Low Back Pain
Conditions
Brief summary
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.
Detailed description
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.
Interventions
OTHERMcKenzie group
Mobilization for lumbar spine,TENS,Exercises,Postural education ,Home exercises program.
OTHERControl group
TENS,Exercises,Postural education ,Home exercises program.
Sponsors
Imam Abdulrahman Bin Faisal University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
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. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Numerical Rating Scale (PNRS). | Two weeks | For assessing the pain in the low back. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Spine mobility | Two weeks | In the flexion/extension/rotation and side bending(Right -Left) |
| Centralization or non-centralizer (Peripheralization) of patient symptoms. | Two weeks. | Using the body chart. |
| Postural alterations. | Two weeks | It is measure by Postural Analysis Grid (PAG) and software |
| Disability associated with LBP | Two weeks | It is measure by The Oswestry Disability Index (ODI) |
Outcome results
None listed