Comparison of Abdominal Expansion and Abdominal Drawing-In Training With Manual and Verbal Cueing in Chronic Non-Specific Low Back Pain

National Yang Ming Chiao Tung University

Status: Begins enrollment in 1 month

Conditions: Chronic Low Back Pain (Non-specific, Uncomplicated)

Treatments: Behavioral: Dynamic Neuromusculoskeletal Stabilization Abdominal Expansion Training; Behavioral: Abdominal Drawing-In Manoeuvre Training

Study type: Interventional

Funder types: Other

Identifiers

NCT07318454

NYCU114229AE-S3

Details and patient eligibility

About

This study aims to investigate the interactive effects of two core stability training strategies-abdominal drawing-in manoeuvre (ADIM) and Dynamic Neuromusculoskeletal Stabilization abdominal expansion (DNS-AE)-and two instructional approaches (verbal cueing and manual facilitation) on training outcomes in individuals with chronic non-specific low back pain.

A 2×2 factorial randomized controlled trial design will be employed. Ninety-six participants with chronic non-specific low back pain will be randomly allocated, using block randomization, to one of four intervention groups in equal proportions. All groups will receive a 4-week intervention program, with training conducted twice per week.

Outcome measures will be assessed at four time points: before the intervention (baseline), immediately after the first training session, at the completion of the 4-week intervention, and at a 3-month follow-up, to evaluate short-term and mid-term effects as well as the sustainability of training outcomes.

Enrollment: 96 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 18 years or older.
• Clinically diagnosed with chronic non-specific low back pain, with symptoms persisting for more than 12 weeks.
• Able to understand the study procedures and comply with the full intervention and assessment protocol.

Exclusion criteria

• History of surgery involving the lower back or lower extremities.
• Presence of neurological symptoms, such as numbness or tingling sensations.
• Signs or symptoms of nerve root compression.
• History of any surgical procedure within the past 3 months.
• Diagnosis of cancer.
• Presence of major medical or psychiatric disorders.
• Presence of systemic inflammatory disease.
• Pregnancy.
• Structural scoliosis of the spine.
• Inability to ambulate or stand independently, or other conditions deemed unsuitable for participation.
• Participation in any movement control-based exercise training within the past year.
• Accumulated experience of more than 4 weeks of abdominal drawing-in manoeuvre (ADIM) training or Dynamic Neuromusculoskeletal Stabilization abdominal expansion (DNS-AE) training within the past year.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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96 participants in 4 patient groups

ADIM With Verbal Cueing

Experimental group

Description:

Participants receive abdominal drawing-in manoeuvre training with verbal cueing, delivered twice weekly for 4 weeks.

Treatment:

Behavioral: Abdominal Drawing-In Manoeuvre Training

ADIM With Manual Cueing

Experimental group

Description:

Participants receive abdominal drawing-in manoeuvre training with manual facilitation, delivered twice weekly for 4 weeks.

Treatment:

Behavioral: Abdominal Drawing-In Manoeuvre Training

DNS-AE With Verbal Cueing

Experimental group

Description:

Participants receive Dynamic Neuromusculoskeletal Stabilization abdominal expansion training with verbal cueing, delivered twice weekly for 4 weeks.

Treatment:

Behavioral: Dynamic Neuromusculoskeletal Stabilization Abdominal Expansion Training

DNS-AE With Manual Cueing

Experimental group

Description:

Participants receive Dynamic Neuromusculoskeletal Stabilization abdominal expansion training with manual facilitation, delivered twice weekly for 4 weeks.

Treatment:

Behavioral: Dynamic Neuromusculoskeletal Stabilization Abdominal Expansion Training