Effect of massage therapy and Dynamic Neuromuscular Stabilization exercises on pain, disability, and quality of life in men with chronic low back pain

INTERVENTION: Intervention 1: Intervention group 1: Twenty participants will receive Dynamic Neuromuscular Stabilization exercises for 6 weeks, 3 sessions per week, 45 minutes per session. Each session will include 10 minutes of warm up, 25 minutes of Dynamic Neuromuscular Stabilization exercises, and 10 minutes of cool down. The exercise intensity will be progressively adjusted according to participants’ tolerance and feedback. The program will include diaphragmatic breathing, baby rock, bridge, bear crawl, side lying hip abduction, dead bug, and single leg bridge exercises. Intervention 2: Intervention group 2: Twenty participants will receive Swedish massage therapy for 6 weeks, 3 sessions per week, 30 minutes per session, administered by a trained massage therapist. The massage protocol will include effleurage, petrissage, and friction techniques applied to the lumbar and surrounding muscles. The duration of each session will be approximately 5 minutes of effleurage, 15 minutes of petrissage, and 10 minutes of friction. Intervention 3: Intervention group 3: Twenty participants will receive a combined intervention for 6 weeks, 3 sessions per week. Each session will include 45 minutes of Dynamic Neuromuscular Stabilization exercises and 30 minutes of Swedish massage therapy. The exercise component will consist of warm up, Dynamic Neuromuscular Stabilization exercises, and cool down. The massage component will include effleurage, petrissage, and friction techniques administered by a trained massage therapist. CONDITION: Chronic nonspecific low back pain. ; Low back pain M54.5 PRIMARY OUTCOME: Functional disability score. Timepoint: Baseline (before the start of the intervention) and exactly 6 weeks after the start of the intervention. Method of measurement: Oswestry Disability Index questionnaire. Pain intensity score. Timepoint: Baseline (before the start of the intervention) and exactly 6 weeks after the start of the intervention. Method of measurement: Visual Analogue Scale. Quality of life score. Timepoint: Baseline (before the start of the intervention) and exactly 6 weeks after the start of the intervention. Method of measurement: 36‐Item Short Form Health Survey questionnaire. INCLUSION CRITERIA: Men aged 45 to 65 years. Diagnosis of chronic non‐specific low back pain lasting at least 3 months. No participation in similar exercise programs during the previous 6 months. Ability to attend intervention sessions and complete study assessments. Provision of written informed consent.