Efficacy of dynamic neuromuscular stabilization exercises in adults with low back pain and movement control impairment: a prospective randomized controlled pilot study

The altered dynamic control of the lumbar and other associated spinal regions has been considered a potential cause of non-specific chronic low back pain (NSCLBP) in individuals with movement control impairment (MCI) subgroup. Therefore, an intervention strategy that may potentially target static and dynamic functional postural stabilization, seems meaningful and promising to the population of concern. Thus, this study aimed to evaluate the effects of dynamic neuromuscular stabilization (DNS) exercises on pain, functional disability, and lumbar movement control impairment in individuals belonging to the MCI subgroup of non-specific chronic low back pain. Methods: This pilot study was conducted in an outpatient department of physiotherapy of a rehabilitation Institute at New Delhi, India. A total of 10 patients of NSCLBP belonging to MCI subgroup were recruited according to study inclusion and exclusion criteria. Patients were randomly allocated into the experimental DNS group (n = 5; age: 24.20±3.56 years) and the general Strengthening and Flexibility Exercises (SFE) group (n = 5; age: 23.80±4.32 years). Both intervention groups underwent a supervised progressive group-specific exercises for 30-45 minutes per session, preferably on 5 days a week for a total of 6 weeks of duration or altogether 30 sessions in consecutive weeks. The Numeric Pain Rating Scale (NPRS), Oswestry Disability Index (ODI v2.1a), and movement Control Test Battery were used to measure pain intensity, functional disability, and lumbar movement control

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