This study aims to investigate the impact of adding visceral osteopathic manual therapy techniques to conservative physical therapy on the lives of individuals with lumbar disc herniation.
Chronic lumbar disc herniation is a very common problem. The aim of our study is to evaluate the effectiveness of visceral manual therapy in addition to classical physical therapy applications used in the treatment of chronic lumbar disc herniation problems. For this purpose, 40 patients diagnosed with chronic lumbar disc herniation who applied to the clinic will be divided into 2 groups, with 20 participants in each group. Participants will be randomly assigned to two groups using a randomization method: Classical Treatment Group (n=20) and Classical Treatment + Visceral Osteopathic Manual Therapy (VOMT) Group (n=20). Sessions will be administered by the same physiotherapist, with a session duration of 30 minutes, every other day, for a total of 5 sessions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Group 1 will receive conservative physical therapy including TENS current, heat agent, and additionally, VOMT techniques such as CV4 Technique, Segmental Release, Hormonal Axis (Pituitary-Thyroid-Diaphragm), Liver, Stomach, Pyloris Sphincter, Ligamentum Hepato-gastricus, Sphincter Odi, Sphincter Ilio-jejunum, Ilio-cecal Valve, Bowel and Colon Mobilization.
Group 2 will only receive conservative physical therapy including TENS current and heat agents; none of the VOMT techniques will be applied.
Therapie KONZEPT
Gaziantep, şehitkamil, Turkey (Türkiye)
World Health Organization Quality of Life Instrument (WHOQOL):
It is a scale developed by the World Health Organization (WHO) and used to assess health-related quality of life. This scale is a comprehensive tool for evaluating individuals' physical, psychological, social, and environmental health status. WHOQOL is used in many areas such as health service planning, health policy development, clinical research, and evaluating the effectiveness of health services.The higher the score, the higher the life satisfaction. The Physical Health subscale has a minimum score of 7 and a maximum score of 35. The Psychological subscale has a minimum score of 6 and a maximum score of 30. The Social Relationships subscale has a minimum score of 3 and a maximum score of 15. The Environment subscale has a minimum score of 8 and a maximum score of 40.
Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.
Visual Analog Scale
The VAS (Variable Rate of Pain) is used to subjectively assess pain intensity, typically expressed on a scale of 0 to 10. 0 indicates the absence of pain, while 10 represents the most severe pain. This scale helps patients visually understand and express the intensity of their pain. A higher numerical value indicates a higher level of pain, while a lower numerical value suggests a more positive outcome for the patient.
Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.
Quebec Functional Scale of Lower Back Pain
It is a scale used to assess the severity, impact, and functional capacity of lower back pain. It is based on patient reports and evaluates daily living activities, mobility, and quality of life. The minimum score is 20, and the maximum score is 100. Higher scores are associated with a higher percentage of disability.
Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.
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World Health Organization Quality of Life Instrument (WHOQOL):
It is a scale developed by the World Health Organization (WHO) and used to assess health-related quality of life. This scale is a comprehensive tool for evaluating individuals' physical, psychological, social, and environmental health status. WHOQOL is used in many areas such as health service planning, health policy development, clinical research, and evaluating the effectiveness of health services.
Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.
y balance test
It is a commonly used balance test and is used to assess the balance, core stability, and limb function of athletes. This test can help identify the risk of injury in athletes and track rehabilitation progress.
Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.