Research study into the McKenzie method and motor control exercises on low back pain

Arm 1: Mechanical Diagnosis and Therapy or more commonly known as the McKenzie method - This is a system of exercises and manual therapy that uses repeated end range lumbar spine movements that promote a reduction in pain from its most distal point on the limb towards the centre of the back. The exercises are done in a specific direction (for example lumbar extension) which has been determined by a trained therapist during the patient assessment. Following the consultation the patient is asked to perform these exercises at home and implement postural correction 5 to 6 times per day for a few minutes each time. The patient is required to attend for regular reviews as clinically warranted. The patient may attend for a maximum of 12 treatments over an 8 week period. Each session may last up to 30 minutes. Arm 2: motor control exercises - These are exercises that are specifically designed to improve the co-ordination of the trunk muscles. They are given under the guidance of a Physiotherapist who has been trained in there implementation. They are initially done in the lying position and as able are progressed to be done in sitting, standing and functional activities. Patients will receive what is clinically required as decided by the therapist. Patients may receive up to 12 sessions over an 8 week period. Each session may last up to 30 minutes. Patients will be given a home exercise program to practice at home for 30 minutes each day.