Efficacy of McKenzie Exercises Over Conventional Physiotherapy Treatment In Low Back Pain (Dysfunction Syndrome)
Keywords:
Low back pain, Dysfunction syndrome, Shor wave diathermy, McKenzie exercise, VASAbstract
Low back pain is a common reason for seeing a physiotherapist in primary care. The goal for the therapist managing these patients is to select the appropriate treatment for each patient. Aims & Objective: Present study done to compare efficacy of McKenzie extension exercise over conventional method of short wave diathermy in extension dysfunction syndrome. Methodology: total 30 samples patients of age 35-50 years were selected. Patients with complaint of low back pain were further assessed to diagnose extension dysfunction syndrome. Study by randomized technique was adopted. Patients kept under control group received short wave diathermy only whereas patients kept in experimental group received McKenzie extension exercise in addition to short wave diathermy. With the help of VAS ( Visual Analogue Scale) for pain relief in extension pain assessed in both groups on 1st, 5th, 10th and 15th day of treatment. The test used independent ‘I’ test using SPSS & Graph Pad Instat 3 (trial Version). Result: the mean improvement between the initial & final scores of the control group was 4.06 + 1.24 and that of experimental group was 3.45 + 1.08 and on calculation the ‘I’ value was found to be 3.24 hence p<0.05 which implies that there was significant difference between two groups. Conclusion: there was definite decrease in value of VAS in both the groups but there was more significant improvement in experimental group in comparison to the control group. It may be quite safely stated that McKenzie technique is an effective scientific and economical method for reducing dysfunction syndrome.
Downloads
References
Manusov, E. G. Evaluation and diagnosis of low back pain. Primary care, 2012;39(3) : p471-79
Cohen, S. P. Argoff , C. E., and Carragee, E. J.CLINICAL review Management of low back pain. BMJ, 2009; 338: p101.
Koes, BW; van Tulder, M;Lin, CW; Macedo, LG; McAUley, J; Maher, C . “An updated overview of clinical guidelines for the management of non specific low back pain in primary care.” European Spine Journal 2010; 19 (12): P2075-94.pmid20602122
Roach, K. E. Brown, M. D.; Albin, R.D. The Sensitivity and Specificity of Pain response to activist and position in categorizing patients with low backpain. Physical Therapy. 1997;77(7): p730-738
McKenzie, R.A. The Lumbar Spine: Mechanical Diagnosis and Therapy Spinal Publication. Waikanae; New Zealand. Spinal Publication Limited, 1981 ;p8-120
Petersen T. non-specific Low Back Pain. Classification and treatment. 1st ed, Sweden: Lund University;2003; p6-17
Barr K.P.; Griggs m.; Cadby t. Lumbar stabilization: Core concepts and current literature, part 1 . American Journal Physical Medicine and Rehabilitation , 2005; 84:p473-480.
Nachemson, A. L. Exercise, fitness, and back pain. Exercise, Fitness, and Health: A consensus of Current Knowledge. Champaign,III: Human Kinetics Inc.1990
Brukner, P; Khan, K. Clinical Sports Medicine. Sydney, McGraw-Hill, 1993; p264-289.
Biyani, A., and Anderson, G. B> Low back pain: patho-physiology and management. Journal of the American Academy of Orthopedic Surgeons, 2004; 12(2): p106-115.
Koes B, van Tulder M. “Low back pain(acute)” Clinical evidence 2006; (15): p1619-33. PMID 16973062.http://clinicalevidence.bmj.com/ceweb/conditions/msd/1102/1102.
Van Tulder M, Koes B.”Lowback pain (chronic)”. Clinical evidence 2006; (15): p1634-53. PMID16973063
Battie MC, Cherkin DC, Dunn R, Ciol MA, and Wheeler KJ. Managing low back pain: attitudes and treatment preferences of physical therapist. PhysTher 1994;74: p219-26
Thompson KA, Baxter GD, and Allen JM. Management of nonspecific low back pain by physiotherapists in Britain and Ireland. A descriptive questionnaire of current clinical practice. Spine 1999;24 : p 1332-42.
Gracey JH, McDonough SM, and Baxter GD. Physiotherapy management of low back pain: a survey of current practice in Northern Ireland. Spine 2002; 27:p406-11.
Helen A Clare, Roger Adams and Christopher G Maher(2004); A systematic review of efficacy of McKenzie therapy for spinal pain; Australian Journal of Physiotherapy 50: p 209-216
Debsarma HN. Low back pain management by physical therapy methods in a developing country, India. (th World Congress on pain, Vienna,1999,p 181-7.
McKenzie, R. A. The Lumber Spine: Mechanical Diagnosis and Therapy Spinal Publication. Waikanae; New Zealand. Spinal Publication Limited, 1981 ;p8-120
Skikic EM, Suad T. The effects of McKenzie exercises for patient with lower back pain, our experience. Bosnian J Basic Med Sci 2003;3: p70-75.
Petersen, T.,Kryger, P.,Ekdahl, C., Olsen, S.,and Jacobsen, S. (2002). The effect of McKenzie therapy as compared with that of intensive strengthening training for the treatment of patients with sub acute or chronic low back pain: A randomized controlled trial. Spine.2002; 27(16): p1702-1709
CArneiro Machado LA, von Sperling de Souza M, Ferreira P H, Ferreira M L. The McKenzie method for low back pain: a systemic review of the literature with a meta-analysis approach. Spine 2006; 31(9): E254-E262 PubMedID16641766
Dettori,L. C. J.R., Bullock, C. S.H., Sutlive, C.T. G., Franklin, C. R. J., and Patience, T. The effects of spinal flexion and extension exercises and their associated postures in patients with acute low back pain. Spine, 1995;20(21): p2303-2312.
Johnson, O.E., Adegoke, B.O.A.; Ogunlade,S.O. Comparison of four Physiotherapy Regimens in the treatment of Long- Term Mechanical Low Back Pain. Japanese Journal of Physiotherapy Association, 2010;13:p 9-16
Chou, R.,and Huffman, L.H. Non pharmacologic therapies for acute and chronic back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Annals of internal medicine,2007; 147(7):p492
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
