Effectiveness of McKenzie with Core Muscle Stabilization Exercises Versus McKenzie with Brunkow’s Exercises In Lumbar Disc Herniation: A Pilot Study

Abstract

Background: physiotherapy in cases of lumbar disc herniation is helpful. McKenzie method is well known treatment for such condition, but for long relief strengthening of surrounding musculature is crucial. Core & Brunkow’s exercises are known for strengthening. But effectiveness or single proper exercise treatment for disc herniation is not present. This pilot study was done towards the fulfilment of main study with same purpose i.e. to see the effect of Core & Brunkow’s with Mckenzie in common. Subjects: Initial 10 Subject from each of two groups were taken for this pilot study. Methods: intervertebral disc patients pre assessment was taken by outcome measures – for back and abdominal strength checked by manual muscle testing, spinal movement by modified Schober’s method, pain was checked on Visual Analog Scale while disability on quebac scale. After 4 weeks of treatment and 1 month follow up outcomes were remeasured. Result: there was improvement in both groups post outcome score when compared to baseline. During follow up improvement was maintained. Significant improvement was found in group A i.e. Core muscle group. Conclusion: comparing both groups McKenzie with core muscle stabilization exercises is slightly more effective than McKenzie with Brunkow’s exercises. But no significant difference was found in between these two groups. Due to pilot study and small sample size result cannot be generalized. But the main study result in right way can justify.