Low Back Pain
Conditions
Keywords
Low Back Pain
Brief summary
A comparative study evaluating the effectiveness of the McKenzie technique versus manual therapy in patients with nonspecific low back pain. The study aims to assess which intervention is more effective in reducing pain and improving functional mobility.
Detailed description
The study compares McKenzie Method, a directional preference-based approach involving repeated movements and posture correction, against Manual Therapy, which includes hands-on techniques such as mobilizations and manipulations. Patients with nonspecific low back pain will be randomly assigned to one of the two groups and treated over a defined period. Outcomes will be measured using pain and disability scores.
Interventions
Experimental - McKenzie Technique (Group A) Intervention Type: Other: Physical Therapy Exercises Other Names: Intervention for low back pain Description: Soft Tissue Mobilization: Manual massage to release muscle tension (5-10 mins) Lumbar Mobilization Techniques: PA Mobilization (Posteroanterior glide) on the lumbar spine (Grade I-IV, 3-5 min per segment) Side-lying Rotational Mobilization (3 sets × 10 reps) Muscle Energy Techniques (METs): Pelvic Tilts (3 sets × 10 reps) Hip Flexor Stretch with Isometric Hold (3 sets × 10 sec per side) Core Stabilization Exercises: Bridge Exercise (3 sets × 10-15 reps) Dead Bug Exercise (3 sets × 10 reps per side) Modalities: Hot Pack (15-20 mins) for relaxation before therapy TENS (10 mins) for pain relief before mobilization
Manual Therapy (Group B) Description: Soft Tissue Mobilization: Manual massage to release muscle tension (5-10 mins) Lumbar Mobilization Techniques: PA Mobilization (Posteroanterior glide) on the lumbar spine (Grade I-IV, 3-5 min per segment) Side-lying Rotational Mobilization (3 sets × 10 reps) Muscle Energy Techniques (METs): Pelvic Tilts (3 sets × 10 reps) Hip Flexor Stretch with Isometric Hold (3 sets × 10 sec per side) Core Stabilization Exercises: Bridge Exercise (3 sets × 10-15 reps) Dead Bug Exercise (3 sets × 10 reps per side) Modalities: Hot Pack (15-20 mins) for relaxation before therapy TENS (10 mins) for pain relief before mobilization
Sponsors
Study design
Intervention model description
Participants will be randomly assigned to one of two parallel groups: one receiving McKenzie Technique and the other receiving Manual Therapy. Both groups will receive interventions independently to compare outcomes on pain and function in low back pain patients.
Eligibility
Inclusion criteria
* Diagnosis of nonspecific low back pain lasting more than 4 weeks * Willing to participate and comply with the study protocol
Exclusion criteria
* History of lumbar spine surgery * Presence of spinal fracture, tumor, or infection * Pregnant women * Severe osteoporosis or spinal deformity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the change in pain intensity | 6 Months | Pain intensity will be measured using the Visual Analog Scale (VAS), a 10-centimeter scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores represent worse outcomes. Pain levels will be assessed from baseline to the end of the intervention period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disability score | 6months | Disability will be assessed using the Oswestry Disability Index (ODI), a 0-100 scale, to evaluate the degree of functional limitation in daily activities. |
Other
| Measure | Time frame | Description |
|---|---|---|
| lumbar range of motion | 6 months | Range of motion will be evaluated using goniometric measurements to assess changes in lumbar flexion and extension. |
Countries
Pakistan