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NCT Number: NCT06005948

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

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.

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Key information

Conditions

Low Back Pain Anxiety Disorders Back Pain Kinesiophobia Mental Disorders Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Phobic Disorders Signs and Symptoms

Age range

35 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Uskudar university

Istanbul, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: No

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

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

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.

Treatment and study plan

Exercise

Other

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

Control

Other

No intervention will be made.

Primary outcomes

  1. The Oswestry Disability Index

    Time frame: 8 weeks

    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.

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

    Time frame: 8 weeks

    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.

  3. Fear of Daily Living Activities Questionnaire

    Time frame: 8 weeks

    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.

  4. visual analogue scale

    Time frame: 8 weeks

    1=no pain, 10=worst pain

Sponsors and collaborators

Lead sponsor

Uskudar University

Other

Registry information

Official study title

Investigation of the Effect of Dynamic Neuromuscular Stabilization on Pain, Functionality and Kinesiophobia in Individuals Undergoing Lumbar Disc Herniation Surgery

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Aug 23, 2023
Registry last updated
Jun 8, 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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