About this trial
Chronic nonspecific low back pain is one of the most common causes of pain and disability worldwide. Many people with chronic low back pain experience difficulties with balance, posture, movement control, and daily activities. Sensorimotor balance training is a rehabilitation approach designed to improve balance, body awareness, and neuromuscular control.
The purpose of this randomized controlled trial is to investigate whether sensorimotor balance training is more effective than standard physiotherapy in reducing pain and improving spinal alignment in adults with chronic nonspecific low back pain. Participants will be randomly assigned to either a sensorimotor balance training group or a standard physiotherapy group. Both groups will receive treatment three times per week for 12 weeks.
Pain intensity, functional disability, and spinal alignment will be assessed before and after the intervention. Spinal alignment will be measured using the DIERS Formetric 4D system, a non-invasive and radiation-free technology that evaluates posture and spinal shape. The findings of this study may help identify effective rehabilitation strategies for improving pain, function, and spinal alignment in people with chronic nonspecific low back pain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18 to 59 years. Diagnosis of chronic nonspecific low back pain lasting at least 3 months. Pain intensity score of 4 or greater on the Numeric Pain Rating Scale (NPRS). Body Mass Index (BMI) between 25 and 35 kg/m². Ability to safely participate in the exercise program and comply with study procedures.
Disqualifiers
Acute low back injury. History of spinal surgery. Neurological disorders affecting movement or balance. Musculoskeletal disorders affecting movement or balance. Professional athletes. Individuals engaged in heavy manual labor. Any medical condition that would prevent safe participation in the intervention program.
Trial design
Parallel
Treatments tested in this trial
Sensorimotor Balance Training
BehavioralParticipants will receive a structured sensorimotor balance training program designed to improve proprioception, postural stability, and neuromuscular control. The intervention will be delivered three times per week for 12 weeks, with each session lasting approximately 45 minutes. Exercises include wobble board balance training, core activation exercises, and dynamic single-leg stance activities. Exercise difficulty will be progressively increased every two weeks according to participant performance and
Standard Physiotherapy
BehavioralParticipants will receive standard physiotherapy treatment consisting of stretching and core strengthening exercises. The intervention will be delivered three times per week for 12 weeks, with each session lasting approximately 45 minutes. A standardized progression protocol will be followed throughout the intervention period to ensure consistency of treatment delivery across participants.
Treatment groups
Trial outcomes
Primary outcomes
Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS)
The Numeric Pain Rating Scale (NPRS) is a self-reported measure of pain intensity scored from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. The primary outcome will be the change in pain intensity from baseline to the end of the 12-week intervention period.
Spinal Alignment Measured by DIERS Formetric 4D
Spinal alignment will be assessed using the DIERS Formetric 4D system, a non-invasive and radiation-free surface topography method. Parameters evaluated will include trunk imbalance, pelvic tilt, and sagittal spinal curvature. The outcome measure will be the change in spinal alignment parameters from baseline to the end of the intervention period.
Secondary outcomes
Functional Disability Measured by the Oswestry Disability Index (ODI)
Functional disability will be assessed using the Oswestry Disability Index (ODI), a validated questionnaire measuring the impact of low back pain on daily activities and functional performance. The outcome measure will be the change in ODI score from baseline to the end of the 12-week intervention period.
Sponsors and contacts
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