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Study aim
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Determining the effectiveness of the researcher made exercises and Williams on pain intensity, quality of life and range of motion of the back after 4 and 8 weeks in patients with failed back surgery syndrome.
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Design
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The clinical trial has a control group, with parallel groups, a blind strain, randomized, simple method is used for randomization.
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Settings and conduct
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The first session will be in person at the Neuroscience Clinic of Khatam Hospital, all exercises will be explained and taught, and then the sessions will continue at home. Also, the objectives are fully explained. For the purpose of blinding, all measurements are performed by a physiotherapist who is not aware of the placement of people in the 2 groups.
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Participants/Inclusion and exclusion criteria
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164 patients (age< 65 years) who has failed back surgery syndrome and have been referred by a surgeon to a pain specialist in Khatam al-Anbia Hospital and do not have surgical problems are selected, and after performing initial evaluations, they are randomly selected (simple randomization) are placed in two groups of 82 subjects.
Patients are initially screened for symptoms of failed back surgery syndrome, including pain in the back, neck, or legs. Additionally, screen patients for RED FLAGS, including excessive mechanical pain that may indicate pseudarthrosis or nonunion, that may indicate infectious spine problems.
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Intervention groups
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In the intervention group, each exercise should be performed 3 times a day for 4 weeks for 20 sets with a set duration of 10 seconds (for each leg/arm). The intervention group has three exercises defined by a pain specialist, including Hip abduction exercise, Shoulder abduction and concurrent hip and shoulder abduction exercise.
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Main outcome variables
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Pain intensity (Numeric Pain Rating Scale); Health-related quality of life; Lumbar range of motion (bending forward and backward).