Evidence map›Paper›PMID 40686708›Full record

Trial reportTurkish journal of medical sciences2025

Effects of lumbar stabilization exercises on serum biomarker levels and clinical outcomes in lumbar disc herniation: a subgroup analysis of a randomized controlled trial.

Birgül Morkoç, Onur Aktan, Gamze Sönmez, Ebru Bodur, Jale Karakaya, Bayram Kaymak, Sevil Bilgin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Turkish journal of medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Birgül MorkoçDepartment of Physical Medicine and Rehabilitation, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-9491-5978
Onur AktanDepartment of Medical Biochemistry, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-0164-170X
Gamze SönmezDepartment of Medical Biochemistry, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0009-0001-3488-0283
Ebru BodurDepartment of Medical Biochemistry, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-5829-5487
Jale KarakayaDepartment of Biostatistics, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-7222-7875
Bayram KaymakDepartment of Physical Medicine and Rehabilitation, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-4659-7362
Sevil BilginFaculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-1597-1312

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: The aim of our study was to investigate the effectiveness of lumbar stabilization exercises on serum biomarker levels and clinical outcomes in lumbar disc herniation (LDH) patients with and without neurological deficit. Materials and methods: 40 patients with neurological deficits (WND) and 34 patients without neurological deficits (WOND) diagnosed with LDH were included in this study. The patients' WND and WOND were randomized into stabilization exercises (SE) and general exercises (GE) groups. Stabilization exercises or general exercises were applied for six weeks. Serum levels of tumor necrosis factor alpha (TNF-α), interleukin (IL)-1β, IL-6, IL-4, beta-endorphin (BE), anandamide (AEA), and 2-arachidonoylglycerol (2-AG) were measured using the enzyme-linked immunosorbent assay. All patients filled out the Visual Analog Scale, Oswestry Disability Index, Beck Depression Inventory, and Beck Anxiety Inventory. Results: In patients WND and WOND, SE did not show any statistically significant difference in relation to TNF-α, IL-1β, IL-6, IL-4, BE, AEA, and 2-AG (p > 0.05). There were no statistically significant differences between the SE and GE groups in pain intensity and disability outcomes in patients WND (p > 0.05). SE group showed greater reductions in depression and anxiety scores compared to the GE group (p < 0.05). In patients WOND, there were no differences in pain, disability, or depression results between the SE and GE groups (p>0.05), whereas the decrease in anxiety score was greater in the SE group (p < 0.05). Conclusion: Our results demonstrate that no effect of lumbar stabilization exercise is seen on circulating levels of TNF-α, IL-1β, IL-6, IL-4, BE, AEA, and 2-AG. Further exercise trials are needed to investigate what type, duration, and intensity of exercise is relevant for biomarkers that may play a role in the immune process.

Indexed as

Exercise TherapyIntervertebral Disc DisplacementLumbar VertebraeAdultArachidonic Acidsbeta-EndorphinBiomarkersCytokinesEndocannabinoidsFemaleGlyceridesHumansIntervertebral Disc DegenerationMaleMiddle AgedPolyunsaturated AlkamidesanandamideArachidonic Acidsbeta-EndorphinBiomarkersCytokinesEndocannabinoidsGlyceridesglyceryl 2-arachidonatePolyunsaturated AlkamidesTumor Necrosis Factor-alphabeta-endorphincytokinesendocannabinoidsexerciseIntervertebral disc herniationphysical therapy

Identifiers

PMID40686708
PMCPMC12270297

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.