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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. Lumbar range of motion will be measured using a goniometer.
This study investigates the effects of dynamic neuromuscular stabilization (DNS) exercises on pain, posture, functional disability, quality of life, and lumbar range of motion 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 lumbar range of motion.
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. Quality of life will be measured using the Short Form-36 (SF-36). Postural changes will be assessed using the New York Posture Scale.
Lumbar range of motion (flexion, extension, and right and left lateral flexion) will be measured using a goniometer.
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 after the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DNS Group | Experimental | 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. |
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| Control Group | Experimental | Participants in this group will receive conventional physiotherapy, including basic exercises such as stretching, strengthening, and posture training. The intervention will be conducted twice a week, with each session lasting 45 minutes, over a period of 8 weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DNS Group | Other | Dynamic neuromuscular stabilization exercises, on the other hand, are designed to achieve sagittal stabilization by utilizing the stabilizing function of the thoracic diaphragm muscle. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale (VAS) | The Visual Analog Scale (VAS) will be used to measure pain intensity by having participants mark their perceived level of pain on a 10-centimeter line ranging from 'no pain' to 'worst pain imaginable. The Visual Analog Scale (VAS) for pain ranges from a minimum of 0 to a maximum of 10, with higher scores indicating greater pain intensity. | 8 weeks |
| New York Posture Analysis | The New York Posture Analysis is a validated and systematic tool used to evaluate postural alignment and deviations. This method involves visual inspection and scoring of key postural elements, including head, shoulders, spine, pelvis, and lower extremities, in both anterior-posterior and lateral views. Each segment is assessed for alignment and assigned a score based on observed deviations. The total score reflects the overall postural status, with higher scores indicating better postural alignment. This measure will be used to assess changes in posture pre- and post-intervention. The New York Posture Rating Scale scores range from a minimum of 0 to a maximum of 36, with higher scores indicating better posture. | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Oswestry Disability Index (ODI) | he Oswestry Disability Index is a self-reported questionnaire designed to assess how low back pain affects an individual's ability to perform daily activities. The index consists of 10 sections, each addressing a specific domain: pain intensity, personal care, lifting, walking, sitting, standing, sleeping, sexual life, traveling, and social life. Each section includes six response options scored from 0 (no disability) to 5 (maximum disability). The total score ranges from 0 to 50 points, with higher scores indicating greater levels of disability. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Filiz Eyuboglu, PhD. | Uskudar University | Study Director |
| Mert Ilhan, MSc. | Uskudar University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Uskudar University Physiotherapy and Rehabilitation Application and Research Center | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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Training and Control group
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| Control Group | Other | Conventional physiotherapy program including stretching, strengthening, and posture exercises applied under physiotherapist supervision. |
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| 8 weeks |
| Short Form-36 (SF-36) Health Survey | The Short Form-36 (SF-36) Health Survey is a widely used self-reported questionnaire designed to assess health-related quality of life across eight domains: physical functioning, role limitations due to physical health, role limitations due to emotional health, energy/fatigue, emotional well-being, social functioning, pain, and general health perceptions. Each domain is scored on a scale from 0 to 100, with higher scores indicating better health and quality of life. | 8 weeks |
| Chest Circumference Measurement | Chest circumference measurement is a simple and reliable method used to assess respiratory patterns and chest expansion. Measurements will be taken at three levels: axillary (upper thoracic), xiphoid (middle thoracic), and subcostal (lower thoracic) regions using a measuring tape. The difference between maximum inspiration and maximum expiration at each level will be recorded to determine the chest expansion. | 8 weeks |
| Lumbar Range of Motion | Lumbar flexion, extension, and right and left lateral flexion will be assessed using a goniometer. | 8 weeks |
| D008722 | Methods |