analog Scale, disability status with Oswestry Disability Index, sleep quality
with Pittsburgh Sleep Quality Index, and quality of life with Short Form-36 before and after
the first treatment in the first treatment. Statistical analysis to be used in our research
will be done with the Statistical Package for the Social Sciences 20.0 package program.
Description:
According to the data determined by the World Health Organization (WHO), one of the diseases
that 80% of people encounter throughout their lives is low back pain. Nonspecific low back
pain is defined as low back pain of unknown cause, which can be diagnosed, and cannot be
attributed to a known specific disease (eg infection, structural deformity, inflammatory
disorder, tumor, osteoporosis, fracture, radicular syndrome or cauda equina syndrome).
In addition, low back pain problem is divided into three groups according to the duration of
the pain as acute (<6 weeks), subacute (6-12 weeks) and chronic (> 12 weeks) low back pain.
Chronic low back pain, which constitutes one third of all back problems, is known as moderate
back pain that lasts more than 12 weeks and continues one year after the onset of acute pain.
A definite etiological factor can be defined in only 15% of low back pain. It is known that
individuals' sociodemographic characteristics, psychosocial factors, occupational factors,
erroneous posture postures and recurrent microtraumas can cause back pain. In addition to
these, when looking at the studies conducted, it is seen that spasm in lumbar muscles, loss
of flexibility and increase in lumbal lordosis cause low back pain.
Low back pain can be treated with pharmacological and non-pharmacological methods.
Non-pharmacological methods include various treatments such as physiotherapy, psychological
therapy and acupuncture; Pharmacological treatment methods include anti-inflammatory drugs,
opioids and antidepressants. It is suggested that pharmacological treatment methods have a
short-term effect on low back pain and create a placebo effect in individuals. Studies have
shown that physiotherapy programs that include treatment methods such as exercise, Tai Chi,
yoga, acupuncture, pilates, core stabilization exercises, Transcutaneous Electrical Nerve
Stabilization (TENS) are effective in reducing muscular spasm and pain.
Myofascial release is a manual treatment method that involves low pressure, long-term
stretching of the soft tissue in the painful area to restore the normal length of the facial
tissue, reduce pain and increase functionality. It has been shown that myofascial relaxation
therapy, which is applied in musculoskeletal disorders and observed to provide relaxation by
stimulating the neuromuscular system, has been shown to reduce back pain and increase the
flexibility of the lumbar muscles.
Deep oscillation therapy, which increases tissue nutrition and has an anti-inflammatory
effect as a result of electrostatic currents that cause a gentle and deep effective
fluctuation in the tissue, provides a positive effect on pain reduction and also on muscle
relaxation. In deep oscillation treatment, the body tissue of the individual is used as an
electrode, while the probe used by the physiotherapist for the area to be applied is used as
another electrode. Although there are no studies determining the effects of deep oscillation
therapy on the lumbar region muscles, it was seen that deep oscillation application had an
acute effect on muscle relaxation in the comparison of deep oscillation and ultrasound
treatments performed due to the decrease in the flexibility of the hamstring muscles.
