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The aim of this study is to evaluate the effects of therapeutic ultrasound and phonophoresis applications on pain, range of motion, flexibility and functional capacity in patients with chronic low back pain. The study is planned as the first scientific study comparing the effectiveness of these two physiotherapy methods in the treatment of chronic low back pain. It is aimed to make national and international publications with the data obtained at the end of the study.
The study will be conducted in a randomised single-blind, placebo-controlled design. 60 patients aged 18-30 years with chronic low back pain will be divided into 3 groups: therapeutic ultrasound (US) application, phonophoresis application and placebo US group. In addition to ultrasound and phonophoresis, TENS, infrared and low back exercises will be applied to all groups as treatment. Pain intensity (VAS), functional status (Oswestry disability index), flexibility (Sit-to-Sit test) and range of motion (goniometric measurements) will be assessed throughout the treatment period.
The study aims to make an important contribution from a clinical and economic point of view, given the increasing prevalence of low back pain worldwide and the need for treatment. The findings may guide the development of future treatment modalities.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| US | Experimental | Participants will be treated with 1.5 W/cm2, 6 min (transmitting agent aquasonic gel) ultrasound. |
|
| Phonophoresis | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound | Other | Participants will receive ultrasound at 1.5 W/cm2 for 6 minutes (transmitter agent aquasonic gel) 5 sessions per week for 2 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain severity | Visual Analog Scale | Baseline and after 2 weeks intervation |
| Measure | Description | Time Frame |
|---|---|---|
| functional state | Oswestry Disability Index | Baseline and after 2 weeks intervation |
| Flexibility | Sit and Reach Test | Baseline and after 2 weeks intervation |
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Inclusion Criteria:
Individuals with low back pain for more than 3 months and pain intensity more than 5 according to VAS will be included in the study
Exclusion Criteria:
patients who have undergone surgical operations
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| KTO Karatay University | Konya | Konya | 42100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D019220 | High-Energy Shock Waves |
| D015612 | Phonophoresis |
| ID | Term |
|---|---|
| D000069453 | Ultrasonic Waves |
| D013016 | Sound |
| D011840 | Radiation, Nonionizing |
| D011827 | Radiation |
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| Phonophoresis | Other | Participants will receive ultrasound with 1.5 W/cm2, 6 min (transmitter diclofenac gel) for 5 sessions per week for 2 weeks. |
|
| Placebo | Other | Participants will receive 0 W/cm2, 6 min ultrasound, 5 sessions per week for 2 weeks. |
|
| range of motion of the joint | Goniometry | Baseline and after 2 weeks intervation |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D055585 |
| Physical Phenomena |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |