Effect of Dynamic Neuromuscular Stabilization Exercises Versus Conservative Treatment on Pain, Endurance and Flexibility in Allied Health Sciences Students With Non-specific Low Backache
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 56
- 试验地点
- 2
- 主要终点
- Visual Analogue Scale (VAS)
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Previous back surgery, tumors, deformities, infection
- •Low backache associated with trauma
- •Low backache with neurological symptoms
研究组 & 干预措施
Control Group
干预措施: Core Strengthening Exercises (Other)
Intervention Group
干预措施: Dynamic Neuromuscular Stabilization Exercises (Other)
Intervention Group
干预措施: Core Strengthening Exercises (Other)
结局指标
主要结局
Visual Analogue Scale (VAS)
时间窗: 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.
McGill's Core Endurance Test
时间窗: 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.
Sit-and-reach Test
时间窗: 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.
次要结局
未报告次要终点
研究者
Rida Zainab
Principal Investigator
University of Health Sciences Lahore