Low back pain is a common problem. In low back pain, the core region and posture are frequently affected. However, no definitive decision has been reached regarding cognition and mental fatigue. In the treatment of low back pain, exercise and kinesio taping approaches are frequently used. The aim of this study is to evaluate the effects of kinesio taping applied in addition to pilates exercises on pain, core muscle thickness, strength and endurance, posture, cognition and mental fatigue in individuals with non-specific low back pain and to compare it with placebo taping and the control group. The primary outcome measure of this study is core muscle thickness, while other measurements will be considered as secondary outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
42
Kinesio tape is a non-invasive therapeutic approach that does not involve any medication. It is often used to support tissue and reduce pain.
Pilates exercises are mind-body exercises that are performed on a mat or with special equipment and focus on strength, core stability, flexibility, muscle control, posture and breathing. Pilates exercises are frequently used to develop elements such as core stability, muscle flexibility and strength, physical fitness and body awareness.
Placebo taping will be applied in the same way as kinesio taping, but with plaster tape.
Sağlık Bilimleri Üniversitesi
Ankara, Turkey (Türkiye)
GYM Center
Ankara, Çankaya, Turkey (Türkiye)
Core Muscle Thickness
Core muscle thickness will be measured with ultrasound. The measurement will be taken first in the resting position and then by performing the hollowing maneuver. The difference between the two will be recorded.
Time frame: Beginning, Week 3, Week 6
Pain
Visual analog scale (VAS) will be used in pain assessment. Patients will be asked to mark the pain intensity on a 10 cm scale defined as "0 (no pain)" and "10 (unbearable pain)". The point marked on the scale will be measured with a ruler (in cm) and recorded. Pain intensity will be evaluated in three different situations: activity, rest and night pain.
Time frame: Beginning, Week 3, Week 6
Core Muscle Strength
A pressurized biofeedback unit (BBU) will be used when evaluating muscle strength. BBU is a device that can be used to measure muscle function by detecting the movement of a muscle. Before the measurement, the person will be taught the "Abdominal Hollowing" maneuver, which is a maneuver to pull the abdominal wall inward by saying "Pull your belly up and in." Then, while the person is lying face down, the device will be fixed at 70mmHg and placed at the person's anterior superior iliac level. Then, the person will be asked to perform the maneuver and continue it for 10 seconds, and the change in pressure will be recorded. It will be repeated 3 times and the best measurement will be taken as the final measurement.
Time frame: Beginning, Week 3, Week 6
Core Muscle Endurance
The endurance of the core muscles will be evaluated in plank and side plank positions. Individuals will be asked to stand in plank and bilateral side plank positions and how long they can maintain this position will be measured.
Time frame: Beginning, Week 3, Week 6
Posture
The "APECS (AI Posture Evaluation and Correction System)" mobile application will be used in posture assessment. For measurements, photographs will be taken from the front and side and analyzed with the program. The degrees given by the analysis will be noted on the assessment form and comparison will be made.
Time frame: Beginning, Week 3, Week 6
Cognition
Montreal Cognitive Assessment will be used in cognition assessment. The maximum score for this scale is 30. 21 and above is considered good.
Time frame: Beginning, Week 3, Week 6
Mental Fatigue
The Mental Fatigue Scale (MFS) will be used when assessing mental fatigue. The MFS was created to measure the effects of mental fatigue in various life situations. The person will be asked to answer the scale questions and then the score for each question will be added up. The higher the total score, the higher the mental fatigue is reported to be. The maximum score can be 38.
Time frame: Beginning, Week 3, Week 6
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