Dual-Task Neuromuscular Warm-Up Exercises in Chronic Low Back Pain

NCT07761247 | Not Yet Recruiting

• 1 other identifier: 102
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to investigate the immediate effects of dual-task neuromuscular warm-up exercises on balance and proprioception in individuals with chronic nonspecific low back pain. Participants will be randomly assigned to either a dual-task neuromuscular warm-up exercise group or a neuromuscular warm-up exercise group. Both groups will also receive the same conventional physiotherapy program. Balance, proprioception, lumbar muscle properties, pressure pain threshold, and flexibility will be assessed before and after the intervention to determine whether adding cognitive tasks to neuromuscular warm-up exercises provides additional immediate benefits.

Conditions

Low Back Pain

Keywords

Chronic Nonspecific Low Back Pain; Dual-Task Training; Neuromuscular Warm-Up; Balance; Proprioception; Postural Control

Outcome Measures

Primary Outcomes (2)

• Balance

  Balance assessed using the ProKin Balance Measurement System.

  Immediately before and after the intervention (same day)

• Proprioception

  Lower-extremity joint position sense assessed using the ProKin Balance Measurement System.

  Immediately before and after the intervention (same day)

Secondary Outcomes (6)

• Lumbar Erector Spinae Muscle Tone

  Immediately before and after the intervention (same day)

• Lumbar Erector Spinae Muscle Stiffness

  Immediately before and after the intervention (same day)

• Lumbar Erector Spinae Muscle Elasticity

  Immediately before and after the intervention (same day)

• Pressure Pain Threshold

  Immediately before and after the intervention (same day)

• Hamstring and Lumbar Muscle Flexibility

  Immediately before and after the intervention (same day)

Study Arms (2)

Dual-Task Neuromuscular Warm-Up Exercise Group

EXPERIMENTAL

Other: Dual-Task Neuromuscular Warm-Up Exercise Group

Neuromuscular Warm-Up Exercise Group

ACTIVE COMPARATOR

Other: Neuromuscular Warm-Up Exercise

Interventions

Dual-Task Neuromuscular Warm-Up Exercise Group OTHER

Participants will perform neuromuscular warm-up exercises combined with cognitive tasks, including single-leg balance with backward counting, squats with word generation, tandem walking with counting, balance pad standing with a memory task, and step-up exercises with a reaction task. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.

Dual-Task Neuromuscular Warm-Up Exercise Group

Neuromuscular Warm-Up Exercise OTHER

Participants will perform the same neuromuscular warm-up exercises without cognitive tasks, including single-leg balance, squats, tandem walking, balance pad standing, and step-up exercises. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.

Neuromuscular Warm-Up Exercise Group

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosed with nonspecific low back pain persisting for at least 3 months.
• Pain intensity of ≥3 on the Visual Analog Scale (VAS).
• Sufficient cognitive ability to understand and follow verbal and written instructions in Turkish.
• Independent mobility sufficient to perform the tests and exercises.
• Willingness to participate and provision of written informed consent.

You may not qualify if:

• Acute disc herniation, spinal stenosis, spondylolysis, or spondylolisthesis.
• Previous spinal surgery or a history of severe trauma affecting the spine.
• Rheumatic diseases, malignancy, infection, or neurological diseases that may cause low back pain.
• Sensory or motor loss in the lower extremities or deep tendon reflex loss indicating radiculopathy.
• Known vestibular or visual system disorders.
• Body mass index (BMI) ≥30 kg/m².
• Pregnancy.
• Physiotherapy/rehabilitation treatment or steroid injection targeting the lumbar region within the previous 3 months.
• Use of analgesics, muscle relaxants, or sedatives within the previous 24 hours that may affect balance or pain threshold.
• Other orthopedic or systemic health conditions that may interfere with exercise or balance testing.

Sponsors & Collaborators

• Istinye University: lead

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Assistant Professor

Study Record Dates

• First Submitted: August 8, 2026
• First Posted: August 12, 2026
• Study Start (Estimated): August 25, 2026
• Primary Completion (Estimated): March 5, 2027
• Study Completion (Estimated): March 10, 2027
• Last Updated: August 12, 2026

Record last verified: 2026-08