The Effects of EMS-Combined Body Awareness Exercises on Non-Specific Low Back Pain

ConditionLow Back Pain
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorRecep Tayyip Erdogan University

About this trial

Low back pain is one of the most prevalent musculoskeletal conditions worldwide and is a leading cause of disability and reduced quality of life. Non-specific low back pain (NSLBP), which has no identifiable underlying pathology, accounts for the majority of low back pain cases and often requires a multidisciplinary rehabilitation approach.

Body awareness-based exercises aim to improve postural control, movement quality, and the individual's perception of bodily sensations, and have been shown to be beneficial in chronic pain management. Electrical muscle stimulation (EMS) is a non-invasive modality that enhances neuromuscular activation and may support functional recovery when combined with exercise interventions.

The purpose of this study is to investigate the effects of EMS-combined body awareness exercises on pain intensity, functional disability, and body awareness in individuals with non-specific low back pain. Participants will be randomly assigned to either an intervention group receiving EMS-assisted body awareness training or a control group receiving standard body awareness exercises. Outcome measures will be assessed before and after the intervention period.

This study aims to provide evidence on whether the addition of EMS to body awareness-based rehabilitation leads to superior clinical outcomes compared to body awareness exercises alone in individuals with non-specific low back pain.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Aged between 18 and 65 years

Diagnosed with non-specific low back pain for at least 3 months

Pain intensity of ≥4 on the Numeric Rating Scale (NRS)

Ability to understand and follow exercise instructions

Disqualifiers

Specific causes of low back pain (e.g., disc herniation with neurological deficit, spinal stenosis, spondylolisthesis, fracture, infection, tumor)

History of spinal surgery within the last 12 months

Known neurological disorders affecting movement or sensation

Diagnosed rheumatological or inflammatory diseases (e.g., ankylosing spondylitis, rheumatoid arthritis)

Trial design

Design model

Parallel

Treatments tested in this trial

  • EMS-Assisted Body Awareness Exercises

    Behavioral

    This intervention consists of a body awareness-based rehabilitation program supported by electrical muscle stimulation. EMS will be applied to the lumbar and trunk muscles during selected exercises to facilitate muscle activation, improve postural control, and enhance sensorimotor awareness. The exercise program will include postural alignment, breathing regulation, controlled movement patterns, and proprioceptive training.

  • Exercises

    Behavioral

    This intervention consists of a structured body awareness-based exercise program focusing on postural control, breathing, movement quality, and proprioceptive awareness. Exercises will be performed without any electrical stimulation and will be supervised by trained physiotherapists

Treatment groups

72 Participants
are divided into 2 treatment groups
Group A: EMS-Assisted Body Awareness Exercise GroupExperimental treatment 2 interventions
Group B: Exercise GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Functional Disability

Functional disability will be evaluated using the Oswestry Disability Index (ODI), which assesses the impact of low back pain on daily activities such as walking, sitting, standing, and lifting. Higher scores indicate greater levels of disability.

Time frame
Baseline (Week 0) and Week 8
2

Pain intensity

Pain intensity will be assessed using the Numeric Rating Scale (NRS), where participants rate their current low back pain intensity on an 11-point scale ranging from 0 (no pain) to 10 (worst imaginable pain). The NRS is a valid and reliable tool for measuring pain in individuals with musculoskeletal conditions. Time Frame: Baseline and post-intervention (after completion of the intervention period)

Time frame
Baseline (Week 0) and Week 8

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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Recep Tayyip Erdogan University

Lead sponsor

İstanbul Yeni Yüzyıl Üniversitesi

Collaborator

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