The Effect of Exercise on Motion Perception and Fear in Low Back Pain

NCT05433311 — Not applicable, Completed, 60 participants, Suleyman Demirel University

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The Effect of Exercise Program on Perception of Exercise and Fear of Movement in Nonspecific Low Back Pain

Registry	NCT05433311
Status	Completed
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: none, treatment
Enrollment	60 (Actual)
Sponsor	Suleyman Demirel University (Other)
Conditions	Low Back Pain
Interventions	Exercises (Other)
Dates	start 2021-09-06, primary completion 2021-12-30, completion 2022-01-01, first posted 2022-06-27, last updated 2026-10-19
Locations	1 site in Turkey (Türkiye)

-Summary

Nonspesific low back pain (NLBP), which negatively affects functionality, activity participation, and financial situation, is now one of the leading causes of disability in the world. In NLBP, pain causes kinesiophobia known as fear of movement and limitation of activity. Contrary to what is known, this cycle aggravates pain. With this result, it is suggested that the exercise to be done will improve the perception of benefit in the person and eliminate the fear of movement, and that it will cure the disease. In this context, the aim of the study is to examine the effect of exercise on the perception of exercise and fear of movement in patients with NLBP.

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+Detailed description

The study will be composed of volunteers, non-specific low back pain individuals who meet the inclusion criteria. First of all, the demographic and clinical characteristics of the patients will be questioned with the evaluation form. The personal information of the patients (gender, height, weight, smoking, etc.) and clinical status (pain type, pain intensity, trunk flexibility measurements) will be recorded by the physiotherapist in the evaluation form. In addition to these measurements, the state of fear of physical movement and activity will be evaluated with the Tampa Kinesiophobia Scale.

+Arms and interventions

Arm	Type	Interventions	Description
Exercises	Active comparator	Other: Exercises	Neutral position training, transversus abdominis/multifidius/abdominal/back extensors strengthening exercise, bridge exercise, cat-camel exercise, lumbal extensor/hamstring/gastrosoleus/latissimus dorsi/gluteal stretching exercises
Routine	No intervention		Only routine treatment

Exercises (Other): Neutral position training, transversus abdominis/multifidius/abdominal/back extensors strengthening exercise, bridge exercise, cat-camel exercise, lumbal extensor/hamstring/gastrosoleus/latissimus dorsi/gluteal stretching exercises

+Outcome measures

Primary outcomes

Exercise Benefit/Barrier Scale [Change in participate in life ine one month]: This scale is a 4 scores Likert-type. Scale consisting 43 questions. A high score means exercise perception. When Benefit Scale is evaluated on its own, how high the total score of 29 items is it means that exercise perception is beneficial in high level. In Barrier Scale which consists 14 items, the higher obtained total score is, higher the barrier level perceived against exercise is.

Secondary outcomes

Tampa Scale of Kinesiophobia [Change in participate in life ine one month]: Tampa Scale of Kinesiophobia is a checklist of 17 questions. 4-point Likert scale on the scale rating (1= strongly disagree, 4= I totally agree). Person between 17-68 total gets a score. The score of the person on the scale high, kinesiophobia is also high. shows. Total score in studies use is recommended.

+Eligibility

Sex: All, ages: 18 Years to 65 Years, accepts healthy volunteers

Inclusion Criteria:

* Voluntarily accepting the study
* Having nonspecific low back pain for 3 months or longer
* Not having had spinal surgery in the last 6 months
* Not having an orthopedic or neurological disability that would prevent them from doing their exercises
* Patients who regularly continue their exercises without interrupting

Exclusion Criteria:

* Patients with non-specific low back pain who do not meet the inclusion criteria and want to drop out of the study

+Locations (1)

Facility	City	Country	Status
Mine ARGALI DENIZ	Isparta	Turkey (Türkiye)

+Publications

Results publication: Argali Deniz M, Ozuberk B, Soyupek F. The effect of exercise program on exercise perception and fear of movement in low back pain. Eur Spine J. 2026 May;35(5):2934-2944. doi: 10.1007/s00586-025-09720-0. Epub 2026 Jan 9. PMID 41507620

+Investigators

Mine ARGALI DENIZ, PT, PhD, Study director, Suleyman Demirel University Education and Training Hospital