{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T16:50:46Z","timestamp":1789404646733,"version":"build-2803163510"},"reference-count":50,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002601","name":"Busan University of Foreign Studies","doi-asserted-by":"crossref","award":["A-038"],"award-info":[{"award-number":["A-038"]}],"id":[{"id":"10.13039\/501100002601","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JFMK"],"abstract":"<jats:p>Objectives: Frozen shoulder (FS) leads to pain, reduced shoulder function, and deficits in postural stability and sensorimotor control during upper-limb weight-bearing and activities of daily living tasks. This study investigated how an eight-week Dynamic Neuromuscular Stabilization (DNS) program affected Center of Pressure (COP) control and pain in midlife women with FS. Methods: Twenty-two midlife women with FS were randomly assigned to a DNS group (DNSG, n = 11) or a control group (CG, n = 11). The DNSG performed DNS exercises twice weekly for eight weeks, while the CG performed a dynamic stretching\u2013based active control program. COP variables (distance, velocity, and root mean square (RMS) in the anterior\u2013posterior (AP) and medial\u2013lateral (ML) directions) were measured using a force platform under affected-side single-hand support with visual input and bilateral hand support with and without visual input. Pain was assessed using the Visual Analog Scale (VAS). All variables were analyzed using a two-way mixed ANOVA. Results: Under the affected-side single-hand support condition, a significant group \u00d7 time interaction was observed for the prespecified primary outcome, ML-RMS (p &lt; 0.05). Other COP variables under this condition were not significant after Holm\u2013Bonferroni correction. Under bilateral hand-support conditions, ML-RMS remained significant after multiplicity adjustment in both visual conditions (p &lt; 0.05). Pain (VAS) decreased over time in both groups, with no significant group \u00d7 time interaction observed. Conclusions: The DNS intervention was associated with positive changes in COP-based postural control during upper-limb weight-bearing tasks in midlife women with FS. Pain decreased over time in both groups, with no significant group-by-time interaction. These findings suggest that DNS may be a potentially useful intervention for improving postural stability during upper-limb support tasks in patients with FS.<\/jats:p>","DOI":"10.3390\/jfmk11010045","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T13:59:54Z","timestamp":1769003994000},"page":"45","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dynamic Neuromuscular Stabilization for Midlife Women with Frozen Shoulder: Clinical Effects on COP and Pain"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7140-9458","authenticated-orcid":false,"given":"Hyeon Ji","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, Busan University of Foreign Studies, Busan 46234, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3469-2204","authenticated-orcid":false,"given":"Il Bong","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Busan University of Foreign Studies, Busan 46234, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0863-5679","authenticated-orcid":false,"given":"Hyun Ju","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Busan University of Foreign Studies, Busan 46234, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5634-8764","authenticated-orcid":false,"given":"Chae Kwan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Busan University of Foreign Studies, Busan 46234, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"FSO647","DOI":"10.2144\/fsoa-2020-0145","article-title":"Frozen shoulder: Overview of clinical presentation and review of the current evidence base for management strategies","volume":"6","author":"Date","year":"2020","journal-title":"Future Sci. 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