Effect of Dynamic Neuromuscular Stabilization Exercises on Activity of External Oblique Muscle in Low Back Pain
Introduction: Dynamic neuromuscular stabilization (DNS) or core stabilization exercises have been used to improve core stability, but their effect on nonspecific low back pain (NSLBP) is still not fully understood. This study aimed to investigate the effect of DNS exercises on the electromyography...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2024-11-01
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| Series: | Journal of Modern Rehabilitation |
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| Online Access: | https://jmr.tums.ac.ir/index.php/jmr/article/view/1148 |
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| author | Hediyeh Hosseini Abbas Rahimi Khodabakhsh Javanshir Mohammad Taghipour Aliyeh Daryabor Sedigheh Sadat Naimi |
| author_facet | Hediyeh Hosseini Abbas Rahimi Khodabakhsh Javanshir Mohammad Taghipour Aliyeh Daryabor Sedigheh Sadat Naimi |
| author_sort | Hediyeh Hosseini |
| collection | DOAJ |
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Introduction: Dynamic neuromuscular stabilization (DNS) or core stabilization exercises have been used to improve core stability, but their effect on nonspecific low back pain (NSLBP) is still not fully understood. This study aimed to investigate the effect of DNS exercises on the electromyography (EMG) activity of the external oblique muscle in people with NSLBP.
Materials and Methods: In a randomized clinical trial, 44 people with chronic NSLBP were randomly assigned to the experimental and the control groups, with 22 participants in each group. The control group received standard physical therapy exercises, while the experimental group performed DNS exercises. Each group underwent an 8-week therapeutic exercise program, 5 sessions per week, with each session lasting approximately 60 minutes. Surface EMG was utilized to assess the core muscle activity of the external oblique. The EMG activity of the external oblique was measured in both groups before and after the 8-week intervention.
Results: Nineteen people in the control group and 21 in the DNS group were analyzed. The results showed that after the intervention, patients in the DNS group obtained, on average, an 8.82% (95% CI, 6.53%, 11.10%) higher increase in the EMG activity of the external oblique muscle compared to the patients in the control group (P<0.001, effect size: 0.622).
Conclusion: DNS exercises can be recommended for improving the activation of superficial core muscles like the external oblique in individuals with NSLBP.
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| format | Article |
| id | doaj-art-4320828006794b9786b5d69334f0831d |
| institution | Kabale University |
| issn | 2538-385X 2538-3868 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Modern Rehabilitation |
| spelling | doaj-art-4320828006794b9786b5d69334f0831d2025-02-09T09:07:27ZengTehran University of Medical SciencesJournal of Modern Rehabilitation2538-385X2538-38682024-11-0119110.18502/jmr.v19i1.17513Effect of Dynamic Neuromuscular Stabilization Exercises on Activity of External Oblique Muscle in Low Back PainHediyeh Hosseini0Abbas Rahimi1Khodabakhsh Javanshir2Mohammad Taghipour3Aliyeh Daryabor4Sedigheh Sadat Naimi5Student Research Committee, Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Physiotherapy, Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Health Research Institute, Mobility Impairment Research Center, Babol University of Medical Sciences, Babol, Iran.Health Research Institute, Mobility Impairment Research Center, Babol University of Medical Sciences, Babol, Iran.Department of Orthotics and Prosthetics, Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Physiotherapy, Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Introduction: Dynamic neuromuscular stabilization (DNS) or core stabilization exercises have been used to improve core stability, but their effect on nonspecific low back pain (NSLBP) is still not fully understood. This study aimed to investigate the effect of DNS exercises on the electromyography (EMG) activity of the external oblique muscle in people with NSLBP. Materials and Methods: In a randomized clinical trial, 44 people with chronic NSLBP were randomly assigned to the experimental and the control groups, with 22 participants in each group. The control group received standard physical therapy exercises, while the experimental group performed DNS exercises. Each group underwent an 8-week therapeutic exercise program, 5 sessions per week, with each session lasting approximately 60 minutes. Surface EMG was utilized to assess the core muscle activity of the external oblique. The EMG activity of the external oblique was measured in both groups before and after the 8-week intervention. Results: Nineteen people in the control group and 21 in the DNS group were analyzed. The results showed that after the intervention, patients in the DNS group obtained, on average, an 8.82% (95% CI, 6.53%, 11.10%) higher increase in the EMG activity of the external oblique muscle compared to the patients in the control group (P<0.001, effect size: 0.622). Conclusion: DNS exercises can be recommended for improving the activation of superficial core muscles like the external oblique in individuals with NSLBP. https://jmr.tums.ac.ir/index.php/jmr/article/view/1148Low back painElectromyographyCore stabilityExerciseAbdominal oblique muscles |
| spellingShingle | Hediyeh Hosseini Abbas Rahimi Khodabakhsh Javanshir Mohammad Taghipour Aliyeh Daryabor Sedigheh Sadat Naimi Effect of Dynamic Neuromuscular Stabilization Exercises on Activity of External Oblique Muscle in Low Back Pain Journal of Modern Rehabilitation Low back pain Electromyography Core stability Exercise Abdominal oblique muscles |
| title | Effect of Dynamic Neuromuscular Stabilization Exercises on Activity of External Oblique Muscle in Low Back Pain |
| title_full | Effect of Dynamic Neuromuscular Stabilization Exercises on Activity of External Oblique Muscle in Low Back Pain |
| title_fullStr | Effect of Dynamic Neuromuscular Stabilization Exercises on Activity of External Oblique Muscle in Low Back Pain |
| title_full_unstemmed | Effect of Dynamic Neuromuscular Stabilization Exercises on Activity of External Oblique Muscle in Low Back Pain |
| title_short | Effect of Dynamic Neuromuscular Stabilization Exercises on Activity of External Oblique Muscle in Low Back Pain |
| title_sort | effect of dynamic neuromuscular stabilization exercises on activity of external oblique muscle in low back pain |
| topic | Low back pain Electromyography Core stability Exercise Abdominal oblique muscles |
| url | https://jmr.tums.ac.ir/index.php/jmr/article/view/1148 |
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