Effect of Dynamic Neuromuscular Stabilization Exercises Versus Conservative Treatment on Pain, Endurance and Flexibility in Non-specific Low Backache

May 8, 2026 updated by: Rida Zainab, University of Health Sciences Lahore

Effect of Dynamic Neuromuscular Stabilization Exercises Versus Conservative Treatment on Pain, Endurance and Flexibility in Allied Health Sciences Students With Non-specific Low Backache

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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).

Study Type

Interventional

Enrollment (Actual)

56

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
      • Lahore, Pakistan
        • Rida Zainab
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 39350
        • University of Health Sciences Lahore

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Allied Health Sciences students aged 18-25 years
  • Participants having non-specific low backache
  • Visual Analogue scale (VAS) equal to or greater than 3
  • Body Mass Index (BMI) < 28kg/m2

Exclusion Criteria:

  • Previous back surgery, tumors, deformities, infection
  • Low backache associated with trauma
  • Low backache with neurological symptoms

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention Group
Other: Core Strengthening Exercises
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.
Other: Dynamic Neuromuscular Stabilization Exercises
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.
Active Comparator: Control Group
Other: Core Strengthening Exercises
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Visual Analogue Scale (VAS)
Time Frame: From enrollment to the end of treatment at 4 weeks.
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
Time Frame: From enrollment to the end of treatment at 4 weeks.
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
Time Frame: From enrollment to the end of treatment at 4 weeks.
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.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Health Sciences Lahore

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 23, 2026

Primary Completion (Actual)

March 23, 2026

Study Completion (Actual)

April 4, 2026

Study Registration Dates

First Submitted

February 22, 2026

First Submitted That Met QC Criteria

February 22, 2026

First Posted (Actual)

February 27, 2026

Study Record Updates

Last Update Posted (Actual)

May 13, 2026

Last Update Submitted That Met QC Criteria

May 8, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • UHS/USERC-26/SEC/86

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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