Low Back PainNCT07761247
Dual-Task Neuromuscular Warm-Up Exercises in Chronic Low Back Pain
A study testing Dual-Task Neuromuscular Warm-Up Exercise Group and Neuromuscular Warm-Up Exercise in people with Low Back Pain, run by Istinye University.
Trial summary
This study aims to investigate the immediate effects of dual-task neuromuscular warm-up exercises on balance and proprioception in individuals with chronic nonspecific low back pain. Read more about this study
- Who is it for?
- Ages 18 to 50 years
- Conditions the study is for
- Low Back Pain
- What is being tested?
- Dual-Task Neuromuscular Warm-Up Exercise Group and Neuromuscular Warm-Up Exercise
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- No sites listed yet
- Study dates
- 25 Aug 2026to 10 Mar 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 18 to 50 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Diagnosed with nonspecific low back pain persisting for at least 3 months.
- Pain intensity of ≥3 on the Visual Analog Scale (VAS).
- Sufficient cognitive ability to understand and follow verbal and written instructions in Turkish.
- Independent mobility sufficient to perform the tests and exercises.
- Willingness to participate and provision of written informed consent.
Who cannot join
- Acute disc herniation, spinal stenosis, spondylolysis, or spondylolisthesis.
- Previous spinal surgery or a history of severe trauma affecting the spine.
- Rheumatic diseases, malignancy, infection, or neurological diseases that may cause low back pain.
- Sensory or motor loss in the lower extremities or deep tendon reflex loss indicating radiculopathy.
- Known vestibular or visual system disorders.
- Body mass index (BMI) ≥30 kg/m².
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- Pregnancy.
- Physiotherapy/rehabilitation treatment or steroid injection targeting the lumbar region within the previous 3 months.
- Use of analgesics, muscle relaxants, or sedatives within the previous 24 hours that may affect balance or pain threshold.
- Other orthopedic or systemic health conditions that may interfere with exercise or balance testing.
About this study
Official title: Immediate Effects of Dual-Task Neuromuscular Warm-Up Exercises on Balance and Proprioception in Individuals With Chronic Nonspecific Low Back Pain: A Randomized Controlled Study
This study aims to investigate the immediate effects of dual-task neuromuscular warm-up exercises on balance and proprioception in individuals with chronic nonspecific low back pain. Participants will be randomly assigned to either a dual-task neuromuscular warm-up exercise group or a neuromuscular warm-up exercise group. Both groups will also receive the same conventional physiotherapy program. Balance, proprioception, lumbar muscle properties, pressure pain threshold, and flexibility will be assessed before and after the intervention to determine whether adding cognitive tasks to neuromuscular warm-up exercises provides additional immediate benefits.
- Conditions
- Low Back Pain
- Being tested
- Dual-Task Neuromuscular Warm-Up Exercise Group, Neuromuscular Warm-Up Exercise
- Keywords
- Chronic Nonspecific Low Back Pain, Dual-Task Training, Neuromuscular Warm-Up, Balance, Proprioception, Postural Control
- Medical subject headings
- Low Back Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dual-Task Neuromuscular Warm-Up Exercise GroupOther
Participants will perform neuromuscular warm-up exercises combined with cognitive tasks, including single-leg balance with backward counting, squats with word generation, tandem walking with counting, balance pad standing with a memory task, and step-up exercises with a reaction task. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.
Neuromuscular Warm-Up ExerciseOther
Participants will perform the same neuromuscular warm-up exercises without cognitive tasks, including single-leg balance, squats, tandem walking, balance pad standing, and step-up exercises. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.
| Study group | Role | What they receive |
|---|---|---|
| Dual-Task Neuromuscular Warm-Up Exercise Group | Experimental | Not described Receives: Other: Dual-Task Neuromuscular Warm-Up Exercise Group |
| Neuromuscular Warm-Up Exercise Group | Active comparator | Not described Receives: Other: Neuromuscular Warm-Up Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
Balance
Balance assessed using the ProKin Balance Measurement System.
Measured: Immediately before and after the intervention (same day)
Proprioception
Lower-extremity joint position sense assessed using the ProKin Balance Measurement System.
Measured: Immediately before and after the intervention (same day)
Secondary outcomes (6)
Lumbar Erector Spinae Muscle Tone
Muscle tone assessed using MyotonPRO.
Measured: Immediately before and after the intervention (same day)
Lumbar Erector Spinae Muscle Stiffness
Muscle stiffness assessed using MyotonPRO.
Measured: Immediately before and after the intervention (same day)
Lumbar Erector Spinae Muscle Elasticity
Muscle elasticity assessed using MyotonPRO.
Measured: Immediately before and after the intervention (same day)
Pressure Pain Threshold
Pressure pain threshold assessed using an algometer.
Measured: Immediately before and after the intervention (same day)
Hamstring and Lumbar Muscle Flexibility
Flexibility assessed using the Sit and Reach Test.
Measured: Immediately before and after the intervention (same day)
Global Perceived Change
Perceived change following the intervention assessed using the Global Rating of Change Scale.
Measured: Immediately after the intervention.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Aug 2026
- Study start25 Aug 2026 (estimated)
- Primary completion5 Mar 2027 (estimated)
- Study completion10 Mar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Low Back PainStudies 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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Istinye University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yunus Emre Tutuneken, Istinye University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07761247
- Sponsor's protocol ID
- 102
- Status last verified
- Aug 2026
- First submitted
- 8 Aug 2026
- Last updated
- 12 Aug 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Immediate Effects of Dual-Task Neuromuscular Warm-Up Exercises on Balance and Proprioception in Individuals With Chronic Nonspecific Low Back Pain: A Randomized Controlled Study
- ClinicalTrials.gov ID
- NCT07761247
- Acronym / sponsor ID
- 102
- Conditions
- Low Back Pain
- Keywords
- Chronic Nonspecific Low Back Pain, Dual-Task Training, Neuromuscular Warm-Up, Balance, Proprioception, Postural Control
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Istinye UniversityUniversity, hospital or other
- Study start
- 25 Aug 2026 (estimated)
- Primary completion
- 5 Mar 2027 (estimated)
- Study completion
- 10 Mar 2027 (estimated)
- First posted
- 12 Aug 2026 (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.
This study aims to investigate the immediate effects of dual-task neuromuscular warm-up exercises on balance and proprioception in individuals with chronic nonspecific low back pain. Participants will be randomly assigned to either a dual-task neuromuscular warm-up exercise group or a neuromuscular warm-up exercise group. Both groups will also receive the same conventional physiotherapy program. Balance, proprioception, lumbar muscle properties, pressure pain threshold, and flexibility will be assessed before and after the intervention to determine whether adding cognitive tasks to neuromuscular warm-up exercises provides additional immediate benefits.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Dual-Task Neuromuscular Warm-Up Exercise Group | Experimental | Other: Dual-Task Neuromuscular Warm-Up Exercise Group |
| Neuromuscular Warm-Up Exercise Group | Active comparator | Other: Neuromuscular Warm-Up Exercise |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Diagnosed with nonspecific low back pain persisting for at least 3 months.
- Pain intensity of ≥3 on the Visual Analog Scale (VAS).
- Sufficient cognitive ability to understand and follow verbal and written instructions in Turkish.
- Independent mobility sufficient to perform the tests and exercises.
- Willingness to participate and provision of written informed consent.
Key exclusion criteria (10 listed)
- Acute disc herniation, spinal stenosis, spondylolysis, or spondylolisthesis.
- Previous spinal surgery or a history of severe trauma affecting the spine.
- Rheumatic diseases, malignancy, infection, or neurological diseases that may cause low back pain.
- Sensory or motor loss in the lower extremities or deep tendon reflex loss indicating radiculopathy.
- Known vestibular or visual system disorders.
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 |
|---|---|---|
| Dual-Task Neuromuscular Warm-Up Exercise GroupParticipants will perform neuromuscular warm-up exercises combined with cognitive tasks, including single-leg balance with backward counting, squats with word generation, tandem walking with counting, balance pad standing with a memory task, and step-up exercises with a reaction task. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises. | Other | Dual-Task Neuromuscular Warm-Up Exercise Group |
| Neuromuscular Warm-Up ExerciseParticipants will perform the same neuromuscular warm-up exercises without cognitive tasks, including single-leg balance, squats, tandem walking, balance pad standing, and step-up exercises. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises. | Other | Neuromuscular Warm-Up Exercise Group |
Primary outcome
Balance
Time frame: Immediately before and after the intervention (same day)
Balance assessed using the ProKin Balance Measurement System.
Proprioception
Time frame: Immediately before and after the intervention (same day)
Lower-extremity joint position sense assessed using the ProKin Balance Measurement System.
6 secondary outcomes
Lumbar Erector Spinae Muscle Tone
Time frame: Immediately before and after the intervention (same day)
Lumbar Erector Spinae Muscle Stiffness
Time frame: Immediately before and after the intervention (same day)
Lumbar Erector Spinae Muscle Elasticity
Time frame: Immediately before and after the intervention (same day)
Pressure Pain Threshold
Time frame: Immediately before and after the intervention (same day)
Hamstring and Lumbar Muscle Flexibility
Time frame: Immediately before and after the intervention (same day)
Global Perceived Change
Time frame: Immediately after the intervention.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2026.
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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.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing Dual-Task Neuromuscular Warm-Up Exercise Group and Neuromuscular Warm-Up Exercise in people with Low Back Pain, run by Istinye University.
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 10 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: opening soon, as of the sponsor's last update on 12 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
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?
This study is still under way. Results are not available in the source record yet.
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?
Balance (time frame: Immediately before and after the intervention (same day)). The study lists 2 primary outcomes in all. 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 12 Aug 2026.