Chronic Low-back PainNCT06807710
Effects of Dynamic Neuromuscular Stabilization on Pain, Posture, and Quality of Life in Chronic Low Back Pain
A study testing DNS Group in people with Chronic Low-back Pain, run by Uskudar University at 1 site in Turkey (Türkiye).
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 to 55 yearsHealthy volunteers can take part
- Conditions the study is for
- Chronic Low-back Pain
- What is being tested?
- DNS Group
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 3 Dec 2025to 25 Mar 2026
- 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 18 to 55 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Aged between 18 and 50 years
- Experiencing continuous or intermittent low back pain for more than 3 months, localized between the L1 region and gluteal muscles
Who cannot join
- Specific medical diagnoses such as spinal fractures or spinal stenosis
- Presence of rheumatological disorders
- Tumors
- History of lumbar surgery in the last 3 years
- Neurological problems
- Osteoporosis
Show all 12Show fewer
- History of epilepsy, vertigo, headaches, or nausea
- Chronic lung diseases
- Prior physiotherapy treatment for low back pain
- Acute low back pain episodes
- Mental disorders
- Pregnancy
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Uskudar University Physiotherapy and Rehabilitation Application and Research Center
Istanbul
About this study
Official title: A Study on the Effects of Dynamic Neuromuscular Stabilization Exercises on Pain, Posture, and Quality of Life in Individuals With Chronic Non-Specific Low Back Pain
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.
Read the detailed description
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.
- Conditions
- Chronic Low-back Pain
- Being tested
- DNS Group, Control Group
- Keywords
- Rehabilitation, Exercise Therapy, Physiotherapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DNS GroupOther
Also called Dynamic Neuromuscular Stabilization
Dynamic neuromuscular stabilization exercises, on the other hand, are designed to achieve sagittal stabilization by utilizing the stabilizing function of the thoracic diaphragm muscle.
Control GroupOther
Conventional physiotherapy program including stretching, strengthening, and posture exercises applied under physiotherapist supervision.
| Study group | Role | What they receive |
|---|---|---|
| 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. Receives: Other: DNS Group |
| 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. Receives: Other: Control Group |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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.
Measured: 8 weeks
Secondary outcomes (4)
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.
Measured: 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.
Measured: 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.
Measured: 8 weeks
Lumbar Range of Motion
Lumbar flexion, extension, and right and left lateral flexion will be assessed using a goniometer.
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 posted4 Feb 2025
- Study start3 Dec 2025
- Primary completion1 Feb 2026
- Study completion25 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic 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
- Model description
- Training and Control group
- Masking
- None (open label)
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Uskudar University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, MERVE BAŞARDI, Uskudar University
- Investigators
- Filiz Eyuboglu, PhD., Study director, Uskudar UniversityMert Ilhan, MSc., Principal investigator, Uskudar University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06807710
- Sponsor's protocol ID
- 2025-PT-MRVB-RCT
- Status last verified
- Apr 2026
- First submitted
- 29 Jan 2025
- Last updated
- 5 May 2026
- Results posted
- No
- Data monitoring committee
- No
- 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 5 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Study on the Effects of Dynamic Neuromuscular Stabilization Exercises on Pain, Posture, and Quality of Life in Individuals With Chronic Non-Specific Low Back Pain
- ClinicalTrials.gov ID
- NCT06807710
- Acronym / sponsor ID
- 2025-PT-MRVB-RCT
- Conditions
- Chronic Low-back Pain
- Keywords
- Rehabilitation, Exercise Therapy, Physiotherapy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Uskudar UniversityUniversity, hospital or other
- Study start
- 3 Dec 2025 (actual)
- Primary completion
- 1 Feb 2026 (actual)
- Study completion
- 25 Mar 2026 (actual)
- First posted
- 4 Feb 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.
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.
Detailed description
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Training and Control group
| Arm | Type | Receives |
|---|---|---|
| DNS Group | Experimental | Other: DNS GroupParticipants 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. |
| Control Group | Experimental | Other: Control GroupParticipants 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. |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Aged between 18 and 50 years
- Experiencing continuous or intermittent low back pain for more than 3 months, localized between the L1 region and gluteal muscles
Key exclusion criteria (12 listed)
- Specific medical diagnoses such as spinal fractures or spinal stenosis
- Presence of rheumatological disorders
- Tumors
- History of lumbar surgery in the last 3 years
- Neurological 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 |
|---|---|---|
| DNS GroupAlso: Dynamic Neuromuscular StabilizationDynamic neuromuscular stabilization exercises, on the other hand, are designed to achieve sagittal stabilization by utilizing the stabilizing function of the thoracic diaphragm muscle. | Other | DNS Group |
| Control GroupConventional physiotherapy program including stretching, strengthening, and posture exercises applied under physiotherapist supervision. | Other | Control Group |
Primary outcome
Visual Analog Scale (VAS)
Time frame: 8 weeks
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.
New York Posture Analysis
Time frame: 8 weeks
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.
4 secondary outcomes
Oswestry Disability Index (ODI)
Time frame: 8 weeks
Short Form-36 (SF-36) Health Survey
Time frame: 8 weeks
Chest Circumference Measurement
Time frame: 8 weeks
Lumbar Range of Motion
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 5 May 2026.
- Individual participant dataSharing planned: No
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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.
Filiz Eyuboglu, PhD. study director
Uskudar University
Mert Ilhan, MSc. principal investigator
Uskudar 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 DNS Group in people with Chronic Low-back Pain, run by Uskudar University 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 2 inclusion and 12 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 5 May 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 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?
Visual Analog Scale (VAS) (time frame: 8 weeks). 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 5 May 2026.