Bridging Dynamic Neuromuscular Stabilization Synergism with Movement Control Impairment Related Non-Specific Low Back Pain: Scoping Review.

Abstract

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.