Effects of Dynamic Neuromuscular Stabilization on Pain, Posture, and Respiratory Strength in Chronic Low Back Pain
NCT ID: NCT06807710
Last Updated: 2025-02-25
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
30 participants
INTERVENTIONAL
2025-03-03
2025-07-03
Brief Summary
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Detailed Description
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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.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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DNS Group
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.
DNS Group
Dynamic neuromuscular stabilization exercises, on the other hand, are designed to achieve sagittal stabilization by utilizing the stabilizing function of the thoracic diaphragm muscle.
Pilates Group
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.
Pilates Group
Reformer pilates exercises, focusing on core stability, flexibility, postural alignment, and breath control using a Reformer Pilates machine under the supervision of a physiotherapist.
Interventions
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DNS Group
Dynamic neuromuscular stabilization exercises, on the other hand, are designed to achieve sagittal stabilization by utilizing the stabilizing function of the thoracic diaphragm muscle.
Pilates Group
Reformer pilates exercises, focusing on core stability, flexibility, postural alignment, and breath control using a Reformer Pilates machine under the supervision of a physiotherapist.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Experiencing continuous or intermittent low back pain for more than 3 months, localized between the L1 region and gluteal muscles
Exclusion Criteria
* 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
18 Years
55 Years
ALL
Yes
Sponsors
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Uskudar University
OTHER
Responsible Party
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MERVE BAŞARDI
Physiotherapist
Principal Investigators
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Filiz Eyuboglu, PhD.
Role: STUDY_DIRECTOR
Uskudar University
Mert Ilhan, MSc.
Role: PRINCIPAL_INVESTIGATOR
Uskudar University
Locations
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Uskudar University Physiotherapy and Rehabilitation Application and Research Center
Istanbul, , Turkey (Türkiye)
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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2025-PT-MRVB-RCT
Identifier Type: -
Identifier Source: org_study_id
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