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NCT Number: NCT07761247

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

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.

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Key information

Conditions

Low Back Pain Back Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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.
  • Willingness to participate and provision of written informed consent.

Exclusion criteria

  • 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.
  • Known vestibular or visual system disorders.
  • Body mass index (BMI) ≥30 kg/m².
  • Pregnancy.
  • Physiotherapy/rehabilitation treatment or steroid injection targeting the lumbar region within the previous 3 months.
  • Use of analgesics, muscle relaxants, or sedatives within the previous 24 hours that may affect balance or pain threshold.
  • Other orthopedic or systemic health conditions that may interfere with exercise or balance testing.

Treatment and study plan

Dual-Task Neuromuscular Warm-Up Exercise Group

Other

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

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.

Primary outcomes

  1. Balance

    Time frame: Immediately before and after the intervention (same day)

    Balance assessed using the ProKin Balance Measurement System.

  2. Proprioception

    Time frame: Immediately before and after the intervention (same day)

    Lower-extremity joint position sense assessed using the ProKin Balance Measurement System.

Secondary outcomes

  1. Lumbar Erector Spinae Muscle Tone

    Time frame: Immediately before and after the intervention (same day)

    Muscle tone assessed using MyotonPRO.

  2. Lumbar Erector Spinae Muscle Stiffness

    Time frame: Immediately before and after the intervention (same day)

    Muscle stiffness assessed using MyotonPRO.

  3. Lumbar Erector Spinae Muscle Elasticity

    Time frame: Immediately before and after the intervention (same day)

    Muscle elasticity assessed using MyotonPRO.

  4. Pressure Pain Threshold

    Time frame: Immediately before and after the intervention (same day)

    Pressure pain threshold assessed using an algometer.

  5. Hamstring and Lumbar Muscle Flexibility

    Time frame: Immediately before and after the intervention (same day)

    Flexibility assessed using the Sit and Reach Test.

  6. Global Perceived Change

    Time frame: Immediately after the intervention.

    Perceived change following the intervention assessed using the Global Rating of Change Scale.

Sponsors and collaborators

Lead sponsor

Istinye University

Other

Registry information

Official study title

Immediate Effects of Dual-Task Neuromuscular Warm-Up Exercises on Balance and Proprioception in Individuals With Chronic Nonspecific Low Back Pain: A Randomized Controlled Study

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Aug 12, 2026
Registry last updated
Aug 12, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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