Chronic Mechanical Low Back Pain
Conditions
Keywords
McGill exercises, McKenzie Exercises, pain, range of motion, disability, chronic mechanical low back pain
Brief summary
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.
Interventions
OTHERMcGill Exercises
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.
OTHERMcKenzie Exercises
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.
* Electrical Heating Pad was applied for 10 minutes. * TENS was applied (low frequency) for 10 minutes. * Posterior to Anterior Glides of Lumbar Spine in Maitland Grade-III, with 4 sets and 4 repetitions each. The patient will be in a prone position.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oswestry Disability Index | From enrollment to the end of the treatment at 6 weeks. | 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. |
| Numeric Pain Rating Scale | From enrollment to the end of the treatment at 6 weeks | 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. |
| Lumbar Range of Motion | From enrollment to the end of the 6 weeks | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lumbar Flexion | From enrollment to end of the treatment at 6 weeks. | Measured by inclinometer. |
| Lumbar Left Lateral Flexion | From enrollment to end of the treatment by 6 weeks. | Measured by using Inclinometer |
| Lumbar Extension | From enrollment to end of the treatment by 6 weeks. | Measured by Inclinometer |
| Lumbar Right Lateral Flexion | From enrollment to the end of 6 weeks | Measured by Inclinometer |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORShakil ur Rehman, Ph.D
Riphah International University
Outcome results
None listed