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Study aim: Compare the effects of six weeks of massage, Dynamic Neuromuscular Stabilization exercises, and their combination on pain, disability, and quality of life in men with chronic non-specific low back pain. Design: A randomized, three-arm parallel group clinical trial on 60 patients. A computer-generated simple random sequence will be used for allocation. This study is not blinded for participants but includes blinded outcome assessment and blinded data analysis. Settings and conduct: The study will be conducted at rehabilitation centers affiliated with the University of Sistan and Baluchestan. After obtaining informed consent and baseline assessments, patients will be randomly allocated into three groups. After 6 weeks of intervention, post-test evaluations will be performed. Due to the physical nature of the interventions, participants and therapists cannot be blinded. However, the outcome assessor evaluating the questionnaires and the statistical data analyst will be strictly blinded to the group allocations. Participants/Inclusion and exclusion criteria: Inclusion: Men aged 45 to 65 years; chronic non-specific low back pain for at least 3 months; no similar exercises in the past 6 months. Exclusion: Specific causes of back pain (e.g., disc herniation, fractures); severe spinal or limb injuries; medications affecting pain or function; interfering diseases. Intervention groups: Group 1: Dynamic Neuromuscular Stabilization exercises (3 sessions/week, 45 minutes) for 6 weeks. Group 2: Swedish massage (3 sessions/week, 30 minutes) for 6 weeks. Group 3: Combined exercises and massage for 6 weeks. Main outcome variables: Pain intensity; Functional disability; Quality of life.
IRCTID: IRCT20211201053244N7
  1. The effect and durability of dynamic neuromuscular stabilization training on pain, disability, mental health, quality of life, range of motion, lumbopelvic proprioception, endurance, and balance in women with chronic nonspecific low back pain
  2. The effect of Dynamic Neuromuscular Stabilization and Pelvic Floor Training on pain and pelvic floor muscle function in women with Non-Specific Chronic Low Back Pain and Stress Urinary Incontinence
  3. The Effect of Eight weeks Aqua Stretch and Dynamic Neuro Muscular Stabilization on Pain, Disability and foot pressure distribution in Patients with Nonspecific Chronic Low Back Pain
  4. Effect of Dynamic Neuromuscular Stabilization exercises on pain, functional tests scores, respiratory function, and quality of life in individuals with chronic non-specific low back pain
  5. The effects of dynamic neuromuscular stability (DNS) and low-level laser therapy on the muscle function and pain in People with low back pain from muscle weakness
  6. ‏A comparative study of the sonographic, electromyographic and functional changes following 8 weeks dynamic neuromuscular stabilization (DNS) exercises between patients with non-specific low back pain and the control group.
  7. The Effects of spinal stabilization exercise and Vitamin D intake on the levels of tumor necrosis factor-α and interleukin-10 in women with Chronic Low Back Pain
  8. Comparison of the effect of 8 weeks of combined exercises and DNS on pain, proprioception, balance, muscular endurance, and motor control ability in men with non-specific chronic low back pain: A randomized clinical trial
  9. The effect of adding kegel exercises to DNS exercises on pain, electrical muscle activity, lumbopelvic rhythm, pelvic floor function, disability and quality of life with lumbopelvic pain in postpartum women
  10. Comparison of the effect of dynamic neuromuscular stability exercises and yoga exercises on women with chronic non-specific low back pain
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