Dynamic Neuromuscular Stabilization vs Core Exercise for Chronic Low Back Pain
Effects of dynamic neuromuscular stabilization training on the core muscle contractility and standing postural control in patients with chronic low back pain: a randomized controlled trial.
BMC Musculoskelet Disord . 2025 Mar 1;26(1):213.Sixty patients with chronic low back pain (CLBP) were randomized to receive dynamic neuromuscular stabilization (DNS) training (n=30) or conventional core exercises (n=30). The primary outcome of interest was change in core muscle contractility (percent change in transversus abdominis [TrA], diaphragm, multifidus). Secondary outcomes included standing postural control (center of pressure [COP] metrics under eyes-open and eyes-closed conditions) and clinical questionnaires (VAS, ODI, RDQ). Outcomes were assessed pre- and post-intervention across a 4-week program (3 sessions/week, 50 minutes/session). Overall, the results revealed greater increases in TrA and diaphragm contractility with DNS and superior standing postural control in the eyes-closed condition, while pain/disability improved over time in both groups without between-group differences. These findings suggest DNS offers added benefits for deep core activation and proprioceptive control beyond standard core exercise.
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