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The aim of this study is to investigate the effect of dance therapy on balance, falling, body awareness and functionality parameters in patients with chronic low back pain. As a result of our study, it is thought that dance therapy will positively affect balance, falling, body awareness and functionality in patients with chronic low back pain compared to conventional therapy.
H 1: Dance therapy improves balance in women with chronic low back pain.
H 2: Dance therapy reduces the risk of falling in women with chronic low back pain.
H 3: Dance therapy increases body awareness in women with chronic low back pain.
H 4: Dance therapy increases functionality in women with chronic low back pain.
H 5: Dance therapy provides more improvement in the parameters investigated compared to conventional therapy in women with chronic low back pain.
Individuals diagnosed with chronic low back pain and meeting the inclusion criteria are going to be included in the study. These individuals are going to be divided into groups as the odd numbers to study group and even numbers to the control group. Hotpack, ultrasound and Transcutaneous Electrical Nerve Stimulation (TENS) are going to be applied to the patients in the both groups for 3 days a week for 2 months. Besides that, control group is going to perform 40-minute classical exercise program 3 days a week for 2 months. Study group is going to perform dance therapy protocol as indicated below;
Demographic information form is going be filled out patients including information about; age, height (cm), weight (kg), occupation, educational status, bilateral leg length (cm), previous and present diseases, waist/hip ratio, previous surgeries, trunk range of motions, low back pain duration, smoking, falling story. Additionally, following questionnaires are going to be applied to both groups;
SPSS version 23 (SPSS Inc, Armonk, NY) program will be used in the analysis of the data. Mann Whitney U test, Wilcoxon test and student t test will be analyse methods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dance therapy group | Experimental | This group included in the dance therapy program throughout the study. |
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| Control group | Experimental | This group included in the conventional low back pain exercise program throughout the study. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dance Therapy Group | Other | Dance therapy group patients are going to be treated 3 days a week for 8 weeks. Patients who started treatment are going to be randomly divided into groups that includes four individuals, due to COVID-19 pandemic preventions. Dance therapy is going to be applied with individualized choreographies specially prepared for the patients, taking the expert opinion of the dance therapist. Choreographies of different dance genres (step/aerobic dance, zumba, salsa, bachata, oriental etc.) are going to be used in the program. Sessions are going to be with the practitioner in a bright, clean, empty and noiseless room in front of a full-length wall mirror. The practitioner is going to participate to dance therapy throughout the sessions, allowing patients to imitate movements. Session duration is going to be 40 minutes. Patients will be given a one-minute rest period during music transitions. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Y balance test score | Balance score is going to be assess by Y balance test to determine change from baseline. | 8 weeks |
| Change from baseline in Time Up and Go test seconds | Falling risk is going to be assess by Time Up and Go test seconds to determine change from baseline. | 8 weeks |
| Change from baseline in body awareness ratio score | Body awareness ratio score is going to be assess by Body Awareness Ratio Questionnaire to determine change from baseline. | 8 weeks |
| Change from baseline in functionality score | Functionality score is going to be assess by Oswestry Disability Index to determine change from baseline. | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in range of motion degree | Range of motion degree is going to be assess by goniometric measurement to determine change from baseline. | 8 weeks |
| Change from baseline in waist/hip ratio |
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Inclusion criteria;
Exclusion criteria; Those with a Body Mass Index (BMI) greater than 35 kg/m², pregnant women, those with following problems; neural findings, malignancy, inflammation, arthritis, metabolic bone disease, column vertebralis or lower extremity surgery, cardiovascular system diseases, severe osteoporosis, communication and hearing disorders, and those who illiterate, receive other treatment for low back pain.
The study is going to be conducted only with female patients.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hasan Kalyoncu University | Gaziantep | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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Two randomized controlled groups
Forty female patients who were diagnosed with chronic low back pain and met the inclusion criteria of the study were divided into two groups.These individuals are going to be divided into groups as the odd numbers to study group and even numbers to the control group.
Inclusion criteria of patients;
Exclusion criteria of patients; Those with a Body Mass Index (BMI) greater than 35 kg/m², pregnant women, those with following problems; neural findings, malignancy, inflammation, arthritis, metabolic bone disease, column vertebralis or lower extremity surgery, cardiovascular system diseases, severe osteoporosis, communication and hearing disorders, and those who illiterate, receive other treatment for low back pain.
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| Exercise Group | Other | The patients in the control group is going to perform conventional low back exercises. The program of the patients will start with stretching and warming exercises, and will continue with strengthening exercises. Exercises planed for control group;
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| Pyhsiotherapy Modalities | Other | 20 minutes hotpack, 3-5 minutes ultrasound and 20 minutes conventional type Transcutaneous Electrical Nerve Stimulation (TENS) are going to be applied to lumbar region of all patients in prone position. |
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Waist/hip ratio is going to be assess by measuring tape from waist and hip circumference to determine change from baseline.
| 8 weeks |
| Change From Baseline in Pain Scores | Pain score is going to be assess by Short Form Mc Gill Pain Questionnaire to determine change from baseline. | 8 weeks |
| Change from baseline in kinesiophobia score | Kinesiophobia score is going to be assess by Tampa Kinesiophobia Scale to determine change from baseline. | 8 weeks |
| Change from baseline in quality of life score | Quality of life score is going to be assess by WHOQoL Questionnaire to determine change from baseline. | 8 weeks |
| Change from baseline in perceived health status score | Perceived health status score is going to be assess by Nottingham Health Profile Questionnaire to determine change from baseline. | 8 weeks |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D008722 | Methods |