Gamified Home-Based Core Neuromuscular Training for Chronic Low Back Pain

This randomized controlled trial aims to evaluate the effects of gamified home-based core neuromuscular training on pain intensity, functional disability, core muscular endurance, and exercise adherence in women with chronic nonspecific low back pain. Participants will be randomly allocated in a 1:1 ratio to either a gamified intervention group or a non-gamified control group. Both groups will perform the same progressive core exercise program. The intervention group will use a digital application with gamification features, while the control group will perform the exercises without gamification. Outcomes will be assessed at baseline, week 3, and week 6. The study will determine whether gamification provides additional benefits over conventional home-based exercise in improving clinical outcomes and exercise adherence in women with chronic nonspecific low back pain.

Inclusion Criteria: * Female participants aged 18-45 years. * Nonspecific low back pain persisting for at least 12 weeks. * Baseline pain intensity of ≥3 on the Numeric Pain Rating Scale (NPRS). * Ability to perform the prescribed core exercises safely. * Ownership of a compatible smartphone. * Internet access when required. Exclusion Criteria: * Specific spinal pathology or serious medical conditions. * Previous spinal surgery. * Neurological symptoms affecting the lower limbs. * Pregnancy. * Severe musculoskeletal conditions limiting exercise. * Current participation in another low back pain rehabilitation program. * Any contraindication to exercise.