The Effects of Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment on Functional Capacity, Core Stabilization Muscle Strength, and Balance in Female Patients With Chronic Low Back Pain

NCT07199842 | Completed DMC

• 1 other identifier: 28/25
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Low back pain, which is currently considered a public health problem, is commonly encountered. A significant proportion of low back pain cases is of mechanical origin. "Lumbar discopathy" is a general term used to describe conditions such as Lumbar Discopathy, Lumbar Disc Herniation, Lumbosacral Radiculopathy, and internal disc injury. There are various treatment approaches available for the management of lumbar discopathy in individuals presenting with low back pain. The therapeutic effectiveness of conventional exercise in alleviating low back pain has been well-documented in the literature, and research continues on the impact of different types of exercise on low back pain. One such approach is Dynamic Neuromuscular Stabilization (DNS), which aims to restore the integrated spinal stabilization system through specific functional exercises based on the developmental kinesiological positions of a healthy infant. The DNS perspective holds that each developmental position represents an exercise position. With repetition, these exercises promote the formation of an automatic pattern of central control that becomes a fundamental component of daily movements and skills. The aim of this study is to investigate the effects of conventional physiotherapy protocols and DNS exercises applied in addition to these protocols on functional capacity, the force-generating ability of core stabilization muscles, static and dynamic balance, low back pain and lumbar functionality, and quality of life in female patients diagnosed with Lumbar Disc Herniation and experiencing chronic pain. In this study, the control group received a conventional physiotherapy program for 8 weeks, 4 days per week. The intervention group received the same conventional program plus Dynamic Neuromuscular Stabilization exercises. Outcome measures included the 6-Minute Walk Test (6MWT), core muscle strength assessment, Flamingo Balance Test, Star Excursion Balance Test (SEBT), Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), and the International Physical Activity Questionnaire (IPAQ), all of which were administered before and after the treatment. As a result, statistically significant differences were observed in both the control and intervention groups when comparing pre- and post-treatment values in the NPRS, 6MWT, ODI, IPAQ, SEBT, Flamingo Balance Test, and core strength as measured by a pressure biofeedback unit. Furthermore, statistically significant differences in NPRS, ODI, and pressure biofeedback results were found in favor of the intervention group when comparing between groups. Keywords: Low back pain, DNS, Developmental Kinesiology

Conditions

Low Back Pain, Mechanical, Biofeedback, Pain, Chronic; Low Back Pain

Keywords

Low back pain,; dynamic neuromuscular stabilization; exercise

Outcome Measures

Primary Outcomes (1)

• 6 minutes walk test

  8 weeks

Secondary Outcomes (6)

• core muscle strength assessment,

  8 weeks

• Flamingo Balance Test

  8 weeks

• Star Excursion Balance Test (SEBT)

  8 weeks

• Numeric Pain Rating Scale (NPRS)

  8 weeks

• Oswestry Disability Index (ODI)

  8 weeks

Study Arms (2)

study group-DNS

EXPERIMENTAL

DNS

Other: Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment

control group-Placebo

NO INTERVENTION

Placebo

Interventions

Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment OTHER

Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment

study group-DNS

Eligibility Criteria

• Age: 20 Years - 65 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged between 20 and 65 years,
• Who volunteered to participate in the study,
• Had been diagnosed with lumbar disc herniation (LDH),
• Reported a pain intensity of at least 3 on the 0-10 cm Numeric Pain Rating Scale,
• And had no specific findings such as radiculopathy or leg pain originating from LDH

You may not qualify if:

• Patients with a history of spinal surgery,
• Serious spinal pathologies and neurological deficits with medical contraindications to active exercise,
• A diagnosis of cancer or cooperation problems

Sponsors & Collaborators

• Safiye Esin: lead

Study Sites (1)

İstanbul Aydın University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Low Back Pain; Pain; Bronchiolitis Obliterans Syndrome; Motor Activity

Condition Hierarchy (Ancestors)

Back Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Organizing Pneumonia; Bronchiolitis Obliterans; Bronchiolitis; Bronchitis; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Graft vs Host Disease; Immune System Diseases; Behavior

Study Officials

• gözde başbuğ, Dr. Öğr. Üyesi

  Istanbul Aydın University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Fzt.Safiye Esin

Model Details: randomized controlled trial

Study Record Dates

• First Submitted: August 13, 2025
• First Posted: September 30, 2025
• Study Start: February 12, 2025
• Primary Completion: April 14, 2025
• Study Completion: July 8, 2025
• Last Updated: September 30, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)