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McKenzie vs Manual Therapy for Low Back Pain

Comparative Study of McKenzie Technique and Manual Therapy for Pain and Function in Low Back Pain

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06955117
Acronym
LowBackpain
Enrollment
52
Registered
2025-05-02
Start date
2025-02-17
Completion date
2027-04-17
Last updated
2025-05-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Low Back Pain

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

OTHERGroup B

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

Riphah International University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)

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

Sex/Gender
ALL
Age
35 Years to 45 Years
Healthy volunteers
Yes

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

MeasureTime frameDescription
To assess the change in pain intensity6 MonthsPain 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

MeasureTime frameDescription
Disability score6monthsDisability will be assessed using the Oswestry Disability Index (ODI), a 0-100 scale, to evaluate the degree of functional limitation in daily activities.

Other

MeasureTime frameDescription
lumbar range of motion6 monthsRange of motion will be evaluated using goniometric measurements to assess changes in lumbar flexion and extension.

Countries

Pakistan

Contacts

Primary ContactDr.Nadeem Ahmad, MS
n.ahmad@riphah.edu.pk03451915105
Backup ContactDr.Nadeem Ahmad, MS
n.ahmad@riphah.edu.pk03028367237

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026