Diaphragmatic Release for Low Back Pain

Официальное название

Investigating the Effectiveness of Diaphragmatic Release in Patients With Low Back Pain.

Обзор

Low back pain is one of the most common musculoskeletal disorders, significantly affecting the quality of life of individuals. In non-specific low back pain, a lack of stabilization in the core region negatively impacts the performance of activities. The diaphragm forms the framework of the core region, and its dysfunction can contribute to both respiratory problems and low back pain. This study will investigate the effects of diaphragm relaxation, added to spinal stabilization exercises, on pain, disability, quality of life, central sensitization, and trunk muscle endurance.

Подробное описание

Low back pain is one of the most common musculoskeletal problems, limiting daily life activities, leading to loss of productivity, and significantly reducing quality of life. In non-specific low back pain, insufficient stabilization in the trunk region and inadequate activation of deep muscles reduce the effectiveness of functional movements and contribute to chronic pain. The diaphragm, a crucial component of trunk stability, plays a critical role not only in respiratory function but also in maintaining spinal stability through the regulation of intra-abdominal pressure. Dysfunction or insufficient relaxation of the diaphragm can lead to changes in breathing patterns, impaired postural control, and persistent low back pain.

Therefore, a better understanding of the diaphragm's role in low back pain mechanisms and its targeting in therapeutic interventions is becoming increasingly important. This study aims to investigate the effects of diaphragm relaxation techniques, applied in addition to spinal stabilization exercises, on pain intensity, disability level, quality of life, central sensitivity, and trunk muscle endurance.

Вмешательства

• Другое Manual diaphragm release
  In addition to spinal stabilization exercises, patients will perform diaphragmatic relaxation exercises three days a week for eight weeks.
• Другое Control
  Patients will undergo spinal stabilization exercises three times a week for eight weeks.

Первичные конечные точки

• Pain severity [Срок оценки: Baseline, After intervention (eight week later)]
• Central sensitization [Срок оценки: Baseline, After intervention (eight week later)]
• Disability levels [Срок оценки: Baseline, After intervention (eight week later)]
• Quality of life level [Срок оценки: Baseline, After intervention (eight week later)]
• Trunk muscle endurance [Срок оценки: Baseline, After intervention (eight week later)]

Критерии участия

Критерии включения

• Being between 18-65 years of age
• Having been diagnosed with chronic non-specific lower back pain (pain between the gluteal folds and the 12th ribs lasting at least 12 weeks and without a known pathoanatomical cause)
• Being willing to participate in the study

Критерии исключения

• Psychological disorders, mental disorders, cancer, and severe depression
• History of primary or metastatic spinal malignancy or spinal fracture
• Neurological disease (Hemiplegia, Multiple Sclerosis, Parkinson's, etc.)
• Having been diagnosed with advanced osteoporosis
• Having undergone previous surgery or had an acute infection in the lumbar region

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Тройное слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Karabuk University, Physiotherapy and Rehabilitation Application and Research Center — Karabük

Идентификаторы

NCT: NCT07298109 · Low back pain-01

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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