Effects of Dynamic Neuromuscular Stabilization on Pain, Posture, and Quality of Life in Chronic Low Back Pain

Uskudar University

Status: Completed

Conditions: Chronic Low-back Pain

Treatments: Other: Control Group; Other: DNS Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06807710

2025-PT-MRVB-RCT

Details and patient eligibility

About

This study aims to evaluate the effects of dynamic neuromuscular stabilization exercises on individuals experiencing chronic non-specific low back pain for at least six months. Pain intensity will be assessed using the Visual Analog Scale (VAS) marked on a 10-centimeter line. The impact of low back pain on daily activities will be evaluated through the Oswestry Disability Index, while its influence on quality of life will be determined using the Short Form-36 (SF-36). Postural changes related to low back pain will be assessed using the New York Posture Scale. Lumbar range of motion will be measured using a goniometer.

Full description

This study investigates the effects of dynamic neuromuscular stabilization (DNS) exercises on pain, posture, functional disability, quality of life, and lumbar range of motion in individuals with chronic non-specific low back pain. Participants with low back pain persisting for at least six months will be included in the study. The primary objective is to assess the impact of DNS exercises on pain intensity, functional disability, quality of life, posture, and lumbar range of motion.

Pain intensity will be measured using the Visual Analog Scale (VAS) on a 10-centimeter line. Functional disability related to low back pain will be evaluated using the Oswestry Disability Index. Quality of life will be measured using the Short Form-36 (SF-36). Postural changes will be assessed using the New York Posture Scale.

Lumbar range of motion (flexion, extension, and right and left lateral flexion) will be measured using a goniometer.

The intervention will involve a structured exercise program based on DNS principles, focusing on improving motor control, spinal stability, and neuromuscular coordination. Participants will be assessed at baseline and after the intervention.

Enrollment: 20 patients

Sex: All

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Aged between 18 and 50 years
• Experiencing continuous or intermittent low back pain for more than 3 months, localized between the L1 region and gluteal muscles

Exclusion criteria

• Specific medical diagnoses such as spinal fractures or spinal stenosis
• Presence of rheumatological disorders
• Tumors
• History of lumbar surgery in the last 3 years
• Neurological problems
• Osteoporosis
• History of epilepsy, vertigo, headaches, or nausea
• Chronic lung diseases
• Prior physiotherapy treatment for low back pain
• Acute low back pain episodes
• Mental disorders
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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20 participants in 2 patient groups

DNS Group

Experimental group

Description:

Participants diagnosed with chronic non-specific low back pain will undergo a structured dynamic neuromuscular stabilization (DNS) exercise program. The intervention will be conducted twice a week, with each session lasting 45 minutes, over a period of 8 weeks. The program will focus on improving motor control, spinal stability, and neuromuscular coordination through DNS principles.

Treatment:

Other: DNS Group

Control Group

Experimental group

Description:

Participants in this group will receive conventional physiotherapy, including basic exercises such as stretching, strengthening, and posture training. The intervention will be conducted twice a week, with each session lasting 45 minutes, over a period of 8 weeks.

Treatment:

Other: Control Group