An interventional study of Pilates Exercise in Chronic LDH, sponsored by Kahramanmaras Sutcu Imam University. Enrolling by invitation at 1 site in Turkey (Türkiye). Open to female participants aged 45 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-04-07.
Sponsored by Kahramanmaras Sutcu Imam University · Not applicable, Interventional, and Treatment
The aim of this study is to determine the effects of core stabilization-focused Pilates exercises on sensorimotor function in middle-aged women diagnosed with chronic lumbar disc herniation (LDH). A total of 30 women who continue their normal daily activities and meet the inclusion criteria will be included in the study, with 15 participants in the treatment group and 15 in the control group. The study will involve an exercise intervention protocol consisting of Pilates exercises requiring full participation over an 8-week period.
Lumbar disc herniation (LDH) is a common musculoskeletal disorder resulting from the degeneration of intervertebral discs in the lumbar spine and the compression of nerve roots. This condition leads to symptoms such as low back pain, numbness in the lower extremities, muscle weakness, and balance impairments, significantly limiting individuals' daily activities and quality of life.
Pilates is a mind-body exercise approach that focuses on the activation of deep core muscles (such as the transversus abdominis and multifidus), breathing control, and body awareness. This exercise model is thought to potentially reverse pain-induced cortical reorganization in the motor cortex and improve sensorimotor integration by promoting neuromuscular re-education.
Although the effects of Pilates on trunk proprioception have been investigated in the literature, studies specifically examining its impact on ankle proprioception and distal muscle strength in patients with LDH are limited. Therefore, the aim of this study is to investigate the effects of Pilates on the sensorimotor system in middle-aged women with chronic lumbar disc herniation.
Kahramanmaras Sutcu Imam University is the lead sponsor of 192 studies on the registry; 40 are open to participants now.
Counted across the registry records on this site, refreshed daily.
* Female individuals aged 45-60 years diagnosed with lumbar disc herniation (LDH),
Exclusion Criteria:
* Individuals who do not wish to participate in the study,
İntervention : 8-week Pilates exercise program. Individuals with chronic unilateral lumbar disc herniation (LDH) who continue their normal daily activities and meet the inclusion criteria will be enrolled in an 8-week Pilates exercise program, conducted twice a week for 50 minutes per session. Assessments will be performed before and after the exercise program.
Other: Pilates Exercise
Individuals with chronic unilateral lumbar disc herniation (LDH) who continue their normal daily activities and meet the inclusion criteria will be evaluated.
Pİlates Group: 8-week Pilates exercise program
Also known as: Core Stabilization
Proprioceptive Sense/Joint Position Sense
Ankle joint position sense will be assessed to evaluate proprioceptive function. The assessment will be performed in a standing position. Reflective markers will be placed on anatomical landmarks used as pivot points for goniometric measurement of the ankle, and participants' feet will be labeled with their names to prevent any confusion. Participants will be asked to transfer their body weight onto one leg. During this, on the side to be measured, they will be instructed to maintain a position with the hip at 30° flexion and the knee at 60° flexion, lightly touching the ground with the toes. Two rigid devices providing 0° and 10° angles at the ankle joint will be used. The ankle will be positioned at the target angle using these devices, and the participant will be asked to hold this position for 5 seconds. Afterward, the foot will be returned to the initial position. Participants will then be asked to look straight ahead and actively reproduce the same ankle position, at which poi
Time frame: From enrollment to the end of treatment at 8 weeks
Tibialis Anterior Muscle Test
The strength of the tibialis anterior muscle will be measured using the Lafayette Muscle Testing device (Model 01165, FDA Medical, Canada). The test will be conducted in a seated position. Prior to the assessment, participants will be informed about the procedure, and similar to manual muscle testing, they will be asked to pull their ankle toward themselves with maximum effort.
Time frame: "From enrollment to the end of treatment at 8 weeks"
Functional Reach Test
This test is a practically applicable assessment and is preferred in many studies for evaluating dynamic balance. The only requirements for its administration are a measuring tape and sufficient space.
Time frame: From enrollment to the end of treatment at 8 weeks
Time Up Go Test
Before the test, participants will be informed about the procedure and the test will be demonstrated. Upon the "start" command, the participant will be asked to rise from a chair, walk around a target placed 3 meters away, and return to sit on the chair. Timing will be measured using a stopwatch. The test will be repeated three times, and the best time, in seconds, will be recorded.
Time frame: From enrollment to the end of treatment at 8 weeks
Pain Assesment
The Visual Analog Scale (VAS), which is widely used in studies for pain assessment due to its ease of use and practicality, will be employed to evaluate pain.
Time frame: From enrollment to the end of treatment at 8 weeks
Plan to share: No
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Kahramanmaras Sutcu Imam University