Low Back Pain, Mechanical, Biofeedback, Pain, ChronicNCT07199842
The Effects of Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment on Functional Capacity, Core Stabilization Muscle Strength, and Balance in Female Patients With Chronic Low Back Pain
A study testing Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment in people with Low Back Pain, Mechanical, Biofeedback, Pain, Chronic and Low Back Pain, run by Safiye Esin at 1 site in Turkey (Türkiye).
Trial summary
Low back pain, which is currently considered a public health problem, is commonly encountered. A significant proportion of low back pain cases is of mechanical origin. "Lumbar discopathy" is a general term used to describe conditions such as Lumbar Discopathy, Lumbar Disc Herniation, Lumbosacral Radiculopathy, and… Read more about this study
- Who is it for?
- Ages 20 to 65 years, women only
- Conditions the study is for
- Low Back Pain, Mechanical, Biofeedback, Pain, Chronic, Low Back Pain
- What is being tested?
- Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 12 Feb 2025to 8 Jul 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 65 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients aged between 20 and 65 years,
- Who volunteered to participate in the study,
- Had been diagnosed with lumbar disc herniation (LDH),
- Reported a pain intensity of at least 3 on the 0-10 cm Numeric Pain Rating Scale,
- And had no specific findings such as radiculopathy or leg pain originating from LDH
Who cannot join
- Patients with a history of spinal surgery,
- Serious spinal pathologies and neurological deficits with medical contraindications to active exercise,
- A diagnosis of cancer or cooperation problems
Trial locations and contacts
1 site in 1 country.
About this study
Low back pain, which is currently considered a public health problem, is commonly encountered. A significant proportion of low back pain cases is of mechanical origin. "Lumbar discopathy" is a general term used to describe conditions such as Lumbar Discopathy, Lumbar Disc Herniation, Lumbosacral Radiculopathy, and internal disc injury. There are various treatment approaches available for the management of lumbar discopathy in individuals presenting with low back pain. The therapeutic effectiveness of conventional exercise in alleviating low back pain has been well-documented in the literature, and research continues on the impact of different types of exercise on low back pain. One such approach is Dynamic Neuromuscular Stabilization (DNS), which aims to restore the integrated spinal stabilization system through specific functional exercises based on the developmental kinesiological positions of a healthy infant. The DNS perspective holds that each developmental position represents an exercise position. With repetition, these exercises promote the formation of an automatic pattern of central control that becomes a fundamental component of daily movements and skills. The aim of this study is to investigate the effects of conventional physiotherapy protocols and DNS exercises applied in addition to these protocols on functional capacity, the force-generating ability of core stabilization muscles, static and dynamic balance, low back pain and lumbar functionality, and quality of life in female patients diagnosed with Lumbar Disc Herniation and experiencing chronic pain. In this study, the control group received a conventional physiotherapy program for 8 weeks, 4 days per week. The intervention group received the same conventional program plus Dynamic Neuromuscular Stabilization exercises. Outcome measures included the 6-Minute Walk Test (6MWT), core muscle strength assessment, Flamingo Balance Test, Star Excursion Balance Test (SEBT), Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), and the International Physical Activity Questionnaire (IPAQ), all of which were administered before and after the treatment. As a result, statistically significant differences were observed in both the control and intervention groups when comparing pre- and post-treatment values in the NPRS, 6MWT, ODI, IPAQ, SEBT, Flamingo Balance Test, and core strength as measured by a pressure biofeedback unit. Furthermore, statistically significant differences in NPRS, ODI, and pressure biofeedback results were found in favor of the intervention group when comparing between groups. Keywords: Low back pain, DNS, Developmental Kinesiology
- Being tested
- Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment
- Keywords
- Low back pain,, dynamic neuromuscular stabilization, exercise
- Medical subject headings
- Low Back Pain, Pain, Bronchiolitis Obliterans Syndrome, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional TreatmentOther
Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment
| Study group | Role | What they receive |
|---|---|---|
| study group-DNS | Experimental | DNS Receives: Other: Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment |
| control group-Placebo | No intervention | Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
6 minutes walk test
Measured: 8 weeks
Secondary outcomes (6)
core muscle strength assessment,
core stabilization force measurement
Measured: 8 weeks
Flamingo Balance Test
balance test- static
Measured: 8 weeks
Star Excursion Balance Test (SEBT)
balance test- dynamic
Measured: 8 weeks
Numeric Pain Rating Scale (NPRS)
pain scale
Measured: 8 weeks
Oswestry Disability Index (ODI)
Low back disability questionnaire
Measured: 8 weeks
International Physical Activity Questionnaire (IPAQ)
Physical Activity Questionnaire
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Sep 2025
- Study start12 Feb 2025
- Primary completion14 Apr 2025
- Study completion8 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Low Back Pain, Mechanical, Biofeedback, Pain, ChronicStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- randomized controlled trial
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 44 participants (actual)
Sponsor and investigators
- Lead sponsor
- Safiye Esin
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Safiye Esin, Istanbul Aydın University
- Investigators
- gözde başbuğ, Dr. Öğr. Üyesi, Study director, Istanbul Aydın University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07199842
- Sponsor's protocol ID
- 28/25
- Status last verified
- Sep 2025
- First submitted
- 13 Aug 2025
- Last updated
- 30 Sep 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effects of Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment on Functional Capacity, Core Stabilization Muscle Strength, and Balance in Female Patients With Chronic Low Back Pain
- ClinicalTrials.gov ID
- NCT07199842
- Acronym / sponsor ID
- 28/25
- Keywords
- Low back pain,, dynamic neuromuscular stabilization, exercise
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 44 participants (actual)
- Lead sponsor
- Safiye EsinUniversity, hospital or other
- Study start
- 12 Feb 2025 (actual)
- Primary completion
- 14 Apr 2025 (actual)
- Study completion
- 8 Jul 2025 (actual)
- First posted
- 30 Sep 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Low back pain, which is currently considered a public health problem, is commonly encountered. A significant proportion of low back pain cases is of mechanical origin. "Lumbar discopathy" is a general term used to describe conditions such as Lumbar Discopathy, Lumbar Disc Herniation, Lumbosacral Radiculopathy, and internal disc injury. There are various treatment approaches available for the management of lumbar discopathy in individuals presenting with low back pain. The therapeutic effectiveness of conventional exercise in alleviating low back pain has been well-documented in the literature, and research continues on the impact of different types of exercise on low back pain. One such approach is Dynamic Neuromuscular Stabilization (DNS), which aims to restore the integrated spinal stabilization system through specific functional exercises based on the developmental kinesiological positions of a healthy infant. The DNS perspective holds that each developmental position represents an exercise position. With repetition, these exercises promote the formation of an automatic pattern of central control that becomes a fundamental component of daily movements and skills. The aim of this study is to investigate the effects of conventional physiotherapy protocols and DNS exercises applied in addition to these protocols on functional capacity, the force-generating ability of core stabilization muscles, static and dynamic balance, low back pain and lumbar functionality, and quality of life in female patients diagnosed with Lumbar Disc Herniation and experiencing chronic pain. In this study, the control group received a conventional physiotherapy program for 8 weeks, 4 days per week. The intervention group received the same conventional program plus Dynamic Neuromuscular Stabilization exercises. Outcome measures included the 6-Minute Walk Test (6MWT), core muscle strength assessment, Flamingo Balance Test, Star Excursion Balance Test (SEBT), Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI), and the International Physical Activity Questionnaire (IPAQ), all of which were administered before and after the treatment. As a result, statistically significant differences were observed in both the control and intervention groups when comparing pre- and post-treatment values in the NPRS, 6MWT, ODI, IPAQ, SEBT, Flamingo Balance Test, and core strength as measured by a pressure biofeedback unit. Furthermore, statistically significant differences in NPRS, ODI, and pressure biofeedback results were found in favor of the intervention group when comparing between groups. Keywords: Low back pain, DNS, Developmental Kinesiology
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- randomized controlled trial
| Arm | Type | Receives |
|---|---|---|
| study group-DNS | Experimental | Other: Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional TreatmentDNS |
| control group-Placebo | No intervention | –Placebo |
Who may qualify
- Ages
- 20 to 65 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients aged between 20 and 65 years,
- Who volunteered to participate in the study,
- Had been diagnosed with lumbar disc herniation (LDH),
- Reported a pain intensity of at least 3 on the 0-10 cm Numeric Pain Rating Scale,
- And had no specific findings such as radiculopathy or leg pain originating from LDH
Key exclusion criteria (3 listed)
- Patients with a history of spinal surgery,
- Serious spinal pathologies and neurological deficits with medical contraindications to active exercise,
- A diagnosis of cancer or cooperation problems
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional TreatmentDynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment | Other | study group-DNS |
Primary outcome
6 minutes walk test
Time frame: 8 weeks
6 secondary outcomes
core muscle strength assessment,
Time frame: 8 weeks
Flamingo Balance Test
Time frame: 8 weeks
Star Excursion Balance Test (SEBT)
Time frame: 8 weeks
Numeric Pain Rating Scale (NPRS)
Time frame: 8 weeks
Oswestry Disability Index (ODI)
Time frame: 8 weeks
International Physical Activity Questionnaire (IPAQ)
Time frame: 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Sep 2025.
- Individual participant dataSharing planned: No
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
gözde başbuğ, Dr. Öğr. Üyesi study director
Istanbul Aydın University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Dynamic Neuromuscular Stabilization Exercises in Addition to Conventional Treatment in people with Low Back Pain, Mechanical, Biofeedback, Pain, Chronic and Low Back Pain, run by Safiye Esin at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
6 minutes walk test (time frame: 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2025.