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CompletedNCT06005948Updated Jun 8, 2026

Investigation of the Effectiveness of Dynamic Neuromuscular Stabilization Exercises After Lumbar Disc Herniation Surgery

An interventional study of exercise and control in Low Back Pain and Kinesiophobia, sponsored by Uskudar University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 35 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-06-08.

Sponsored by Uskudar University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
35 Years to 50 Years
Sex
All
01

Study summary

The aim of the study is to investigate the effects of dynamic neuromuscular stabilization exercises on pain, functionality and fear in individuals who have undergone lumbar disc herniation surgery.

Read the detailed description

The research was planned as a randomized controlled trial, which is a quantitative study. Participants will be divided into 2 groups as control and exercise groups by simple randomization method. The individuals in the control group of the study will not be given any exercise program after surgery. A home exercise program created with Dynamic Neuromuscular Stabilization exercises after surgery will be applied to the individuals in the intervention group. Data collection will be carried out through an online survey. The scales and forms to be used before and after the treatment are respectively: 1. Oswestry Low Back Pain Disability Questionnaire 2. International Physical Activity Questionnaire (Short Form) 3. Questionnaire for Fear of Daily Living Activities The questionnaires will be uploaded to the Google Forms database and the participants will be accessed via e-mail or mobile phone applications. . They will be asked to fill out the questionnaires before starting the post-surgical exercise program and the exercise program will be explained practically before discharge. The exercises will be planned 3 times a week and for 8 weeks.

02

Conditions studied

  • Low Back Pain
  • Kinesiophobia

Keywords

  • pain
  • Neuromuscular Stabilization exercises
  • Kinesiophobia
  • surgical
03

In context

Low Back Pain

2,818 studies on the registry are indexed under Low Back Pain; 482 are open to participants now.

This study's enrollment of 50 is below the median of 60 across 2,268 interventional studies indexed under Low Back Pain.

Browse Low Back Pain studies →

Lead sponsor

Uskudar University is the lead sponsor of 164 studies on the registry; 35 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
35 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Had symptomatic lumbar disc herniation confirmed via MRI requiring surgical intervention.
  • Were 35-50 years old and in a stable postoperative condition.
  • Could follow written and verbal instructions and had access to internet-connected devices for virtual monitoring.
  • Provided informed consent for participation in the study.

Exclusion criteria

Exclusion Criteria

Participants were excluded if they:

  • Had undergone previous spinal surgery or had other spinal conditions such as spondylolisthesis, spinal stenosis, or instability unrelated to the current lumbar disc herniation.
  • Presented with significant musculoskeletal disorders unrelated to lumbar disc herniation (e.g., severe osteoarthritis, fibromyalgia
  • Had diagnosed neurological, rheumatological, or systemic diseases such as rheumatoid arthritis, lupus, or multiple sclerosis.
  • Experienced functional impairments due to conditions like severe cardiovascular disease or uncontrolled diabetes.
  • Reported cognitive, psychological, or mental health issues that could interfere with adherence to the protocol.
  • Had medical contraindications to active exercise (e.g., recent myocardial infarction or uncontrolled hypertension
  • Demonstrated unwillingness or inability to adhere to the prescribed exercise regimen.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    control group

    No exercise will be given after surgery

    Other: control

  • Experimental
    exercise group

    Dynamic neuromuscular stabilization exercises will be performed for 8 weeks after surgery.

    Other: exercise

Interventions

  • Otherexercise

    The dynamic neuromuscular stabilization group will receive developmental postures based on developmental kinesiology. It will involve a supine 3month Position, side-lying Position, Quadruped, oblique sitting, bear position, squat Position. Each position will be performed for 30-60 s for five reps, active exercise 5-10 reps under supervision for two days/week, and unsupervised for 3 days/week for 8 weeks

  • Othercontrol

    No intervention will be made.

06

What researchers measure

Primary outcomes

  1. The Oswestry Disability Index

    The questionnaire includes ten topics related to pain severity, weight lifting, self-care, walking, sitting, sexual function, standing, social life, sleep quality, and ability to travel. expression follows. The patient then checks for the expression that most closely resembles his condition. Each question is scored on a scale of 0-5, with the first statement being zero and indicating the least disability, and the last statement being scored as 5 indicating the most severe disability. The scores of all answered questions are added up, then multiplied by two to get the index (range 0 to 100). Zero equals no obstacle and 100 is the maximum possible obstacle.

    Time frame: 8 weeks

  2. International Physical Activity Questionnaire Short Form (IPAQ-SF)

    It consists of 7 questions. The questions provide information about time spent walking, time spent in moderate and vigorous activities, and time spent sitting. Calculation of the short form's total score includes the sum of time (minutes) and frequency (days) of walking, moderate-intensity activity, and vigorous activity. The energy required for activities is calculated with the metabolic equivalent (MET) -minute score. Standard MET values have been established for these activities. These are; Sitting 1.5 MET, Walking 3.3 MET, Moderate-intensity physical activity 4.0 MET, Vigorous physical activity 8.0 MET. Daily and weekly physical activity using these values level is calculated.

    Time frame: 8 weeks

  3. Fear of Daily Living Activities Questionnaire

    In the questionnaire consisting of 10 questions, the participant is asked to score each question between 0 and 100. No fear of the activity is set to 0 and excessive fear of the activity is 100. In addition, the participants are asked to add 2 different activities that are not included in the survey but cause fear.

    Time frame: 8 weeks

  4. visual analogue scale

    1=no pain, 10=worst pain

    Time frame: 8 weeks

07

Study locations

1 site
  • Uskudar university
    Istanbul, Turkey (Türkiye)
08

References and documents

Publications

  • Venkatesan P, K S, Kishen TJ, Janardhan S, Kumar Cr S. Comparison of yoga and dynamic neuromuscular stabilization exercise in chronic low back pain on magnetic resonance imaging of lumbar multifidus- protocol for a randomized controlled trial. Contemp Clin Trials Commun. 2022 May 28;28:100937. doi: 10.1016/j.conctc.2022.100937. eCollection 2022 Aug. PubMed 35789639 ↗
  • Baerga-Varela L, Abreu Ramos AM. Core strengthening exercises for low back pain. Bol Asoc Med P R. 2006 Jan-Mar;98(1):56-61. PubMed 19610550 ↗
  • Butowicz CM, Acasio JC, Silfies SP, Nussbaum MA, Hendershot BD. Chronic low back pain influences trunk neuromuscular control during unstable sitting among persons with lower-limb loss. Gait Posture. 2019 Oct;74:236-241. doi: 10.1016/j.gaitpost.2019.09.019. Epub 2019 Sep 18. PubMed 31563825 ↗
  • Kararti C, Ozsoy I, Ozyurt F, Basat HC, Ozsoy G, Ozudogru A. The effects of dynamic neuromuscular stabilization approach on clinical outcomes in older patients with chronic nonspecific low back pain: a randomized, controlled clinical trial. Somatosens Mot Res. 2023 Sep;40(3):116-125. doi: 10.1080/08990220.2023.2191705. Epub 2023 Mar 24. PubMed 36964655 ↗
  • Lariviere C, Gagnon DH, Henry SM, Preuss R, Dumas JP. The Effects of an 8-Week Stabilization Exercise Program on Lumbar Multifidus Muscle Thickness and Activation as Measured With Ultrasound Imaging in Patients With Low Back Pain: An Exploratory Study. PM R. 2018 May;10(5):483-493. doi: 10.1016/j.pmrj.2017.10.005. Epub 2017 Oct 31. PubMed 29097271 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06005948
Lead sponsor
Uskudar University
Responsible party
Doç.Dr.Ömer Şevgin (Asst. Prof. Dr., Uskudar University) — Principal investigator
First posted
Aug 23, 2023
Start date
Sep 1, 2023
Primary completion
Nov 28, 2023
Completion
Dec 6, 2023
Last update
Jun 8, 2026

Study contacts

Büşra ARISÜT
study chair · Uskudar University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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