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DNS: Face-to-face and Telerehabilitation

Sponsor: Istinye University • ClinicalTrials.gov ID: NCT07775560

Registry updated: 2026-08-20

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Description

This study aims to compare the effects of Dynamic Neuromuscular Stabilization (DNS) exercises delivered face-to-face (YDNS) and via tele-rehabilitation (TDNS) on respiratory function, balance, posture, core endurance, and deep stabilization system performance in healthy adults. A total of 34 participants will be randomly assigned to YDNS or TDNS groups and complete an identical 6-week DNS exercise program (3 sessions per week). Assessments will be conducted at baseline and post-intervention, including pulmonary function, Y-Balance Test, posture analysis, McGill's core stability tests, deep stabilization assessment, and patient satisfaction. All evaluations will be performed face-to-face by certified physiotherapists.

Interventions

DNS Exercises via Telerehabilitation (Other)
Participants in the T-DNS group will complete the same 6-week DNS exercise program (3 sessions per week, 18 sessions total, 50 minutes each) following the identical progression: warm-up, DNS core exercises, and cool-down. The content and progression of exercises are identical to the YDNS group (weeks 1-2: basic activation; weeks 3-4: intermediate stabilization; weeks 5-6: advanced stabilization with dynamic movements). Sessions will be conducted remotely through an online platform, with certified DNS physiotherapists providing live supervision, guidance, and corrective feedback in real time.
Face-to-face DNS Exercises (Other)
Participants in the F-DNS group will complete a 6-week Dynamic Neuromuscular Stabilization (DNS) program, consisting of three supervised sessions per week (18 sessions, each 50 minutes). Each session includes a 5-minute warm-up (light walking, joint mobilization, dynamic stretching), 40 minutes of DNS-based core and stabilization exercises, and a 5-minute cool-down (light walking, static stretching). The exercise protocol progresses across three phases: basic activation (weeks 1-2), intermediate stabilization (weeks 3-4), and advanced stabilization combined with dynamic movements (weeks 5-6). Sessions will be delivered face-to-face by certified DNS physiotherapists who provide real-time supervision and feedback.

Eligibility criteria

Inclusion Criteria: * Aged between 18 and 35 years. * Not engaged in regular physical activity within the past 6 months. * No history of musculoskeletal disorders or chronic diseases. * Able to participate consistently in the exercise program. For the Tele-DNS (TDNS) group: access to reliable internet and appropriate technical equipment for the duration of the intervention. Exclusion Criteria: * Diagnosis or history of neurological, cardiovascular, respiratory, or metabolic diseases. * History of spinal or extremity surgery. * Pregnancy. * Presence of postural deformities or any orthopedic conditions that may affect balance.

Conditions

Healthy

Locations

Aleyna Çelik Fizyoterapi ve Danışmanlık Merkezi — Istanbul, Uskudar, Turkey (Türkiye)

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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