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IRCT20260128068685N1 IRCT 2026-08-06 University of Isfahan The effect of dynamic neuromuscular stability (DNS) exercises with and without abdominal maneuver (ADIM) Effect of Eight-Week Dynamic Neuromuscular Stabilization (DNS) Training With and Without Abdominal Drawing-In Maneuver (ADIM) on Balance, Pulmonary Function Indices, Motor Performance, and Quality of Life in Individuals with Incomplete Paraplegic Spinal Cord Injury 2026-08-09 anticipated 30 Recruiting https://irct.ir/trial/88811 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Participants were assigned to two intervention groups (DNS with ADIM and DNS without ADIM) using a paired random allocation method based on the ASIA scale using Randomizer.org software. This method maintains balance between groups and reduces selection bias. N/A Incomplete Paraplegic Spinal Cord Injury. Intervention 1: Intervention group: Participants will perform dynamic neuromuscular stability exercises with abdominal drawing-in maneuvers under the supervision of a therapist for 8 weeks, 3 sessions per week, 45 minutes each session. The exercise program includes modified core stability patterns in seated functional positions appropriate to the ability of individuals with spinal cord injury, and the intensity and progression of the exercises will gradually increase over the course. All sessions will be performed with the same protocol and under the supervision of the researcher. Intervention 2: Control group: Participants will receive the same dynamic neuromuscular stability exercises with the same order, duration, intensity, and number of sessions for 8 weeks, 3 sessions per week, each session lasting 45 minutes, except that the abdominal drawing-in maneuver is not performed during the exercises. All sessions will be supervised by the researcher and will follow the same protocol. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information available

public Mohammad Hossein Jafari

Isfahan, Gharazi Street, Kheradmand Street, Baharan Alley 1 West_Plate 24

Isfahan Iran (Islamic Republic of) 08196353191 +98 31 3457 2317 mh.jafari@spr.ui.ac.ir The University of Isfahan scientific Dr. Gholamali Ghasemi

Faculty of Sport Sciences, University of Isfahan, Azadi Square, Isfahan

Isfahan Iran (Islamic Republic of) ۸۱۷۴۶۷۳۴۴۱ +98 31 3793 2128 gh.ghasemi@spr.ui.ac.ir University of Isfahan Iran (Islamic Republic of) Diagnosis of SCI (paraplegia-incomplete) by a specialist doctor Voluntary consent to participate in the research Absence of other neurological diseases such as MS and ... Ability to perform ADIM and DNS exercises (modified) Ability to sit independently Minimum 20 years and maximum 45 years 20 years 45 years Both Absence of more than 3 consecutive sessions or 5 alternate sessions Pain or any problem that makes the subject's presence in the study impossible Voluntary withdrawal from the study History of spinal surgery or hip fracture Chest deformity and respiratory problems Failure to complete the tests Minimum 20 years and maximum 45 years S34 Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and pelvis level Rehabilitation Rehabilitation Intervention group: Participants will perform dynamic neuromuscular stability exercises with abdominal drawing-in maneuvers under the supervision of a therapist for 8 weeks, 3 sessions per week, 45 minutes each session. The exercise program includes modified core stability patterns in seated functional positions appropriate to the ability of individuals with spinal cord injury, and the intensity and progression of the exercises will gradually increase over the course. All sessions will be performed with the same protocol and under the supervision of the researcher. Control group: Participants will receive the same dynamic neuromuscular stability exercises with the same order, duration, intensity, and number of sessions for 8 weeks, 3 sessions per week, each session lasting 45 minutes, except that the abdominal drawing-in maneuver is not performed during the exercises. All sessions will be supervised by the researcher and will follow the same protocol. Maximum functional reach distance in the Modified Functional Reach Test (MFRT) in centimeters, measured before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Modified Functional Reach Test. Forced expiratory volume in one second (FEV1) measured by digital spirometry in liters, before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Digital spirometer device. Forced vital capacity (FVC) measured by digital spirometry in liters, before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Digital spirometer device. Core trunk muscle endurance based on the duration of maintaining the position in the modified Planck test, in seconds, measured before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Modified Plank test. قدرت عضلات فلکسور تنه اندازه‌گیری‌شده با دینامومتر، بر حسب نیوتن، پیش از شروع مداخله و بلافاصله پس از پایان مداخله ۸ هفته‌ای. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Dynamometer device. Trunk extensor muscle strength measured with a dynamometer, in Newtons, before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Dynamometer device. Intra-abdominal pressure measured with a manometer, in centimeters of water (cmH₂O), before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Manometer (intra-abdominal pressure gauge). The kyphosis angle of the back region measured with a kyphometer, in degrees, before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Kyphometer device. Quality of Life Index (QLI) score, measured before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Quality of Life Index. Quality of life index score, measured before the start of the intervention and immediately after the end of the 8-week intervention. Timepoint: Measurements were taken at two time points, including before the start of the intervention (pre-test) and immediately after the end of the 8-week intervention period (post-test). Method of measurement: Quality of Life Index. University of Isfahan Approved 2026-02-21 Ethics Committee of the University of Isfahan No. 24, West Baharan Alley 1, Kheradmand Street, Gharazi Street, Isfahan Isfahan Isfehan Iran (Islamic Republic of)