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Effects of dynamic neuromuscular stabilization on lumbar curvature, pelvic alignment, and pain in individuals with hyperlordosis and chronic non-specific low back pain: a quasi-experimental study [with consumer summary]
Seyedahmadi M, Amani F, Khalaghi K, Abrishami LH
Journal of Kermanshah University of Medical Sciences 2025 Sep;29(3):e164687
clinical trial
This trial has not yet been rated.

BACKGROUND: Non-specific chronic low back pain (NSCLBP) is highly prevalent and often linked with lumbar hyperlordosis and anterior pelvic tilt (APT). Conventional treatments provide limited long-term benefit, and dynamic neuromuscular stabilization (DNS) has emerged as a potential alternative. OBJECTIVES: The present study aimed to evaluate the effects of DNS exercises on lumbar curvature, pelvic alignment, and pain intensity in women with hyperlordosis and NSCLBP. METHODS: Thirty women aged 30 to 50 years with NSCLBP and lumbar hyperlordosis were allocated to an experimental group (n = 15) receiving a six-week DNS program (three sessions/week) or a control group (n = 15) performing daily activities only. Lumbar lordosis angle was measured with a flexible ruler, APT with a digital inclinometer, and pain with a Visual Analog Scale (VAS). Outcomes were assessed pre-and post-intervention. Data were analyzed using paired t-tests and ANCOVA (alpha 0.05). RESULTS: Participants in the DNS group showed significant improvements compared to controls. The lumbar lordosis angle decreased by an average of 3.67degree (from 59.00 +/- 2.72 to 55.33 +/- 2.82; p = 0.002; Cohen's d 1.33), APT decreased by 3.04degree (from 13.54 +/- 1.97 to 10.50 +/- 2.75; p = 0.003; d 1.27), and pain intensity reduced by 2.73 points on the VAS (from 6.93 +/- 2.21 to 4.20 +/- 2.93; p = 0.032; d 1.05). The ANCOVA confirmed significant between-group differences for all outcomes: lordosis (p = 0.004, eta2 0.272), pelvic tilt (p = 0.012, eta2 0.210), and pain (p = 0.038, eta2 0.150). CONCLUSIONS: The DNS exercises were associated with reductions in lumbar hyperlordosis, APT, and pain intensity in women with NSCLBP. While findings suggest DNS may be a promising non-invasive approach for postural correction and pain relief, conclusions should be interpreted cautiously due to the small sample size, single-gender sample, and quasi-experimental design. Further randomized controlled trials with larger and more diverse populations are warranted.

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