Evidence map›Paper›PMID 40025463›Full record

Trial reportBMC musculoskeletal disorders2025

Effects of dynamic neuromuscular stabilization training on the core muscle contractility and standing postural control in patients with chronic low back pain: a randomized controlled trial.

Huanjie Huang, Haoyu Xie, Guifang Zhang, Wenwu Xiao, Le Ge, Songbin Chen, Yangkang Zeng, Chuhuai Wang, Hai Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Huanjie Huang *Neurorehabilitation Laboratory, Department of Rehabilitation Medicine, Shenzhen Hospital, Southern Medical University, Shenzhen, 518101, China.
Haoyu Xie *Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, China.
Guifang Zhang *Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, China.
Wenwu XiaoDepartment of Rehabilitation Medicine, Affiliated Renhe Hospital, China Three Gorges Universtiy, Yichang, 443001, China.
Le GeDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, China.
Songbin ChenDepartment of Rehabilitation Medicine, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, 510080, China.
Yangkang ZengDepartment of Rehabilitation Medicine, Shenzhen University General Hospital, Shenzhen, 518101, China.
Chuhuai WangDepartment of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, China. wangchuh@mail.sysu.edu.cn.
Hai LiNeurorehabilitation Laboratory, Department of Rehabilitation Medicine, Shenzhen Hospital, Southern Medical University, Shenzhen, 518101, China. lihai2018@smu.edu.cn.

Funding

National Natural Science Foundation of China 82172532Shenzhen Medical Research Fund B2302002Shenzhen Science and Technology Program JCYJ20210324134401004
6 · The paper itself

Abstract

backgroundPatients with chronic low back pain (CLBP) usually demonstrate poor postural control due to impaired core muscle function. Dynamic neuromuscular stabilization (DNS) is based on developmental kinesiology principles, utilizing infant motor patterns to treat motor disorders. DNS has been shown to improve postural control in cerebral palsy patients by activating core muscle. However, whether the DNS approach is superior for enhancing core muscle contractility and postural control in CLBP patients still remains unclear.

objectivesThis study aimed to compare the effects of DNS training and conventional core exercises on core muscle contractility and standing postural control in CLBP patients.

methodsSixty CLBP patients were randomly assigned to a DNS group or a control group. Participants in the DNS group received DNS training, while those in the control group completed conventional core exercises. Both groups completed 12 sessions over 4 weeks (3 sessions/week, 50 min/session). Pre- and post-intervention evaluations included diagnostic musculoskeletal ultrasound to assess the change rate of core muscles (transversus abdominis (TrA), lumbar multifidus, and diaphragm), a balance assessment system to evaluate postural control performance (center of pressure displacement (COP)), and clinical questionnaires (Visual Analog Scale (VAS), Oswestry Disability Index (ODI), and Roland-Morris Disability Questionnaire (RDQ)) for pain intensity and disability.

resultsAfter 4 weeks, comparisons between both groups revealed significant statistical differences in the interaction effects of time*group. These differences were observed in the change rates of the left and right TrA (F

conclusionsDNS is superior to conventional core exercises in enhancing core muscle contractility and standing postural control in CLBP patients, showing potential to reduce pain and improve disability. Its mechanism may involve the enhancement of proprioceptive feedback, particularly when visual feedback is blocked.

trial registrationThis study was registered in the Chinese Clinical Trial Registry (ChiCTR) with the registration number ChiCTR2300074595 on 10 August 2023.

Indexed as

Chronic PainExercise TherapyLow Back PainMuscle ContractionPostural BalanceStanding PositionAdultFemaleHumansMaleMiddle AgedPain MeasurementTreatment OutcomeChronic low back painCore muscleDisabilityDynamic neuromuscular stabilizationPain intensityPostural control

Identifiers

PMID40025463
PMCPMC11871613

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.