Evaluation of Stabilization Training With Biofeedback in Lumbosacral Spine Pain Syndrome
Evaluation of the Effectiveness of Stabilization Training With Biofeedback in Patients With Lumbosacral Spine Pain Syndrome
University of Rzeszow
110 participants
Apr 1, 2026
INTERVENTIONAL
Conditions
Summary
The aim of the study is to evaluate the effects of biofeedback-assisted stabilization training and conventional therapy on pain perception, balance, spinal mobility, functional performance, physical activity, stress level, and quality of life in patients with lumbosacral spine pain syndrome treated conservatively. The main research questions the study seeks to answer are as follows: Whether and to what extent the implemented therapeutic program improves balance, spinal mobility, functional performance, physical activity, quality of life, and reduces pain perception and stress levels in patients with lumbosacral spine pain syndrome? Are there differences in therapeutic outcomes depending on the treatment method applied? Are the therapeutic effects maintained three months after completion of the intervention? Researchers will compare two groups: a control group and an experimental group. In the control group, stabilization training will be performed without the use of biofeedback. Participants will undergo clinical and functional assessments (Visual Analogue Scale, Oswestry Disability Index, force platform measurements, etc.). Depending on the group to which participants are randomly assigned, participants will participate in manual therapy, stabilization training, and selected physical therapy modalities. Participants will be continuously supervised by a physician and physiotherapists throughout the 8-week intervention period. Three months after completion of the intervention, participants will undergo a follow-up assessment.
Eligibility
Inclusion Criteria5
- Diagnosed chronic lumbosacral spine pain syndrome (score >4 on the Keele STarT Back Screening Tool)
- Lumbosacral pain intensity >3 on the Visual Analog Scale (VAS) persisting for at least the past 3 months
- Age between 30 and 65 years
- No concurrent participation in another rehabilitation program
- Provision of written informed consent to participate in the study
Exclusion Criteria11
- Acute phase of lumbosacral spine pain syndrome
- Presence of neurological symptoms such as paresthesia, dysesthesia, impaired superficial sensation, impaired pain sensation, muscle strength below grade 3 on the Lovett scale in the lower limbs, sphincter dysfunction, or cauda equina syndrome
- Recent fractures of the spine or pelvis (less than 6 months since injury)
- Segmental instability confirmed by functional X-ray or magnetic resonance imaging (MRI)
- Spondylolisthesis greater than Grade I according to the Meyerding classification
- Coexisting neurological (e.g., Parkinson's disease, neuropathies), autoimmune (e.g., ankylosing spondylitis), orthopedic (lower limb disorders), or oncological diseases
- Pregnancy
- Active use of analgesic or anti-inflammatory pharmacotherapy (e.g., steroids, NSAIDs)
- Concurrent participation in other rehabilitation programs or failure to complete the 8-week therapy program
- Completion of any structured rehabilitation program within the past 3 months
- Lack of informed consent to participate in the study
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Interventions
Standard Rehabilitation; Participants in the experimental group will undergo an 8-week rehabilitation program (2 sessions per week) that includes: Manual therapy, Physical therapy modalities, including TENS (Transcutaneous Electrical Nerve Stimulation) and therapeutic ultrasound, applied according to current conservative treatment standards, Standard exercises including muscle stretching, neural mobilization, diaphragmatic breathing, and exercises targeting deep trunk muscles.
Biofeedback Ultrasonography: exercises targeting the deep muscles of the spine, performed using ultrasonography for motor learning. The biofeedback allows real-time visualization of deep muscle activation (e.g., transverse abdominal, Pelvic floor muscles), helping participants optimize contraction patterns and improve neuromuscular control of the lumbosacral spine.
Locations(1)
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NCT07463729