ClinicalTrials.gg
Not yet recruitingNCT07917663Updated Nov 4, 2026

Relationship Between Disability, Flexibility, Back Muscles, and Thoracolumbar Fascia in Patients With Lumbar Disc Degeneration

An observational study in Intervertebral Disc Degeneration, sponsored by Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital. Not yet recruiting. Open to female participants aged 20 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital · Observational

Updated Nov 4, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
90
Ages
20 Years to 75 Years
Sex
Female
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Study summary

Lumbar intervertebral disc degeneration is a common condition that may be associated with chronic low back pain, reduced spinal flexibility, and limitations in daily activities. Changes in the paravertebral muscles and thoracolumbar fascia may also be related to these symptoms. However, the relationships among these structural and functional factors are not fully understood.

The aim of this prospective observational study is to investigate the relationships among disability, flexibility, paravertebral muscle characteristics, and thoracolumbar fascia thickness and morphology in patients with lumbar intervertebral disc degeneration.

The study will include female patients aged 20-75 years with low back pain accompanied by radiating leg pain lasting at least 3 months. Participants will undergo clinical assessments of pain, disability, and lumbar flexibility. Ultrasonography will be used to evaluate thoracolumbar fascia thickness and morphological characteristics, as well as paravertebral muscle trophism. Previously acquired lumbar magnetic resonance imaging (MRI) scans will be reviewed to assess intervertebral disc degeneration, the presence or absence of lumbar disc herniation, and paravertebral muscle characteristics, including fatty infiltration.

The study aims to improve the understanding of the relationships between lumbar spine structural changes, surrounding musculoskeletal tissues, pain, disability, and flexibility. No experimental treatment will be assigned to participants.

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Conditions studied

  • Intervertebral Disc Degeneration
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In context

Intervertebral Disc Degeneration

462 studies on the registry are indexed under Intervertebral Disc Degeneration; 100 are open to participants now.

This study's planned enrollment of 90 is below the median of 119 across 170 observational studies indexed under Intervertebral Disc Degeneration.

Browse Intervertebral Disc Degeneration studies →

Lead sponsor

Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital is the lead sponsor of 41 studies on the registry; 14 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years to 75 Years
Sexes eligible
Female
Sampling method
Non-probability sample

Study population

The study population will consist of female patients aged 20-75 years presenting to the Physical Medicine and Rehabilitation outpatient clinic of Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital with low back pain accompanied by radiating (radicular) leg pain lasting at least 3 months. Eligible patients must have a Visual Analog Scale (VAS) pain score of at least 3, previously acquired lumbar magnetic resonance imaging (MRI) scans, and provide written informed consent.

Lumbar MRI scans will be reviewed to assess intervertebral disc degeneration. The study aims to include at least 90 evaluable patients. No healthy control group will be included.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Female patients aged 20-75 years.

Low back pain with radiating (radicular) leg pain lasting at least 3 months.

Visual Analog Scale (VAS) pain score of 3 or higher.

Availability of lumbar magnetic resonance imaging (MRI) scans.

Voluntary participation and provision of written .

Exclusion criteria

Exclusion Criteria:

  • History of spinal or lower extremity surgery.

Presence of scoliosis, spondylolisthesis, or severe osteoporosis.

History of trauma or vertebral fracture.

Rheumatologic diseases, including rheumatoid arthritis or ankylosing spondylitis.

Neurological diseases.

or infection.

Modic type 3 changes on lumbar MRI.

Pregnancy or breastfeeding.

Cognitive impairment.

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
90 participants (estimated)
Patient registry
No
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What researchers measure

Primary outcomes

  1. Thoracolumbar Fascia Thickness Assessed by Ultrasonography

    Thoracolumbar fascia thickness will be measured bilaterally using ultrasonography at the L3 vertebral level, 2 cm lateral to the spinous process. Three thickness measurements will be obtained at different points on each ultrasonographic image, and their mean will be calculated. The mean thickness for each side will be recorded separately in millimeters (mm).

    Time frame: At baseline (single assessment)

Secondary outcomes

  1. Disability Assessed by the Oswestry Disability Index

    Disability related to low back pain will be evaluated using the Oswestry Disability Index (ODI). The total score will be expressed as a percentage from 0 to 100, with higher scores indicating greater disability.

    Time frame: At baseline (single assessment)

  2. Pain Intensity Assessed by the Visual Analog Scale

    Pain intensity will be assessed using the Visual Analog Scale (VAS), with scores ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity.

    Time frame: At baseline (single assessment)

  3. Neuropathic Pain Assessment Using the DN4 Questionnaire

    Neuropathic pain characteristics will be assessed using the Douleur Neuropathique 4 (DN4) questionnaire. The total score ranges from 0 to 10, with higher scores indicating more neuropathic pain features.

    Time frame: At baseline (single assessment)

  4. Hamstring Flexibility Assessed by the Passive Knee Extension Test

    Hamstring flexibility will be evaluated using the Passive Knee Extension Test. The knee extension angle will be measured in degrees.

    Time frame: At baseline (single assessment)

  5. Ultrasonographic Morphological Characteristics of the Thoracolumbar Fascia

    Bilateral thoracolumbar fascia morphology will be assessed using ultrasonography and classified into four categories: very disorganized, somewhat disorganized, somewhat organized, and very organized.

    Time frame: At baseline (single assessment)

  6. Paravertebral Muscle Trophism Assessed by Ultrasonography

    Paravertebral muscle trophism will be evaluated using musculoskeletal ultrasonography according to the Galletti classification. Muscle trophism will be classified based on the ultrasonographic profile of the paravertebral muscles.

    Time frame: At baseline (single assessment)

  7. Paravertebral Muscle Fatty Infiltration on Lumbar MRI

    Paravertebral muscle fatty infiltration will be evaluated on previously acquired lumbar magnetic resonance imaging (MRI) scans using the Goutallier classification (grades 0-4). Grade 0 indicates no fatty infiltration; grade 1, fatty streaks; grade 2, less fat than muscle; grade 3, equal amounts of fat and muscle; and grade 4, more fat than muscle. Higher grades indicate greater fatty infiltration.

    Time frame: At baseline (single assessment)

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Study locations

No study locations are listed for this record.

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Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

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Registry details

Key details

Study ID
NCT07917663
Lead sponsor
Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital
Responsible party
Sponsor
First posted
Nov 4, 2026
Start date
Nov 2026 (estimated)
Primary completion
Apr 2027 (estimated)
Completion
Apr 2027 (estimated)
Last update
Nov 4, 2026

Study contacts

Bensu Ayaz Haytaoğlu, MD
Contact
bensuayaz@gmail.com
+90 552 252 56 16
Pelin Yıldırım, MD
principal investigator · Sehit Prof. Dr. Ilhan Varank Sancaktepe Training and Research Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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