The Effect of Dynamic Neuromuscular Stabilization Approach on in Patients with Lumbar Disc Herniation: A Randomized Clinical Trial

EBTESSAM F. GOMAA, Ph.D.**, NADER E. GHONIEMY, M.Sc.*; HUDA B. ABD ELHAMED, Ph.D.**; MAHMOUD ELSHERIF, M.D.*** And

doi:10.21608/mjcu.2025.444261

The Effect of Dynamic Neuromuscular Stabilization Approach on in Patients with Lumbar Disc Herniation: A Randomized Clinical Trial

Document Type : Original Article

Author

NADER E. GHONIEMY, M.Sc.*; HUDA B. ABD ELHAMED, Ph.D.**; MAHMOUD ELSHERIF, M.D.*** and EBTESSAM F. GOMAA, Ph.D.**

The Department of Physical Therapy for Orthopedics and its Surgery, Faculty of Physical Therapy, Suez Canal University*, Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University** and Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University***

10.21608/mjcu.2025.444261

Abstract

Background: Lumbar disc herniation (LDH) is a common disorder affecting many people as it causes pain, functional dis-abilities, and decrease in core muscles endurance. Aim of Study: To evaluate the effects of the dynamic neu-romuscular stabilization (DNS) approach in terms of pain lev-el, functional capacity, and core muscles endurance in patients with LDH. Patients and Methods: Before starting the study, ethi-cal approval was obtained from the Research Ethical Com-mittee, Faculty of Physical Therapy, Cairo University (P.T.REC/012/005145). Sixty patient with LDH from both genders were referred from an Orthopaedic surgeon. Their age ranged from 18 to 40 years old and their BMI didn’t exceed 25 kg/m2. Patients were randomly allocated into two equal groups; Group A received the DNS approach while Group B received a selected physical therapy (PT) program. All patients received sessions of supervised intervention; three sessions per week for six weeks. Pain level, functional disability, and core muscles endurance were evaluated using the VAS, the Oswestry disa-bility index - Arabic version, and the pressure biofeedback unit respectively. Results: There were no significant differences between both groups in post-treatment mean values of pain level while there were significant differences between them in favor of the DNS group in post-treatment mean values of functional disabil-ity and core muscles endurance. Conclusions: The DNS approach has a greater effect than the selected PT program in improving functional disability and increasing core muscles endurance while they were equal in de-creasing pain level in patients with LDH.

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