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This randomized controlled study aims to investigate the effects of a sensorimotor training protocol using a mobilized balance platform device on proprioceptive system function, movement control, balance, physical performance, pain severity, and quality of life in patients with chronic low back pain. A total of 44 patients with chronic low back pain will be recruited from the outpatient clinic of Gaziler Physical Medicine and Rehabilitation Training and Research Hospital.
Participants will be randomly assigned to either a sensorimotor training group or a control group. The intervention group will receive sensorimotor training using the Huber 360 balance system, while the control group will perform a home exercise program including stretching, spinal mobility, lumbopelvic control, and balance exercises.
Pain severity, proprioception, functional status, balance, physical performance, and quality of life will be assessed before and after treatment by an assessor blinded to group allocation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Home Exercise Program | Active Comparator | Participants in this group will perform a home exercise program including warm-up and stretching exercises, spinal mobility exercises, lumbopelvic control exercises, and balance exercises. The program will be performed for 30 minutes per session, twice weekly for 5 weeks. |
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| Huber 360 Sensorimotor Training | Experimental | Participants in this group will receive a sensorimotor training protocol using the Huber 360 balance system. The intervention will include progressive rotational and oscillatory exercises aimed at improving proprioception, balance, neuromuscular control, and movement control. Sessions will be performed for 30 minutes, twice weekly for 5 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Huber 360 Sensorimotor Training | Device | Participants will receive sensorimotor training using the Huber 360 balance system. The protocol will include progressive rotational and oscillatory exercises designed to improve proprioception, balance, neuromuscular control, and movement control in patients with chronic low back pain. Sessions will be performed for 30 minutes, twice weekly for 5 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Lumbar Proprioception Assessment | Lumbar proprioception will be assessed using lumbar repositioning tests at 60 degrees flexion and 15 degrees extension. Participants will be asked to reproduce target lumbar positions, and the angular repositioning error will be recorded. Lower repositioning error values indicate better lumbar proprioceptive accuracy. | Before treatment and immediately after completion of the 5-week intervention program |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Severity Assessed by Visual Analog Scale | Pain intensity will be assessed using a 10-cm Visual Analog Scale (VAS). Scores range from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater pain severity. | Before treatment and immediately after completion of the 5-week intervention program |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sefa GÃœMRÃœK ASLAN | Contact | +903122911503 | sefagumrukk@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ankara Gaziler physical therapy and rehabilitation hospital | Recruiting | Ankara | 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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| Home Exercise Program | Behavioral | Participants will perform a home exercise program including warm-up and stretching exercises, spinal mobility exercises, lumbopelvic control exercises, and balance exercises. The program will be performed for 30 minutes per session, twice weekly for 5 weeks. |
|
| Functional Status Assessed by Oswestry Disability Index | Functional disability related to low back pain will be assessed using the Oswestry Disability Index (ODI). Higher scores indicate greater disability. | Before treatment and immediately after completion of the 5-week intervention program |
| Balance and Limits of Stability Assessed by Huber 360 | Static balance, dynamic balance, and limits of stability will be assessed using the Huber 360 balance system. Better balance performance and improved stability limits indicate better postural control. | Before treatment and immediately after completion of the 5-week intervention program |
| Lumbar Flexion Range of Motion | Physical performance will be assessed using a Physical Performance Test Battery including lumbar flexion range of motion, 50-step walking test, 5-minute walking test, five-repetition sit-to-stand test, ten-repetition trunk flexion test, and forward reaching with weight. | Before treatment and immediately after completion of the 5-week intervention program |
| Quality of Life Assessed by Short Form-36 | Quality of life will be assessed using the Short Form-36 (SF-36). Higher scores indicate better health-related quality of life. | Before treatment and immediately after completion of the 5-week intervention program |
| 50-Step Walking Test | he time required to complete the 50-step walking test will be recorded in seconds | Before treatment and immediately after completion of the 5-week intervention program |
| Five-Minute Walking Test | The time required to complete five sit-to-stand repetitions will be recorded in seconds. | Before treatment and immediately after completion of the 5-week intervention program |
| Ten-Repetition Trunk Flexion Test | The time required to complete ten trunk flexion repetitions will be recorded in seconds. | Before treatment and immediately after completion of the 5-week intervention program |
| Forward Reaching with Weight Test | Forward reaching distance while holding weight will be measured in centimeters. | Before treatment and immediately after completion of the 5-week intervention program |
| D013568 |
| Pathological Conditions, Signs and Symptoms |