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This study is designed to evaluate the effect of Dynamic Neuromuscular Stabilization (DNS) exercises combined with core strengthening exercises in young adults. Dynamic exercsises train motor control and restore natural movement patterns. Participants in experimental group will perform DNS exercise with core strengthening exercises while participants in control group will perform core strengthening exercises alone.
This study is aimed to evaluate the effect of Dynamic Neuromuscular Stabilization (DNS) exercises combined with core strengthening exercises in young adults aged 18-25. The prevalence of non-specific low back pain has increased among undergraduate students due to prolonged daily sitting, which leads to decreased flexibility and core muscle endurance. Factors such as individual psychological, anatomical, biomechanical structure, weak strength and endurance of trunk, and decreased flexibility in trunk musculature contribute to non-specific low backache Based on infantile motor patterns, DNS exercises emphasize natural movement patterns to enhance core stability, improve postural control, and reduce pain during both dynamic and static tasks. In this program, participants will learn how to activate deep core muscles and maintain intra-abdominal pressure to train natural movement patterns and improve function. Participants will perform these exercises three times a week for a duration of four weeks.
Various studies in literature including randomized controlled trials reported that DNS along other conventional physiotherapy exercises can reduce pain, disability, quality of life, flexibility of hamstring, balance, abdominal muscle strength in patients with non-specific low backache.
Therefore this study is aimed to see effect of dynamic neuromuscular stabilizaion exercises compared to conservative traetment on pain, endurance and flexibility, which are contributing factors to non-specific low back pain (NSLBP).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | Active Comparator |
| |
| Intervention Group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dynamic Neuromuscular Stabilization Exercises | Other | Participants will perform following 6 dynamic neuromuscular stabilization exercises based on developmental kinesiology and emphasize neuromuscular control. Which will provide stability, postural control, motor control, restore natural movement patterns and correct spinal alignment during static and dynamic tasks. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale (VAS) | Pain intensity is measured via Visual Analogue Scale (VAS), a 10cm(100mm) long line where''0" indicate no pain and "10" indicate worst pain. It is a self-reported scale. Patient will be explained by these two extremes and asked to mark point on the scale that best describe his/her level of pain intensity. | From enrollment to the end of treatment at 4 weeks. |
| McGill's Core Endurance Test | Endurance of core musculature is evaluated by using McGill's core endurance battery tests i.e. flexors, extensors, lateral core muscle tests. Participants will be guided to hold positions according to the testing muscles. Duration of hold will be recorded in seconds via stopwatch in their respective positions until participants are unable to hold positions of test. | From enrollment to the end of treatment at 4 weeks. |
| Sit-and-reach Test | participant will sit on floor with shoes off. Yard stick is placed between feet and tape is placed at 15 inches mark right angle to yard stick. Heels of feet should be at the level of yard stick with 10-12 inches apart. Participant will reach forward with arms extended and one hand placed on other hand with palms facing downward, as forward as possible, maintaining this position for 2 seconds. For best attempt participant during reach participant will exhale and drop head between extended arms. Knee should be extended throughout test and breathing should be normal, avoid breath holding at any time during test. Distance will be measured as most distant point reached in centimeters or inches. | From enrollment to the end of treatment at 4 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Health Sciences Lahore | Lahore | Punjab Province | 39350 | Pakistan | ||
| Rida Zainab |
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| Core Strengthening Exercises | Other | Participants in control group will perform only conventional core strengthening exercises. These exercises increase strength of core muscles which in returns leads to increased spinal stability and postural control. |
|
| Lahore |
| Pakistan |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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