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
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Istinye University
- Enrollment
- 40
- Primary Endpoint
- Balance
Study Overview
Brief 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. 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
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
- •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.
Arms & Interventions
Dual-Task Neuromuscular Warm-Up Exercise Group
Intervention: Dual-Task Neuromuscular Warm-Up Exercise Group (Other)
Neuromuscular Warm-Up Exercise Group
Intervention: Neuromuscular Warm-Up Exercise (Other)
Outcomes
Primary Outcomes
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.
Secondary Outcomes
- Lumbar Erector Spinae Muscle Tone(Immediately before and after the intervention (same day))
- Lumbar Erector Spinae Muscle Stiffness(Immediately before and after the intervention (same day))
- Lumbar Erector Spinae Muscle Elasticity(Immediately before and after the intervention (same day))
- Pressure Pain Threshold(Immediately before and after the intervention (same day))
- Hamstring and Lumbar Muscle Flexibility(Immediately before and after the intervention (same day))
- Global Perceived Change(Immediately after the intervention.)
Investigators
Yunus Emre Tutuneken
Dr. Assistant Professor
Istinye University