Effects of Dynamic Neuromuscular Stabilization on Pain, Posture, and Respiratory Strength in Chronic Low Back Pain

Uskudar University

Status: Not yet enrolling

Conditions: Chronic Low-back Pain

Treatments: Other: Pilates 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. The effects on respiratory muscles will be examined through lung volume measurements using a spirometer, and respiratory patterns will be identified using chest circumference measurements with a measuring tape.

Full description

This study investigates the effects of dynamic neuromuscular stabilization (DNS) exercises on pain, posture, and respiratory muscle strength 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 respiratory function.

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, a reliable and valid tool for assessing the impact of back pain on daily activities. Quality of life will be measured using the Short Form-36 (SF-36), a comprehensive instrument assessing physical and mental health dimensions.

To evaluate postural changes, the New York Posture Scale will be employed, providing a systematic approach to assess spinal alignment and postural deviations. The study will also examine the effects of DNS exercises on respiratory muscle performance and lung function. Lung volumes will be measured using a spirometer, while respiratory patterns will be analyzed by chest circumference measurements at different thoracic levels using a measuring tape.

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 post-intervention, with follow-up evaluations conducted to observe the long-term effects of the intervention. The study aims to contribute to the understanding of DNS as an effective approach for managing chronic non-specific low back pain.

Enrollment: 30 estimated 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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30 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

Pilates Group

Experimental group

Description:

Participants in this group will perform Reformer Pilates exercises designed to improve core stability, flexibility, and overall postural alignment. The intervention will also be conducted twice a week, with each session lasting 45 minutes, over a period of 8 weeks. Exercises will target strengthening the deep stabilizing muscles and enhancing spinal mobility while maintaining a controlled and safe environment.

Treatment:

Other: Pilates Group