Research Article

Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults

Volume: 9 Number: 1 October 13, 2026
EN TR

Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults

Abstract

This study aimed to investigate the effects of strength and stretching exercises on lumbar disc herniation (LDH) in older adults, focusing on pain reduction, increased mobility, and functional outcomes. Sixteen participants aged 65–75, with LDH diagnoses confirmed via MRI, were assigned to two groups using a non-random method; those unwilling to participate in the exercise program were included in the control group. Group 1 (Combined Strength and Stretching Group – SSG) performed a standard exercise program seven times a week for six weeks, while Group 2 served as the control group receiving no intervention. Baseline demographic and physical characteristics (age, height, weight, BMI) were similar between the groups. Pain intensity (Visual Analog Scale), mobility (straight leg raise test), and functional disability (Oswestry Disability Index) were assessed at baseline and after the intervention. Statistical analysis was conducted using a two-way repeated-measures ANOVA, focusing primarily on the group × time interaction; results were reported using F-values, p-values, 95% confidence intervals, and partial eta-squared effect sizes. The two-way repeated-measures ANOVA revealed a significant group × time interaction regarding pain intensity (VAS: F(1,14)=81.918, p<0.001, η²p=0.854, 95% CI [4.6–6.1]), indicating a markedly greater reduction in pain in the SSG compared to the control group. Similar significant interactions were also observed for mobility (right leg: F(1,14)=197.397, p<0.001, η²p=0.934; left leg: F(1,14)=137.089, p<0.001, η²p=0.907) and functional disability (Oswestry: F(1,14)=120.169, p<0.001, η²p=0.896). These findings indicate that a structured strength and stretching exercise protocol can effectively reduce pain, increase mobility, and improve functional outcomes in elderly individuals with LDH.

Keywords

Ethical Statement

The study was approved by the Graduate Ethics Committee of Çanakkale Onsekiz Mart University (approval date and number: 2024-10/11; 2024-YÖNP-0551 and conducted in accordance with the principles of the Declaration of Helsinki. Throughout the conduct of the present study, the principles set forth in the ‘Directive on Scientific Research and Publication Ethics of Higher Education Institutions’ were strictly adhered to.

References

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Details

Primary Language

English

Subjects

Physical Training, Sports and Physical Activity For Disabled

Journal Section

Research Article

Publication Date

October 13, 2026

Submission Date

July 19, 2026

Acceptance Date

September 18, 2026

Published in Issue

Year 2026 Volume: 9 Number: 1

APA
Daşkesen, S. S., Şanal, A., Ünsalan, M., & Kurtoğlu, A. (2026). Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults. Mediterranean Journal of Sport Science, 9(1), 1-16. https://doi.org/10.38021/asbid.1998398
AMA
1.Daşkesen SS, Şanal A, Ünsalan M, Kurtoğlu A. Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults. MJSS. 2026;9(1):1-16. doi:10.38021/asbid.1998398
Chicago
Daşkesen, Sonay Serpil, Alperen Şanal, Melissa Ünsalan, and Ahmet Kurtoğlu. 2026. “Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults”. Mediterranean Journal of Sport Science 9 (1): 1-16. https://doi.org/10.38021/asbid.1998398.
EndNote
Daşkesen SS, Şanal A, Ünsalan M, Kurtoğlu A (October 1, 2026) Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults. Mediterranean Journal of Sport Science 9 1 1–16.
IEEE
[1]S. S. Daşkesen, A. Şanal, M. Ünsalan, and A. Kurtoğlu, “Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults”, MJSS, vol. 9, no. 1, pp. 1–16, Oct. 2026, doi: 10.38021/asbid.1998398.
ISNAD
Daşkesen, Sonay Serpil - Şanal, Alperen - Ünsalan, Melissa - Kurtoğlu, Ahmet. “Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults”. Mediterranean Journal of Sport Science 9/1 (October 1, 2026): 1-16. https://doi.org/10.38021/asbid.1998398.
JAMA
1.Daşkesen SS, Şanal A, Ünsalan M, Kurtoğlu A. Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults. MJSS. 2026;9:1–16.
MLA
Daşkesen, Sonay Serpil, et al. “Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults”. Mediterranean Journal of Sport Science, vol. 9, no. 1, Oct. 2026, pp. 1-16, doi:10.38021/asbid.1998398.
Vancouver
1.Sonay Serpil Daşkesen, Alperen Şanal, Melissa Ünsalan, Ahmet Kurtoğlu. Effects of Combined Strength Training and Stretching on Lumbar Disc Herniation in Older Adults. MJSS. 2026 Oct. 1;9(1):1-16. doi:10.38021/asbid.1998398

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Mediterranean Journal of Sport Science (MJSS) is licensed under a Creative Commons Attribution 4.0 International License CC BY-NC 4.0 .

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