Impact of dynamic neuromuscular stabilization technique on clinical efficacy and balance control in elder-ly patients with chronic low back pain
10.3969/j.issn.1001-1242.2025.06.013
- VernacularTitle:动态神经肌肉稳定技术对老年慢性腰痛患者疗效及平衡控制的影响
- Author:
Huanjie HUANG
1
;
Guifang ZHANG
;
Le GE
Author Information
1. 中山大学附属第一医院,广东省 广州市,510080
- Publication Type:Journal Article
- Keywords:
dynamic neuromuscular stabilization;
elderly;
chronic low back pain;
balance control
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(6):887-893
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effects and impact on balance control ability in elderly patients with chronic low back pain using dynamic neuromuscular stabilization(DNS)technique.Method:Forty elderly patients with chronic low back pain were randomly divided into two groups:an experi-mental group and a control group,with 20 participants in each group.The experimental group received DNS training,while the control group received conventional core muscle training.Both groups trained three times a week for four consecutive weeks.Before and after the intervention,visual analogue scale(VAS),Oswestry disability index(ODI),and Roland-Morris disability questionnaire(RMDQ)were used to evaluate the pain and functionality in both groups.The balance control performance of the two groups was evaluated using a bal-ance testing system,assessing parameters such as anterior-posterior movement speed,left-right movement speed,and travel distance during open-eyed double-leg stance,closed-eyed double-leg stance,and open-eyed single-leg stance before and after intervention.Repeated measures analysis of variance was used to assess differ-ences in clinical scales and balance performance before and after intervention in two groups.Result:After 4 weeks of intervention,both groups showed significant reductions in VAS(F=63.386,P<0.001),ODI(F=21.204,P<0.001),and RMDQ(F=38.501,P<0.001)scores compared to pre-intervention(P<0.01).There were no statistically significant differences between two groups(P>0.05).During open-eyed double-leg stance,the experimental group had smaller left-right movement speed than the control group(F=4.228,P=0.047).During closed-eyed double-leg stance,the experimental group had smaller left-right move-ment speed(F=6.560,P=0.015)compared to the control group.During open-eyed single-leg stance,the experi-mental group had smaller anterior-posterior movement speed(F=14.252,P=0.002)and travel distance(F=1.014,P=0.036)compared to the control group.Conclusion:DNS training can relieve pain,improve functionality and balance control ability in elderly pa-tients with chronic low back pain.
