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Completed

NCT Number: NCT07465068

The Effect of Visceral Osteopathic Manual Therapy in Lumbar Disc Herniation

This study aims to investigate the impact of adding visceral osteopathic manual therapy techniques to conservative physical therapy on the lives of individuals with lumbar disc herniation.

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Key information

Conditions

Disk Hernisi Bone Diseases Hernia Intervertebral Disc Displacement Musculoskeletal Diseases Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms Spinal Diseases Visseral Manuel Terapi

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Therapie KONZEPT

Gaziantep, şehitkamil, 27090, Turkey (Türkiye)

About this study

Chronic lumbar disc herniation is a very common problem. The aim of our study is to evaluate the effectiveness of visceral manual therapy in addition to classical physical therapy applications used in the treatment of chronic lumbar disc herniation problems. For this purpose, 40 patients diagnosed with chronic lumbar disc herniation who applied to the clinic will be divided into 2 groups, with 20 participants in each group. Participants will be randomly assigned to two groups using a randomization method: Classical Treatment Group (n=20) and Classical Treatment + Visceral Osteopathic Manual Therapy (VOMT) Group (n=20). Sessions will be administered by the same physiotherapist, with a session duration of 30 minutes, every other day, for a total of 5 sessions.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being over 18 years of age
  • Having chronic lumbar disc herniation
  • Being able to communicate in Turkish
  • Being willing to participate in the study

Exclusion criteria

  • Spinal Slippage
  • Spinal Stenosis
  • Having an Internal Fixator Implanted
  • Having Acute Back Pain
  • Having a Traumatic Injury
  • Having Previous Surgery
  • Being Over 70 Years Old
  • Being Pregnant and Having Internal Organ Disease

Treatment and study plan

Osteopathic manual therapy

Other

Group 1 will receive conservative physical therapy including TENS current, heat agent, and additionally, VOMT techniques such as CV4 Technique, Segmental Release, Hormonal Axis (Pituitary-Thyroid-Diaphragm), Liver, Stomach, Pyloris Sphincter, Ligamentum Hepato-gastricus, Sphincter Odi, Sphincter Ilio-jejunum, Ilio-cecal Valve, Bowel and Colon Mobilization.

FTR

Other

Group 2 will only receive conservative physical therapy including TENS current and heat agents; none of the VOMT techniques will be applied.

Primary outcomes

  1. World Health Organization Quality of Life Instrument (WHOQOL):

    Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.

    It is a scale developed by the World Health Organization (WHO) and used to assess health-related quality of life. This scale is a comprehensive tool for evaluating individuals' physical, psychological, social, and environmental health status. WHOQOL is used in many areas such as health service planning, health policy development, clinical research, and evaluating the effectiveness of health services.The higher the score, the higher the life satisfaction.

    The Physical Health subscale has a minimum score of 7 and a maximum score of 35. The Psychological subscale has a minimum score of 6 and a maximum score of 30. The Social Relationships subscale has a minimum score of 3 and a maximum score of 15. The Environment subscale has a minimum score of 8 and a maximum score of 40.

  2. Visual Analog Scale

    Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.

    The VAS (Variable Rate of Pain) is used to subjectively assess pain intensity, typically expressed on a scale of 0 to 10. 0 indicates the absence of pain, while 10 represents the most severe pain. This scale helps patients visually understand and express the intensity of their pain. A higher numerical value indicates a higher level of pain, while a lower numerical value suggests a more positive outcome for the patient.

  3. Quebec Functional Scale of Lower Back Pain

    Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.

    It is a scale used to assess the severity, impact, and functional capacity of lower back pain. It is based on patient reports and evaluates daily living activities, mobility, and quality of life. The minimum score is 20, and the maximum score is 100. Higher scores are associated with a higher percentage of disability.

  4. World Health Organization Quality of Life Instrument (WHOQOL):

    Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.

    It is a scale developed by the World Health Organization (WHO) and used to assess health-related quality of life. This scale is a comprehensive tool for evaluating individuals' physical, psychological, social, and environmental health status. WHOQOL is used in many areas such as health service planning, health policy development, clinical research, and evaluating the effectiveness of health services.

Secondary outcomes

  1. y balance test

    Time frame: The first assessment was conducted before the first session, a total of 5 sessions were administered with one day skipped, and the second assessment was conducted after the fifth session.

    It is a commonly used balance test and is used to assess the balance, core stability, and limb function of athletes. This test can help identify the risk of injury in athletes and track rehabilitation progress.

Sponsors and collaborators

Lead sponsor

Istanbul Rumeli University

Other

Registry information

Official study title

The Effect of Visceral Osteopathic Manual Therapy in Chronic Lumbar Disc Herniation

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Mar 11, 2026
Registry last updated
Mar 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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