Comparative Effects of McGill and McKenzie Exercises in Low Back Pain

Riphah International University57 enrolled

Overview

The study was conducted to determine the comparative effects of McGill and McKenzie exercises on pain, range of motion and disability in patients with chronic mechanical low back pain.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Mechanical Low Back Pain

Interventions

McGill ExercisesOTHER

McGill Big three exercises for 10 repetitions and 5-10 seconds of hold initially. Progression was tailored as per the patient's requirements and stamina. * Standardized physiotherapy treatment at the first session. * McGill curl-up * Isometric horizontal side support, either with support on knees or on foot, according to patient stamina. * Single leg extension holds on hands and knees, also known as McGill Birddog, either with or without raising the contralateral arm as per patient stamina.

McKenzie ExercisesOTHER

McKenzie extension exercise plan (EEP) for 10 repetitions and 5-10 seconds of hold initially. Progression was tailored as per the patient's requirements and symptoms * Standardized physiotherapy treatment at the first session. * Lying face down in extension on elbows. * Full press up. * Extension in standing.

Standardized Physiotherapy Treatment

Eligibility

Sex: ALLMin age: 20 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Both genders. * Patients between 20-40 years. * At least 6 months of history of chronic mechanical low back pain. * Negative Lasegue's Test. * Negative Slump Test. * Patient presenting with NPRS values of above 1 and equal to or less than 6. * ODI score from 5-24, with the patient showing minimal to moderate disability. * Patient showing restricted lumbar range of motion in any direction of flexion, extension, and lateral flexion. * Participants must demonstrate an extension directional preference during clinical examination (For the safety purpose of the patients) Exclusion Criteria: * Lumbar radiculopathy. * Previous record showing Trauma or accident. * Any previous surgical record of Lumbar Spine Surgery. * Acute or Subacute low back pain. * History of spinal osteoporosis. * Vertebral Fractures. * Tumors and active infections. * Diagnosed psychological disorders. * Any spinal deformity * Participants who do not show directional preference towards extension

Locations (1)

Naseer Hospital

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Numeric Pain Rating Scale

Pain intensity was measured using the Numeric Pain Rating Scale which is abbreviated as NPRS. In this tool, individuals score their pain levels on a scale from 0 to 10. When a participant selects 0, it means they had no pain. On the other hand, if it is 10, the participant must be going through the worst pain imaginable.

Time frame: From enrollment to the end of the treatment at 6 weeks

Oswestry Disability Index

The Oswestry Disability Index (ODI) is a questionnaire that participants fill themselves based on self-reporting. It is based on disability caused by low back pain. Pynsent in Oswestry, England, introduced it in 1980. It has become one of the most widely used and trusted tools for evaluating disability related to back pain.

Time frame: From enrollment to the end of the treatment at 6 weeks.

Lumbar Range of Motion

Different instruments are used in physiotherapy to measure the range of motions, like a goniometer and an inclinometer. An inclinometer is used to measure spinal ROM.

Time frame: From enrollment to the end of the 6 weeks

Secondary Outcomes

Lumbar Flexion

Measured by inclinometer.

Time frame: From enrollment to end of the treatment at 6 weeks.

Lumbar Extension

Measured by Inclinometer

Time frame: From enrollment to end of the treatment by 6 weeks.

Lumbar Right Lateral Flexion

Measured by Inclinometer

Time frame: From enrollment to the end of 6 weeks

Lumbar Left Lateral Flexion

Data from ClinicalTrials.gov

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