Whole-Body Vibration and Balneotherapy in Chronic Low Back Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorUludag University

About this trial

This randomized controlled clinical trial aims to investigate the effects of whole-body vibration (WBV) exercises combined with balneotherapy on pain, physical function, sleep quality, and daily activity levels in individuals with chronic low back pain.

A total of 60 volunteers aged 18 to 65 who have been diagnosed with chronic low back pain by a physical medicine and rehabilitation specialist and who meet the eligibility criteria will be included. Participants will be randomly assigned to two groups. Both groups will receive balneotherapy five days a week for three weeks. After balneotherapy, the first group will perform standard stretching, strengthening, and aerobic exercises designed for low back pain. The second group will receive the same exercise program in combination with WBV exercises using a vibration platform. WBV sessions will include static and dynamic exercises with specific frequency and amplitude settings.

All participants will be evaluated at baseline and after three weeks using validated measures, including pain intensity (Visual Analog Scale), spinal mobility (Modified Schober Test), balance and reach (Functional Reach Test), physical performance (Sit-to-Stand and Timed Up and Go Tests), disability (Oswestry Disability Index, Roland-Morris Questionnaire), and sleep quality (Pittsburgh Sleep Quality Index).

The study seeks to determine whether combining WBV with balneotherapy can provide additional benefits over standard exercise alone in managing chronic low back pain.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntary consent to participate in the study

Age between 18 and 65 years

Having chronic low back pain lasting at least 3 months or recurring at least 3 times per week

Diagnosis of chronic low back pain by a physical medicine and rehabilitation specialist

Disqualifiers

Presence of radicular pain or radiculopathy

Spondylolisthesis, spinal stenosis, vertebral infection, or cauda equina syndrome

Vertebral fracture, axial spondyloarthritis

History of lumbar spine surgery

Trial design

Design model

Parallel

Treatments tested in this trial

  • Balneotherapy

    Behavioral

    Participants receive 20-minute balneotherapy sessions involving full-body immersion in thermal-mineral spring water at a therapeutic spa facility. Sessions are conducted five days per week over a three-week period. Water temperature and mineral content are standardized according to institutional protocols. The intervention is designed to provide analgesic, anti-inflammatory, and muscle-relaxant effects through thermally induced vasodilation and neuromuscular modulation.

  • Whole-Body Vibration Exercise

    Behavioral

    Participants perform whole-body vibration (WBV) exercises using the "Compex Winplate" platform (Uniphy Elektromedizin GmbH \& CoKG), certified under ISO 9001:2000 and DIN EN ISO 13485:2003. The exercise protocol includes static squats, dynamic squats, bridge exercises, dynamic weight shifting, and toe raises. Vibration is applied at a frequency of 30-40 Hz and amplitude of 2-4 mm for 40-60 seconds per set, with two sets per session and a 3-minute rest between sets. WBV is applied following a standardized exercise program, and the full intervention is delivered five days per week for three weeks.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Balneotherapy and Standard Exercise GroupExperimental treatment 1 intervention
Group B: Balneotherapy and Whole-Body Vibration Exercise GroupExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Pittsburgh Sleep Quality Index (PSQI)

SQI will be used to evaluate subjective sleep quality across 7 components. Higher total scores indicate poorer sleep quality.

Time frame
Baseline and after 3 weeks of intervention
2

Functional disability measured by Oswestry Disability Index

Time frame
Baseline and after 3 weeks of intervention
3

Modified Schober Test

Time frame
Baseline and after 3 weeks
4

Timed Up and Go (TUG) Test

Time frame
Baseline and after 3 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Uludag University

Lead sponsor

Mustafa Kemal University

Sponsor institution