Dual-Task Neuromuscular Warm-Up Exercises in Chronic Low Back Pain

ConditionLow Back Pain

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18-50

SponsorIstinye University

About this trial

This study aims to investigate the immediate effects of dual-task neuromuscular warm-up exercises on balance and proprioception in individuals with chronic nonspecific low back pain. Participants will be randomly assigned to either a dual-task neuromuscular warm-up exercise group or a neuromuscular warm-up exercise group. Both groups will also receive the same conventional physiotherapy program. Balance, proprioception, lumbar muscle properties, pressure pain threshold, and flexibility will be assessed before and after the intervention to determine whether adding cognitive tasks to neuromuscular warm-up exercises provides additional immediate benefits.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed with nonspecific low back pain persisting for at least 3 months.

Pain intensity of ≥3 on the Visual Analog Scale (VAS).

Sufficient cognitive ability to understand and follow verbal and written instructions in Turkish.

Independent mobility sufficient to perform the tests and exercises.

Disqualifiers

Acute disc herniation, spinal stenosis, spondylolysis, or spondylolisthesis.

Previous spinal surgery or a history of severe trauma affecting the spine.

Rheumatic diseases, malignancy, infection, or neurological diseases that may cause low back pain.

Sensory or motor loss in the lower extremities or deep tendon reflex loss indicating radiculopathy.

Trial design

Design model

Parallel

Treatments tested in this trial

Dual-Task Neuromuscular Warm-Up Exercise Group
Other intervention
Participants will perform neuromuscular warm-up exercises combined with cognitive tasks, including single-leg balance with backward counting, squats with word generation, tandem walking with counting, balance pad standing with a memory task, and step-up exercises with a reaction task. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.
Neuromuscular Warm-Up Exercise
Other intervention
Participants will perform the same neuromuscular warm-up exercises without cognitive tasks, including single-leg balance, squats, tandem walking, balance pad standing, and step-up exercises. Participants will also receive the same conventional physiotherapy program, including hot pack, TENS, therapeutic exercises, and breathing exercises.

Treatment groups

40 Participants

are divided into 2 treatment groups

Group A: Dual-Task Neuromuscular Warm-Up Exercise GroupExperimental treatment 1 intervention

Group B: Neuromuscular Warm-Up Exercise GroupActive comparator 1 intervention

Trial outcomes