The effectiveness of Dynamic Neuromuscular Stabilization (DNS) exercise in adolescent idiopathic scoliosis: A Randomized Controlled Trial

The experimental group will receive Dynamic Neuromuscular Stabilization (DNS) session 30 minutes, followed by core stability exercises for 30 minutes. A 10-minute warm-up and cool-down will be provided before and after the whole session. Initially, participants received verbal cues, manual guidance, and visual feedback throughout the intervention to facilitate the learning process of adjusting the alignment of the pelvis, spine, ribcage, scapula, and abdominal wall shape in different positions. The program is divided into two phases: the first phase covers the initial three weeks and involves administering exercises DNS 1-4, while the second phase spans the concluding three weeks of the program, during which DNS 5-7 exercises will be administered. The DNS exercises will be prescribed by the DNS certified and trained physiotherapist to the participants. The DNS exercises are as follows: 1) Deep breathing in sitting ,2) Deep breathing in supine with hip and knee at 90-90° position,3) Low quadruped,4)5-month side-lying, 5) Oblique sitting, 6) Tripod position, 7)Bear position and Squat position. Exercise intensity based on developmental positions automatically proper activation stereotype of stabilization and breathing of natural postural-locomotion patterns as defined by developmental kinesiology. After the DNS session, the participants will be asked to remain on the training mat for 5 minutes before starting core stability exercises. The overall intervention will be carried out in the form of a one-to-one session for each participant for a total of 12 weeks.. All participants will be required to carry out the DNS and a set of home exercise programs such as core stability exercises, postural correction exercises are prescribed by physiotherapists for one 60 minute session for two times per week during the 12 week intervention. An audio file will be given to the participants to provide verbal cue for them while doing the DNS program during home program. To monitor the participants’ compliance, they will be requested to record and mark the dates of their home program on a log sheet during the research period.