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IRCT20211018052801N1 IRCT 2023-11-14 Bu-Ali Sina University of Hamedan Adding Mindfulness Feldenkrais Exercises to Dynamic Neuromuscular Stability (DNS) Exercises on Pain, Activity of Selected Muscles, Postural Control and Dual Tasks Performance in Elderly with Chronic Low Back Pain Adding Mindfulness Feldenkrais Exercises to Dynamic Neuromuscular Stability (DNS) Exercises on Pain, Activity of Selected Muscles, Postural Control and Dual Tasks Performance in Elderly with Chronic Low Back Pain 2023-12-06 anticipated 200 Complete https://irct.ir/trial/73167 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Attention to the psychological aspect of patients in combination with the physical aspect, Randomization description: Participants will be divided into two groups, using a purposive sampling method and a Random Number Generator software. The two groups will be allocated as follows: one group will receive a combination of Feldenkrais and Dynamic Neuromuscular Stabilization exercises, while the other group will receive Dynamic Neuromuscular Stabilization exercises only, Blinding description: One of the researchers will be blinded to the group allocation and will take the assessments bbefore and after the training period. Also, the members of the groups will be blinded to the placement in the research groups due to the lack of accurate recognition of the differences in the exercise protocols used in the research and the exact purpose of each protocol. N/A Low back pain. Intervention 1: Intervention group: The duration of these exercises will be eight weeks, with three sessions per week, each session lasting 90-60 minutes. At the beginning of the exercises, participants will engage in warm-up activities, and at the end of the sessions, they will focus on cooldown exercises. The exercise levels will be adjusted based on the individual abilities of the participants. The DNS exercise protocol will be implemented, considering the muscle chain reflexes, and progressively applied from a basic to advanced level. Participants will not be allowed to progress to the next level until they have sufficient mastery at lower levels. Intervention 2: In this group, the first sessions of DNS exercises and then Feldenkrais exercises will be done: Feldenkrais exercises: 1st week (leg switching duration: 15-30 minutes - rest period: 3 minutes between each set of the training program) 2nd week (posterior pelvic tilt duration: 15-30 minutes - rest period: 2 minutes between each) set). Third week (spine like a chain, duration: 30 minutes - rest period: 2 minutes between each set). 4th week (kneeling in pronation position duration: 30 minutes - rest period: 2 minutes between each set). Week 5 lying down (in the pronation position duration: 30 minutes - rest period: 2 minutes between each set). Weeks 6 to 8 all the above mastered techniques will be performed together for 30 minutes with retention periods in between the training program. The exercises will be done under the supervision of the therapists and also the subjects will be taught to do the exercises slowly and softly at home for three days. Yes - There is a plan to make this available What will be shared: Data can potentially be shared after de-identifying individuals When: The access period starts one year after the results are published To whom: Researchers working in academic and scientific institutions Conditions: They can only use them to compare with their own data. The use of data for analysis or printing is not allowed. Where to obtain: Contact by email: Marziyeziyaaa@yahoo.com. How to obtain: State the purpose of the data request Not to be used for printing purposes Comments:
public Marziyeh Ziya
Bu-Ali Sina University, Shahid Mostafa Ahmadi Roshan Street, Hamedan.
Hamedan Iran (Islamic Republic of) 6516738695 +98 81 3838 1601 Marziyeziyaaa@yahoo.com Bu-Ali Sina University of Hamedan scientific Farzaneh Saki
Bu-Ali Sina University, Shahid Mostafa Ahmadi Roshan Street, Hamedan Postcode: 6516738695 Tel: 081 - 38381601
Hamedan Iran (Islamic Republic of) ۳۸۶۹۵۶۵۱۷۸ 0098 813400000 f.sport2008@gmail.com Bu-Ali Sina University of Hamedan Iran (Islamic Republic of) Elderly individuals aged 60-80 years. A history of chronic back pain lasting more than three months. ack pain intensity rated on a Numeric Pain Rating Scale (NPRS) between 5 and 2 out of 10. Independence in daily activities. No use of assistive devices. No history of cardiovascular or respiratory diseases. No history of severe fractures or injuries in the lower limbs and spine. No participation in any therapeutic interventions in the past four weeks. Willingness to participate in the research voluntarily. 60 years 80 years Female Presence of any respiratory diseases, pregnancy, or a history of surgery in the lumbar region. Inability to perform the prescribed exercises. Noticeable abnormalities that hinder the execution of the research. Body mass index over 30. M54.5 Low back pain Rehabilitation Rehabilitation Intervention group: The duration of these exercises will be eight weeks, with three sessions per week, each session lasting 90-60 minutes. At the beginning of the exercises, participants will engage in warm-up activities, and at the end of the sessions, they will focus on cooldown exercises. The exercise levels will be adjusted based on the individual abilities of the participants. The DNS exercise protocol will be implemented, considering the muscle chain reflexes, and progressively applied from a basic to advanced level. Participants will not be allowed to progress to the next level until they have sufficient mastery at lower levels. In this group, the first sessions of DNS exercises and then Feldenkrais exercises will be done: Feldenkrais exercises: 1st week (leg switching duration: 15-30 minutes - rest period: 3 minutes between each set of the training program) 2nd week (posterior pelvic tilt duration: 15-30 minutes - rest period: 2 minutes between each) set). Third week (spine like a chain, duration: 30 minutes - rest period: 2 minutes between each set). 4th week (kneeling in pronation position duration: 30 minutes - rest period: 2 minutes between each set). Week 5 lying down (in the pronation position duration: 30 minutes - rest period: 2 minutes between each set). Weeks 6 to 8 all the above mastered techniques will be performed together for 30 minutes with retention periods in between the training program. The exercises will be done under the supervision of the therapists and also the subjects will be taught to do the exercises slowly and softly at home for three days. Pain. Timepoint: The variable will be measured 1-4 days before the start of the exercise sessions and three days after the exercise sessions. Method of measurement: Measurements by the Numeric Pain Rating Scale (NPRS). Control posture. Timepoint: The variable will be measured 1-4 days before the start of the exercise sessions and three days after the exercise sessions. Method of measurement: Measurements by Berg Balance Scale. Electrical activity of the muscles. Timepoint: The variable will be measured 1-4 days before the start of the exercise sessions and three days after the exercise sessions. Method of measurement: Measurements by surface electromyography (EMG). Functional tests. Timepoint: The variable will be measured 1-4 days before the start of the exercise sessions and three days after the exercise sessions. Method of measurement: Measurements by Time Up and Go (TUG) test for both motor and cognitive assessment. Bu-Ali Sina University of Hamedan Approved 2023-02-20 Ethics committee of Hamedan University of Medical Sciences Hamadan University of Medical Sciences Headquarters, Shahid Fahmideh St. Hamedan Hamadan Iran (Islamic Republic of)