Chronic Low Back Pain (CLBP)NCT07912060
Integrated Feldenkrais Method With and Without DNS for Chronic Low Back Pain in Females
A study testing Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNS and Feldenkrais Method Alone in people with Chronic Low Back Pain (CLBP), run by University of Management and Technology Lahore at 1 site in Pakistan.
Trial summary
Non-specific low back pain is defined as low back pain not attributable to an identifiable, known specific pathology. Non-specific low back pain accounts for over 90% of patients presenting to primary care and these are the majority of the individuals with low back pain that present to physiotherapy. Read more about this study
- Who is it for?
- Ages 18 to 35 years
- Conditions the study is for
- Chronic Low Back Pain (CLBP)
- What is being tested?
- Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNS and Feldenkrais Method Alone
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 sitePakistan
- Study dates
- 27 Oct 2026to 31 Dec 2026
- 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 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Young adult females aged 18-35 years with chronic non-specific low back pain.
- Mild-to-moderate pain intensity, with NPRS scores ranging from 2/10 to 6/10.
- Low back pain persisting for at least three months (12 weeks).
- No radiating pain below the gluteal fold.
- Ability to understand and follow verbal instructions.
- No structured physiotherapy or exercise programme during the preceding three months.
Who cannot join
- Diagnosis of Systemic metabolic or neurological disorders.
- Neuropathic pain.
- Any referred pain below the gluteal fold or lower-limb neurological involvement is not included.
- Diagnosed disc herniation, spinal stenosis, spondylolisthesis, spondylitis, or other pathological spinal conditions such as tumors, kidney disease, visceral disease, or other medical illnesses associated with low back pain.
- Previous surgery for low back pain.
- Pregnancy.
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
University of Management & Technology
Lahore, Punjab Province, 54000
About this study
Official title: Effects of Integrated Feldenkrais Method With and Without Dynamic Neuromuscular Stabilization Exercises on Pain, Disability and Quality of Life Among Females With Chronic Low Back Pain.
Non-specific low back pain is defined as low back pain not attributable to an identifiable, known specific pathology. Non-specific low back pain accounts for over 90% of patients presenting to primary care and these are the majority of the individuals with low back pain that present to physiotherapy. It is thought that in some cases the cause may be an over-stretch (sprain) of a ligament or muscle. In other cases, the cause may be a minor problem with a disc between two spinal bones (vertebrae), or a minor problem with a small facet joint between two vertebrae. There may be other minor problems in the structures and tissues of the lower back that result in pain. The terminology becomes "chronic" low back pain when the symptom duration exceeds three months (CLBP). A variety of different types of exercise have been explored to treat CLBP, including low-to-moderate intensity aerobic exercise, high intensity aerobic exercise, core stabilization and muscular strength exercises and flexibility program. However, the most effective form of exercise as a method of rehabilitation for NSCLBP is unknown reflecting its complexity and more research is required. Objective of this study will be to compare the effects of Feldenkrais method with and without Dynamic Neuromuscular Stabilization exercises on pain, functional disability and quality of life in patients with non-specific chronic low back pain. Study design will be randomized clinical trial. Evaluation will be done by using NPRS, ODI and SF-12. Non-probability convenient sampling will be used and the subjects will be allocated to two groups by random allocation. Group A will receive Feldenkrais approach and Group B will receive Feldenkrais method with dynamic neuromuscular stabilization exercises. Both groups will receive hot pack for 15 minutes as basic treatment of non-specific low back pain before techniques application. Both groups will receive 12 sessions for the period of 4 weeks. Measurements of all the outcome variables will be taken at baseline, 2nd and 4th week. Results will be analyzed by using SPSS 24.
- Conditions
- Chronic Low Back Pain (CLBP)
- Being tested
- Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNS, Feldenkrais Method Alone
- Keywords
- Non- specific, low back pain, Feldenkrais, dynamic, neuromuscular
- 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.
Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNSOther
Participants will receive an integrated intervention combining the Feldenkrais Method with Dynamic Neuromuscular Stabilization (DNS) exercises, along with a 15-minute hot pack application, to address pain, functional disability, and quality of life in young females with chronic non-specific low back pain. Treatment will be provided three times per week for four weeks, for a total of 12 sessions, with each session lasting approximately 45-60 minutes.
Feldenkrais Method AloneOther
Participants will receive the Feldenkrais Method along with a 15-minute hot pack application to address pain, functional disability, and quality of life in young females with chronic non-specific low back pain. Treatment will be provided three times per week for four weeks, for a total of 12 sessions, with each session lasting approximately 30-45 minutes
| Study group | Role | What they receive |
|---|---|---|
| Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNS | Experimental | Participants will receive an integrated intervention combining the Feldenkrais Method with Dynamic Neuromuscular Stabilization (DNS) exercises, along with a 15-minute hot pack application, to address pain, functional disability, and quality of life in young females with chronic non-specific low back pain. Treatment will be provided three times per week for four weeks, for a total of 12 sessions, with each session lasting approximately 45-60 minutes. Receives: Other: Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNS |
| Feldenkrais Method Alone | Active comparator | Participants will receive the Feldenkrais Method along with a 15-minute hot pack application to address pain, functional disability, and quality of life in young females with chronic non-specific low back pain. Treatment will be provided three times per week for four weeks, for a total of 12 sessions, with each session lasting approximately 30-45 minutes Receives: Other: Feldenkrais Method Alone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain by Numeric Pain Rating Scale
The NPRS is an 11-point numeric scale ranging from 0 to 10 used to assess pain intensity. With 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform.
Measured: At baseline and after 6 weeks
Disability by Modified Oswestry Disability Index (MODI)
Functional disability will be assessed using the Modified Oswestry Disability Index (MODI), which evaluates the impact of low back pain on daily activities and functional abilities. The questionnaire assesses limitations in activities such as personal care, lifting, walking, sitting, standing, and other everyday tasks. Changes in MODI scores will indicate improvements or changes in disability following treatment.
Measured: At baseline and after 6 weeks
Quality of Life by 12-Item Short Form Health Survey (SF-12)
Quality of life will be assessed using the 12-Item Short Form Health Survey (SF-12), which measures participants' perceived physical and mental health status. It evaluates aspects of physical functioning, role limitations, bodily pain, general health, vitality, social functioning, and emotional and mental health. Changes in SF-12 physical and mental component scores will be used to assess the effects of the interventions on participants' quality of life.
Measured: At baseline and after 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Nov 2026
- Study start27 Oct 2026
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Low Back Pain (CLBP)Studies 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
- Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Management and Technology Lahore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Nosheen Manzoor, University of Management and Technology Lahore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07912060
- Sponsor's protocol ID
- RE-185-2026
- Status last verified
- Oct 2026
- First submitted
- 27 Oct 2026
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The results data collected , de-identified individual participant data will be shared.
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Integrated Feldenkrais Method With and Without Dynamic Neuromuscular Stabilization Exercises on Pain, Disability and Quality of Life Among Females With Chronic Low Back Pain.
- ClinicalTrials.gov ID
- NCT07912060
- Acronym / sponsor ID
- RE-185-2026
- Conditions
- Chronic Low Back Pain (CLBP)
- Keywords
- Non- specific, low back pain, Feldenkrais, dynamic, neuromuscular
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 60 participants (actual)
- Lead sponsor
- University of Management and Technology LahoreUniversity, hospital or other
- Study start
- 27 Oct 2026 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 3 Nov 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.
Non-specific low back pain is defined as low back pain not attributable to an identifiable, known specific pathology. Non-specific low back pain accounts for over 90% of patients presenting to primary care and these are the majority of the individuals with low back pain that present to physiotherapy. It is thought that in some cases the cause may be an over-stretch (sprain) of a ligament or muscle. In other cases, the cause may be a minor problem with a disc between two spinal bones (vertebrae), or a minor problem with a small facet joint between two vertebrae. There may be other minor problems in the structures and tissues of the lower back that result in pain. The terminology becomes "chronic" low back pain when the symptom duration exceeds three months (CLBP). A variety of different types of exercise have been explored to treat CLBP, including low-to-moderate intensity aerobic exercise, high intensity aerobic exercise, core stabilization and muscular strength exercises and flexibility program. However, the most effective form of exercise as a method of rehabilitation for NSCLBP is unknown reflecting its complexity and more research is required. Objective of this study will be to compare the effects of Feldenkrais method with and without Dynamic Neuromuscular Stabilization exercises on pain, functional disability and quality of life in patients with non-specific chronic low back pain. Study design will be randomized clinical trial. Evaluation will be done by using NPRS, ODI and SF-12. Non-probability convenient sampling will be used and the subjects will be allocated to two groups by random allocation. Group A will receive Feldenkrais approach and Group B will receive Feldenkrais method with dynamic neuromuscular stabilization exercises. Both groups will receive hot pack for 15 minutes as basic treatment of non-specific low back pain before techniques application. Both groups will receive 12 sessions for the period of 4 weeks. Measurements of all the outcome variables will be taken at baseline, 2nd and 4th week. Results will be analyzed by using SPSS 24.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNS | Experimental | Other: Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNSParticipants will receive an integrated intervention combining the Feldenkrais Method with Dynamic Neuromuscular Stabilization (DNS) exercises, along with a 15-minute hot pack application, to address pain, functional disability, and quality of life in young females with chronic non-specific low back pain. Treatment will be provided three times per week for four weeks, for a total of 12 sessions, with each session lasting approximately 45-60 minutes. |
| Feldenkrais Method Alone | Active comparator | Other: Feldenkrais Method AloneParticipants will receive the Feldenkrais Method along with a 15-minute hot pack application to address pain, functional disability, and quality of life in young females with chronic non-specific low back pain. Treatment will be provided three times per week for four weeks, for a total of 12 sessions, with each session lasting approximately 30-45 minutes |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Young adult females aged 18-35 years with chronic non-specific low back pain.
- Mild-to-moderate pain intensity, with NPRS scores ranging from 2/10 to 6/10.
- Low back pain persisting for at least three months (12 weeks).
- No radiating pain below the gluteal fold.
- Ability to understand and follow verbal instructions.
Key exclusion criteria (6 listed)
- Diagnosis of Systemic metabolic or neurological disorders.
- Neuropathic pain.
- Any referred pain below the gluteal fold or lower-limb neurological involvement is not included.
- Diagnosed disc herniation, spinal stenosis, spondylolisthesis, spondylitis, or other pathological spinal conditions such as tumors, kidney disease, visceral disease, or other medical illnesses associated with low back pain.
- Previous surgery for low back pain.
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 |
|---|---|---|
| Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNSParticipants will receive an integrated intervention combining the Feldenkrais Method with Dynamic Neuromuscular Stabilization (DNS) exercises, along with a 15-minute hot pack application, to address pain, functional disability, and quality of life in young females with chronic non-specific low back pain. Treatment will be provided three times per week for four weeks, for a total of 12 sessions, with each session lasting approximately 45-60 minutes. | Other | Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNS |
| Feldenkrais Method AloneParticipants will receive the Feldenkrais Method along with a 15-minute hot pack application to address pain, functional disability, and quality of life in young females with chronic non-specific low back pain. Treatment will be provided three times per week for four weeks, for a total of 12 sessions, with each session lasting approximately 30-45 minutes | Other | Feldenkrais Method Alone |
Primary outcome
Pain by Numeric Pain Rating Scale
Time frame: At baseline and after 6 weeks
The NPRS is an 11-point numeric scale ranging from 0 to 10 used to assess pain intensity. With 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform.
Disability by Modified Oswestry Disability Index (MODI)
Time frame: At baseline and after 6 weeks
Functional disability will be assessed using the Modified Oswestry Disability Index (MODI), which evaluates the impact of low back pain on daily activities and functional abilities. The questionnaire assesses limitations in activities such as personal care, lifting, walking, sitting, standing, and other everyday tasks. Changes in MODI scores will indicate improvements or changes in disability following treatment.
Quality of Life by 12-Item Short Form Health Survey (SF-12)
Time frame: At baseline and after 6 weeks
Quality of life will be assessed using the 12-Item Short Form Health Survey (SF-12), which measures participants' perceived physical and mental health status. It evaluates aspects of physical functioning, role limitations, bodily pain, general health, vitality, social functioning, and emotional and mental health. Changes in SF-12 physical and mental component scores will be used to assess the effects of the interventions on participants' quality of life.
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 3 Nov 2026.
- Related InfoLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. The results data collected , de-identified individual participant data will be shared.
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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. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Integrated Feldenkrais Method with Dynamic Neuromuscular Stabilization exercises DNS and Feldenkrais Method Alone in people with Chronic Low Back Pain (CLBP), run by University of Management and Technology Lahore at 1 site in Pakistan.
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 6 inclusion and 6 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: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. 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 Pakistan. 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?
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?
Pain by Numeric Pain Rating Scale (time frame: At baseline and after 6 weeks). The study lists 3 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 3 Nov 2026.