Overview
This study was planned to examine the effects of basic and functional respiratory muscle training on pain, disability level, and functionality. In this study, participants will be randomly divided into 3 groups. The first group will be treated with physical therapy applications applied in state hospitals for 10 weeks. The second group will receive basic respiratory muscle training treatment in addition to physical therapy in state hospitals. The third group will receive respiratory muscle training with exercise in addition to physical therapy in state hospitals. Evaluations will be made before the first session, after the 30th session, in the 3rd month, in the 6th month, and in the 1st year. There is no interventional method in the evaluations. Pain intensity, disability level, physical activity status, quality of life, fear of movement, pain catastrophizing, anxiety and depression levels will be questioned with scales. In physical measurements, participant's aerobic capacity will be measured with the 2-Minute Walk Test, participants's flexibility with the sit-and-long test, participants's respiratory muscle strength with the MIP/MEP device, participants's core endurance with the trunk flexor muscle endurance test, participants's lower and upper extremity muscle strength with a handheld dynamometer, participants's postural control with the Biodex balance device, and participants's muscle thickness with an ultrasound.
Eligibility
Inclusion Criteria:
- Volunteering to participate in the study,
- Being between the ages of 18-65,
- Having low back pain that has been ongoing for at least 3 months (12 weeks),
- Having a Visual Analog Scale (VAS) of pain intensity of ≥3,
- Being right-hand dominant.
Exclusion Criteria:
- Not volunteering to participate in the study,
- Having a history of cancer,
- Having a spinal infection,
- Having a rheumatological condition,
- Having a spinal fracture,
- Having red flag signs (sudden and unexpected weight loss, fever, etc.)
- Having a psychological disorder,
- Having a previous spinal surgery,
- Having radiculopathy (neuropathic pain along the lower extremity due to nerve root compression),
- Not continuing home exercises more than 80%,
- Having an anatomical and congenital abnormality