CNLBP
The Efficiency of Dynamic Versus Traditional Core Strengthening Exercise in Pain Relief, Core Stability, and Functional Mobility in Patients With Chronic Non-specific Low Back Pain.
Sponsor study identifier
interventional
70
1 country
1
Study Start
December 15, 2025
Actual (reported)Primary Completion
April 14, 2026
Actual (reported)Study Completion
April 28, 2026
Actual (reported)This research investigated the effectiveness of two different types of core strengthening exercises: dynamic versus traditional exercises. The participants comprised of individuals aged between 20-50 years, who have been suffering from chronic nonspecific low back pain for more than 12 weeks. The sample comprised of 70 participants, who were divided into two groups using random sampling. Group 1 performed dynamic core strengthening exercises, while Group 2 performed traditional core strengthening exercises. These two groups received routine physiotherapy, and were treated three times a week for a period of 8 weeks. The pain, back-related disability and assessment of lumbosacral stability was performed at the start and 8 weeks after the treatment using the Visual Analogue Scale, the Roland-Morris Disability Questionnaire and the Prone Instability Test, respectively. The aim of the study was to find out which of the two core strengthening exercise programs offered the participants more pain relief, and more improvement in lumbosacral stability and back-related disability.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
April 28, 2026
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
December 15, 2025
Actual (reported)April 14, 2026
Actual (reported)April 28, 2026
Actual (reported)July 24, 2026
Actual (reported)October 20, 2026
Actual (reported)Visual Analog Scale
Pain intensity was scaled using a 10-centimeter Visual Analog Scale ranging from 0 (no pain) to 10 (extreme pain). Pain is linearly proportional to pain score, and so, change from baseline was assessed for week 8, and a pain score move in the direction of decreasing pain was considered a clinically significant score change in the direction of decreasing pain if the score decreased by at least 2 centimeters to the left on the scale.
Baseline and week 8
Roland-Morris disability questionnaire
The 24-item Roland-Morris Disability Questionnaire was used for the evaluation of back-related disability with a score ranging from 0 to 24 with 24 indicating the highest disability. Roland-Morris scores from baseline to week 8 were analyzed for this study. It was determined a decrease of 3.5 or more points was clinically significant.
Baseline and week 8
Prone instability test
Results were positive for lumbar instability or negative for lumbar stability based on the Prone Instability Test. Progressive changes in lumbar stability by way of test results taken at baseline and again at 8 weeks were examined.
Baseline and week 8
Participants first received routine physiotherapy. This was then supplemented by assisted exercises for progressive dynamic core strengthening. During these exercises, participants alternated movements of the upper and lower limbs while in a four-point kneeling position. This treatment occurred three times per week for eight weeks.
Participants received standard physiotherapy and then strengthening exercises that were progressive in nature. These included bridging and straight leg raising. This treatment was completed over three supervised sessions per week for eight weeks.
Routine physiotherapy included 10 minutes of lumbar heat application, static calf stretching, unilateral knee-to-chest exercise, pain-free straight-leg raises, and cross-leg stretching. This was provided prior to the scheduled core strengthening exercises.
University of Lahore
Lahore, Punjab Province, 55150, Pakistan
Abdelhamid, A. S., Ali, F., Asal, M. S., & Salem, S. (2025). Effect of lumbar Stabilization Exercises Combined with Ball and Balloon Exercise in Treatment of Chronic Non-specific Low Back Pain: Randomized Clinical Trial. Bulletin of Physical Therapy Research and Studies, 3(1), 1-19. Amila Amila, Henny Siyapitri, Evarina Sembiring. (2021). The Effect of William Flexion Exercise on Reducing Pain Intensity For Elderly with Low Back Pain. International Journal of Nursing and Health Services (IJNHS), Volume 4 NO.1, pp 28-36e-ISSN: 2654-6310 DOI: https://doi.org/10.35654/ijnhs.v4i1.374 Bhattarai, D., & Khanna, A. (2025). Effect of Core Stabilization Exercises in Combination with Conventional Physiotherapy in Chronic Low Back Pain. Integrative and Complementary Therapies, 31(1), 12-16. Burton, A. K., Balagué, F., Cardon, G., Eriksen, H. R., Henrotin, Y., Lahad, A., Leclerc, A., Müller, G., van der Beek, A. J., & COST B13 Working Group on Guidelines for Prevention in Low Back Pain (2006). Chapter 2. European guidelines for prevention in low back pain : November 2004. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 15 Suppl 2(Suppl 2), S136-S168. https://doi.org/10.1007/s00586-006-1070-3 Custers, P., Van de Kelft, E., Eeckhaut, B., Sabbe, W., Hofman, A., Debuysscher, A., Van Acker, G., & Maes, G. (2024). Clinical Examination, Diagnosis, and Conservative Treatment of Chronic Low Back Pain: A Narrative Review. Life, 14(9), 1090. https://doi.org/10.3390/life14091090 Dar SM, Muhardzi NM, Kamsan SS. The effectiveness of lumbar stabilisation exercises on pain and functional disability among patients with non-specific low back pain: a systematic review. IIUM Journal of Orofacial and Health Sciences. 2025 Feb 28;6(1):94-114. Das, Shazal & Khan, Abid & Islam, Muhammad & Alam, Nadira & Nesaruddin, & Alam, Md & Rahman, Tanvir & Shawon, Afroza & Hi
Waqar ul Hassan, MS MSK
University of Lahore
70 participants (actual enrollment reported by the registry).
First Submitted
July 24, 2026
Participants were required to maintain trunk stability while executing progressive alternate and opposite upper and lower limb movements. These exercises, done in a four-point kneeling position, were repeated in three sets of one-minute duration with one-minute interval rests. This treatment was applied three times a week for two months.
The participants performed progressive bridging and straight leg raising exercises. They performed each exercise in sets of three and rested for one minute between sets. This treatment was delivered three times a week for a duration of eight weeks.
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First Posted
October 20, 2026
Study Start
December 15, 2025
Actual (reported)Primary Completion
April 14, 2026
Actual (reported)Study Completion
April 28, 2026
Actual (reported)Last Updated
October 20, 2026
Record last verified: 2026-03
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