]>
IRCT20251204068213N1 IRCT 2026-07-28 The university of Arak Investigating the effect of dynamic neuromuscular stabilization exercises on core muscle contraction and balance in women with non-specific chronic low back pain The effect of dynamic neuromuscular stability training on core muscle contraction and balance in women with chronic specific low back pain 2025-11-11 anticipated 26 Complete https://irct.ir/trial/88019 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this study, randomization will be conducted as simple randomization at the individual level. The sequence of group assignments will be generated prior to participant enrollment using a random number table created in Excel. To ensure allocation concealment, the generated sequence will be kept by an individual outside the research team, and the researcher will remain unaware of the assignment order; thus, the risk of systematic bias in the enrollment process will be reduced. Each eligible participant, after screening and providing informed consent, will be assigned sequentially according to the predetermined random sequence into one of the two study groups (exercise group and control group), Blinding description: In this study, due to the nature of the exercise interventions, blinding of participants and researchers is not feasible; since the type of exercise is evident to both participants and researchers, as well as to data collectors and outcome assessors, they are necessarily aware of the group allocation. However, the data analyst responsible for the statistical analysis of the results will remain blinded to the group assignments in order to prevent bias in the final analysis. Information regarding group allocation will only be provided to the analyst through specific coding. N/A Chronic non-specific low back pain. Intervention 1: Intervention group: Participants in the Dynamic neuromuscular exercises group received 12 sessions of 50 minutes each over 4 weeks (three sessions per week). Each session consisted of 5 minutes of warm-up, 40 minutes of main exercises, and 5 minutes of cool-down. The main exercises included six movements based on the DNS approach (diaphragmatic breathing, dead-bug, rolling to the side, bear-crawl, side plank, and transition to sitting and kneeling positions). Each exercise was performed in 2 sets of 10 repetitions, with 2 minutes of rest between exercises. An experienced physiotherapist provided verbal feedback to ensure adherence to the three DNS principles (abdominal breathing, sagittal stability, and simultaneous agonist-antagonist contraction). Intervention 2: The control group did not perform dynamic neuromuscular stability exercises, but they did perform abdominal muscle sonography in two phases (pre-test and post-test). Additionally, dynamic balance tests and static balance tests were also conducted in two phases (pre-test and post-test). Yes - There is a plan to make this available What will be shared: All research data will be made available after publication, except for any data that could lead to the identification of participants. Only de‑identified data or aggregated data related to the primary outcome variables will be shared, if needed. When: Five months after the publication of the results To whom: All individuals, researchers, faculty members, and people with non‑specific chronic low back pain can benefit from this research. Conditions: Individuals who wish to review the study may contact the researcher via email to request access to the documentation. Where to obtain: They should first contact Dr. Shahrjerdi via email at s‑shahrjerdi@araku.ac.ir and then follow up by calling +98‑939‑032‑8958. They may also visit the Arak University Library, located in Sardasht, Karbala Boulevard, Arak University. How to obtain: Researchers may receive the requested documentation after sending an email and obtaining confirmation from the researcher. Comments:
public Shahnaz Shahrjerdi
Faculty of Sports Sciences, Department of Sports Physiology and Pathology, Arak University, Karbala Boulevard, Basij Square, Sardasht, Arak
Arak Iran (Islamic Republic of) 3848177484 +98 86 3262 9024 s-shahrjerdi@araku.ac.ir The university of Arak scientific Shahnaz Shahrjerdi
Faculty of Sports Sciences, Department of Sports Physiology and Pathology, Arak University, Karbala Boulevard, Basij Square, Sardasht, Arak
Arak Iran (Islamic Republic of) 3848177584 +98 86 3262 9024 s-shahrjerdi@araku.ac.ir The University of Arak Iran (Islamic Republic of) Age between 18 and 30 years Female gender Diagnosis of chronic non-specific low back pain with persistent pain for more than 3 months Healthy psychological and cognitive functioning, assessed based on the following criteria: a) No reported history of psychological or cognitive disorders b) Participants' ability to understand and complete study instructions during clinical interview c) Confirmation through clinical judgment by an experienced physician 18 years 30 years Female Previous back surgery, spinal tumors, deformities, or infections Low back pain of traumatic or structural origin, or low back pain with neurological symptoms Previous neurological or cardiopulmonary diseases, including chronic obstructive pulmonary disease, which had severely affected motor function Unwillingness to continue cooperating with you in the course of work M54.5 Low back pain Rehabilitation N/A Intervention group: Participants in the Dynamic neuromuscular exercises group received 12 sessions of 50 minutes each over 4 weeks (three sessions per week). Each session consisted of 5 minutes of warm-up, 40 minutes of main exercises, and 5 minutes of cool-down. The main exercises included six movements based on the DNS approach (diaphragmatic breathing, dead-bug, rolling to the side, bear-crawl, side plank, and transition to sitting and kneeling positions). Each exercise was performed in 2 sets of 10 repetitions, with 2 minutes of rest between exercises. An experienced physiotherapist provided verbal feedback to ensure adherence to the three DNS principles (abdominal breathing, sagittal stability, and simultaneous agonist-antagonist contraction). The control group did not perform dynamic neuromuscular stability exercises, but they did perform abdominal muscle sonography in two phases (pre-test and post-test). Additionally, dynamic balance tests and static balance tests were also conducted in two phases (pre-test and post-test). Core Muscle Contraction. Timepoint: At the beginning of the study and after 12 intervention sessions. Method of measurement: Diagnostic ultrasound unit. Balance. Timepoint: At the beginning of the study and after 12 intervention sessions. Method of measurement: Y Balance Test. Stork Balance Test. The university of Arak Approved 2025-10-22 Ethics Committee of Arak University Arak University, Karbala Boulevard, Basij Square, Sardasht, Arak Arak Markazi Iran (Islamic Republic of)