Effect of the Hands- on McKenzie Program on Low Back Pain

Imam Abdulrahman Bin Faisal University38 enrolled

Overview

Low back pain (LBP) is one of most prevalent types of musculoskeletal pain and is strongly related to disability. The McKenzie method is one of most popular treatment options for LBP. The objectives of this study are to determine the effect of the hands-on McKenzie program on pain, disability, spine mobility, and posture deviations in subjects with derangement low back pain.

Thirty eight patients with sub-acute and chronic LBP will be randomly assigned to the McKenzie group (MG) or the control group (CG). The MG will perform exercises with the hands-on procedure (three sessions per week) for two weeks, while the CG will perform only exercises for two weeks. Both groups will do a home exercise program. The outcome assessments will measure pain by the Pain Numerical Rating Scale (NPRS), the level of disability through the Oswestry Disability Index (ODI), spine mobility by range of motion (ROM) for the lumbar spine, and the centralization of symptoms and the postural alternation by postural analysis grid (PAG). By using SPSS version 20, a paired t-test will be use to study the effect of the McKenzie program before and after treatment. An independent t-test will be used to study the significance between the two groups.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Low Back Pain

Interventions

McKenzie groupOTHER

Mobilization for lumbar spine,TENS,Exercises,Postural education ,Home exercises program.

Control groupOTHER

TENS,Exercises,Postural education ,Home exercises program.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: \- The patients will be age from 18 to 60 years old, and have LBP with or without leg pain, lasting from seven weeks to 12 weeks or more. Additional criteria include recurrent LBP, demonstrating a DP during the mechanical assessment , The subjects have a BMI of normal (17 to 23.9) or overweight (24 to 28.9). Patient is Eligible. Exclusion Criteria: Participants who are underweight (BMI \< 18.5) or obese (BMI ≥ 30) will be excluded . Those with contraindications to physical exercise according to the guidelines of the American College of Sports Medicine , such as those with serious spinal pathologies (fractures, tumours, and inflammatory diseases, such as ankylosing spondylitis), nerve root compromise (e.g., cauda equine syndrome), severe cardiopulmonary diseases,SCD, or pregnancy will be excluded. \-

Outcomes

Primary Outcomes

Pain Numerical Rating Scale (PNRS).

For assessing the pain in the low back.

Time frame: Two weeks

Secondary Outcomes

Spine mobility

In the flexion/extension/rotation and side bending(Right -Left)

Time frame: Two weeks

Centralization or non-centralizer (Peripheralization) of patient symptoms.

Using the body chart.

Time frame: Two weeks.

Postural alterations.

It is measure by Postural Analysis Grid (PAG) and software

Time frame: Two weeks

Disability associated with LBP

It is measure by The Oswestry Disability Index (ODI)

Time frame: Two weeks

Data from ClinicalTrials.gov

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