Department of Physiotherapy, School of Allied Health Sciences, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana, India.
J Musculoskelet Neuronal Interact. 2024 Dec 1;24(4):420-432.
Non-specific chronic low back pain (NSCLBP) with movement control impairment (MCI) subgroup often experiences postural pain and functional lumbar spine instability. This scoping review had two aims: 1) to map the evidence related to dynamic neuromuscular stabilization (DNS) efficacy as a spinal stabilization strategy and to identify gaps in the literature that may exist regarding the effectiveness of DNS in low back pain management and 2) to align the DNS approach as a potential intervention for MCI patients. The clinical trial studies related to DNS exercises were searched from inception until February 2024 through electronic databases, such as PubMed, Google Scholar, PEDro, and Science Direct. The Arksey and O'Malley methodology and PRISMA-ScR checklist were followed to report the findings. A total of 18 studies offering a total sample of 483, were included based on the inclusion criteria. The results of 14 studies summarized the DNS-related influence on neural substrates and core stability. The availability of only 4 studies on DNS efficacy in chronic low back pain indicates a dearth of evidence. This review highlighted the DNS efficacy in improving core muscle activation and pain-related symptoms in NSCLBP patients while emphasising the need for prospective research in the MCI subgroup.
非特异性慢性下背痛（NSCLBP）伴运动控制障碍（MCI）亚组常经历姿势疼痛和功能性腰椎不稳定。本范围综述有两个目的：1）绘制与动态神经肌肉稳定（DNS）作为脊柱稳定策略的疗效相关的证据，并确定在 DNS 治疗下腰痛管理有效性方面可能存在的文献空白，2）将 DNS 方法作为 MCI 患者的潜在干预措施进行调整。从开始到 2024 年 2 月，通过电子数据库（如 PubMed、Google Scholar、PEDro 和 Science Direct）搜索与 DNS 练习相关的临床试验研究。采用 Arksey 和 O'Malley 方法和 PRISMA-ScR 清单报告研究结果。根据纳入标准，共纳入了 18 项研究，共计 483 例样本。14 项研究总结了 DNS 对神经基质和核心稳定性的影响。仅有 4 项关于 DNS 对慢性下腰痛疗效的研究表明证据不足。本综述强调了 DNS 在改善 NSCLBP 患者核心肌肉激活和与疼痛相关症状方面的疗效，同时强调了在 MCI 亚组中进行前瞻性研究的必要性。
