The aim of this study was to investigate the effects of visual biofeedback-assisted lumbopelvic movement training on pelvic proprioception, pelvic oscillation, lower extremity static and dynamic balance and core muscle endurance in sedentary healthy individuals.
The lumbopelvic region is an anatomical region where the lumbar spine and pelvis move in harmony in terms of timing and intensity, called the lumbopelvic rhythm, which requires the static, dynamic and neural system to work together, formed by local and global muscles, osteoligamentous structures and neural control. It acts as a force bridge between the lower and upper extremities. Pain, disability, limited activations, atrophy and especially decreases in motor control and proprioception can negatively affect the rhythm and stabilisation in the region. Exercises that contribute to the movement and stabilisation of the lumbopelvic region. There are studies showing that it re-facilitates synaptogenesis, synaptic potentials and reorganisation in areas represented by movement in the motor cortex. The pelvis makes sinusoidal up-down movements in the frontal and sagittal planes and rotational movements in the transverse plane during walking. These movements are provided by the local and global muscles surrounding the pelvis and hip joint. The reduction of pelvic oscillations in the normal gait pattern may lead to decreased energy expenditure and increased muscle force production. Lumbopelvic proprioception plays an important role in providing neuromuscular control, creating effective movement, providing coordination, revealing muscle activation at the appropriate timing, preventing spinal and lower extremity injuries and reducing lumbar pain. Decreased proprioceptive sensation leads to impaired movement of the lumbopelvic region and lower and upper extremities, as well as pain and injuries. In case of weakening of lumbopelvic neuromuscular control and spinal proprioception, significant losses in balance and muscle strength and endurance occur. In order to gain proprioception, balance and strength-endurance parameters should be focused on, and in order to gain balance and strength-endurance parameters, proprioception sense should be developed. In this direction, the investigators think that lumbopelvic movement training accompanied by visual biofeedback will have a direct effect on pelvic oscillations, lumbar, lumbopelvic, hip and knee proprioception, lower extremity balance and core muscle endurance and these effects will be reflected on the health parameters and daily living activities of individuals. For this purpose, the investigators aim to evaluate the effects of lumbopelvic movement training. At the same time, as a result of the literature review, it is aimed to eliminate the deficiency in this field.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
SINGLE
Enrollment
48
6 exercises that provide movement of the lumbopelvic region will be performed for 8 weeks and 2 times each week. The exercises will be followed visually with the help of a laser.
6 exercises that provide movement of the lumbopelvic region will be performed for 8 weeks and 2 times each week. The exercises will be the same exercises as the group with laser support, but no visual support will be provided.
Nuh Naci Yazgan University
Kayseri, Kocasinan, Turkey (Türkiye)
Proprioception
Proprioception of the lumbopelvic region is evaluated. The movement closest to the target point indicates good proprioception.
Time frame: one week
Pelvic Sway
The oscillation of the pelvis will be assessed with an oscillometry device (GYKO) placed at the lumbar 3-5 level. The participant will be asked to walk 10 m and the device will record the oscillation of the pelvis in the anterior-posterior, medial-lateral directions and the total oscillation area during walking.
Time frame: one week
Balance
The participant's static and dynamic balance will be measured on the Hurlab Smartbalance device. Functional dynamic balance measurement will be measured with the lower extremity Y balance test.
Time frame: one week
Core Muscle Endurance
Evaluation of core muscle endurance will be performed with the Wall Sit Hold, which have proven to be effective in the literature. In the Wall Sit Hold test, individuals will be asked to stand in a squat position with the hip and knee flexed and the back in full contact with the wall and to lift their right or left foot up and wait. The hold time will be recorded in seconds. 3 trials will be made for each foot and the results will be averaged. The higher the data obtained, the higher the core muscle endurance.
Time frame: one week
Core Muscle Endurance
In the Trunk Flexion Hold test, the individuals will be asked to sit on their hips and extend their upper body to the feet and knees that are lifted off the floor and wait in this position. The holding time will be recorded in seconds. The hold time will be recorded in seconds. 3 trials will be made for each foot and the results will be averaged. The higher the data obtained, the higher the core muscle endurance.
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Time frame: one week
Core Muscle Endurance
In the Horizontal Trunk Hold test, individuals will be asked to extend both arms to the side without bending their back and wait in the crawling position. The hold time will be recorded in seconds. 3 trials will be made for each foot and the results will be averaged. The higher the data obtained, the higher the core muscle endurance.
Time frame: one week