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2. Master Thesis / Tesis Master
3. Faculty of Health Sciences / Fakulti Sains Kesihatan

Title:	Impact of Dynamic Neuromuscular Stabilization (DNS) on lumbar kinematics, disability and fear avoidance among adults withchronic non-specific low back pain
Supervisor:	Devinder Kaur Ajit Singh, Professor Dr.
Keywords:	Low Back Pain Dissertations, Academic -- Malaysia Universiti Kebangsaan Malaysia -- Dissertations
Issue Date:	15-Jun-2020
Description:	Exercise therapy and education are common physiotherapy management in adults with chronic non-specific low back pain (CNSLBP). However, body awareness from a neuromuscular strategy in this management is lacking. We aimed to explore the biopsychosocial impact of integrating the Dynamic Neuromuscular Stabilization (DNS) approach in the common standard physiotherapy management among adults with CNSLBP. A two-phase mixed model study design was used. Phase 1 was a quantitative randomized controlled set of case study individuals consisting of 12 individuals with CNSLBP which underwent 8 sessions of physiotherapy over 8 weeks according to their respective guidelines of the intervention group (DNS added) and the control group (standard usual physiotherapy). Lumbar kinematics, pain, disability and fear avoidance belief were measured pre and post intervention. using initial sensors, Visual Analogue Scale (VAS), Oswestry Disability Index Questionnaire (ODIQ), Fear Avoidance Belief Questionnaire (FABQ) respectively. In phase 2, a qualitative semistructured one-to-one interview was carried out in 10 individuals with CNSLP who underwent at least 8 sessions of DNS approach physiotherapy treatment. No significant improvements (p>0.05) were shown for lumbar kinematics among the participants with added DNS approach in their physiotherapy intervention. However, there was a significant percentage improvement in their pain/VAS score (67%), moderate improvement in their ODIQ score (45%) and slight improvement in their FABQ score (24%). Individuals in the standard physiotherapy treatment group reflected almost no improvement in the FABQ score (improvement of 2%). Four themes emerged from phase 2 study results: improvement in quality of life, empowerment for coping strategies, pain management and developing body awareness. These themes reflected the empowering effects of the DNS approach integrated in the exercise therapy and education intervention for self-management coping strategies in the psychosocial elements of individuals with CNSLBP. In conclusion, the DNS approach with the body awareness element could be used as a potential intervention in our current standard physiotherapy practice to provide a more holistic bio-psychosocial management strategy for individuals with CNSLBP.,Sarjana Sains Kesihatan (Sains Bioperubatan)
Pages:	133
Call Number:	9 Tesis WE755.L732i 2020
Publisher:	UKM, Kuala Lumpur
Appears in Collections:	Faculty of Health Sciences / Fakulti Sains Kesihatan

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