Evaluation of the Effectiveness of Physical Therapy for Low Back Pain According to Magnetic Resonance Imaging Findings
- Sponsor
- Bahçeşehir University
- Study ID
- NCT07648927
- Status
- Not Yet Recruiting
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Conditions
- Low Back Pain
- Lumbar Degenerative Disc Disease
- Lumbar Disc Herniation
- Physical Therapy
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 65 Years
- Healthy Volunteers
- Not accepted
Interventions
- Standard Physical Therapy Program — PROCEDUREParticipants received a standardized physical therapy program consisting of 15 treatment sessions. The treatment protocol included hot pack application, therapeutic ultrasound, interferential current therapy, and transcutaneous electrical nerve stimulation (TENS). All interventions were administered as part of routine clinical care for low back pain.
Study Details
Low back pain is a common musculoskeletal disorder associated with substantial disability and reduced quality of life. Although magnetic resonance imaging (MRI) is frequently used to identify structural spinal abnormalities, the relationship between MRI findings and treatment outcomes remains unclear. This retrospective study aims to evaluate whether the effectiveness of a standardized physical therapy program differs according to baseline lumbar MRI findings. Medical records of 120 patients with low back pain who underwent lumbar MRI and completed 15 sessions of physical therapy between January 2022 and February 2026 will be reviewed. Patients will be classified into three MRI-based groups: disc herniation, disc degeneration, and non-specific MRI findings. Treatment outcomes will be assessed using changes in Visual Analog Scale (VAS) pain scores and Oswestry Disability Index (ODI) scores before and after treatment. The findings may contribute to identifying patient subgroups that respond differently to conservative treatment and support more individualized rehabilitation strategies.
Key Dates
- First listed
- Jun 15, 2026
- Start date
- Jun 10, 2026
- Status verified
- Jun 2026
- Primary completion
- Aug 25, 2026
- Completion
- Sep 10, 2026
Study Design
- Enrollment
- 120 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- OTHER
Arms
- Other: Patients with Low Back Pain Receiving Standard Physical TherapyPatients aged 18-65 years who presented with low back pain, underwent lumbar MRI examination, and completed a standardized 15-session physical therapy program consisting of hot pack application, ultrasound therapy, interferential current therapy, and transcutaneous electrical nerve stimulation (TENS). Participants will be retrospectively classified according to baseline MRI findings into disc herniation, disc degeneration, Modic changes, facet arthropathy, spinal stenosis, and non-specific MRI groups for outcome analyses.
Primary Outcome Measure
Change in disability measured by the Oswestry Disability Index (ODI) [ Time Frame: Baseline and immediately after completion of the 15-session physical therapy program (approximately 3 weeks). ]
Central Contacts
- zeynep Iyigun, Prof. MD+905056987368
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