Abstract

Background: Various exercises have been proposed to mitigate low back pain. However, no one particular exercise has been shown to be superior. Hence, the purpose of this study was to assess the effects of McKenzie method and specific spine stabilization exercise on patients with LBP. Objective: Objective of this study is to find out the effect of McKenzie exercises and specific spine stabilization exercises in patients with non-specific LBP. Methodology: A total of 30 subjects aged 25 to 50 years were taken based on the inclusion criteria. And the subjects were randomly assigned to two groups; group A (n=15) received McKenzie exercises and group B (n=15) received specific spine stabilization exercises. Subjects were evaluated before treatment and 4 weeks after treatment. Each patient completed a self administered Roland Morris disability Questionnaire (RMDQ) to assess subjective disability as well as Visual analogue scale for evaluation of pain. Outcome Measures: RMDQ, VAS Results: The results showed significant improvement in both the groups. When McKenzie exercise and lumbar stabilization exercises were compared post-treatment, there was statistically significant difference in the outcome measures VAS and RMDQ score, in which lumbar stabilization group demonstrated more improvement. Conclusion: The present study concluded that lumbar stabilization exercise and McKenzie exercise yielded significant improvement in patients with LBP. There is significant difference in lumbar stabilization and McKenzie exercise in the treatment of subjects with LBP. And lumbar stabilization exercise is slightly more beneficial than the McKenzie exercises.

• 1.   B Duthey.Background Paper 6.24 Low back pain. Priority Medicines for Europe and the World. March 2015.
• 2.   Airaksinen O, Brox J. Chapter 4: European guidelines for the management of chronic non specific low back pain.Eur Spine J. 2006 Mar;15(2):S192-300.
• 3.   Ronai P, Sorace P: Chronic nonspecific low back pain and exercise.Strength & Conditioning Journal.2013;35(1):29-32.
• 4.   Martin Krismer, Van Tulder. Strategies for prevention and management of musculoskeletal conditions. Low back pain (non specific). Best pract Res Clin Rheumatol. 2007 Feb;21(1):77-91
• 5.   Angela Searle, Martin Spink, Alan Ho, Vivienne Chuter. Exercise interventions for the treatment of chronic low back pain. Clinical Rehabilitation. Feb 2015;29(12):1155-1167.
• 6.   Clare H, Adams R, Maher C. A systematic review of efficacy of McKenzie therapy for spinal pain. Aust J Physiotherapy. 2004;50(4):209-16.
• 7.   The McKenzie institute international [online]. 2013 march 1; available from: https/ mckenzieinstitute.org
• 8.   Oliver T Lam, D M Strenger, M Chan et al: Effectiveness of the McKenzie method of mechanical diagnosis and therapy for treating low back pain.J Orthop sports phys ther.2018 May 31; 48(6):476-490.
• 9.   Hye Jin moon, MD, Kyoung Hyo Choi et al: Effect of lumbar stabilization & dynamic lumbar strengthening exercises in patient with chronic LBP.Ann Rehabil Med. Feb 2013; 37(1): 110-117.
• 10.   Suh, H Kim, GP Jung et al; The effect of lumbar stabilization and walking exercises on chronic low back pain.Medicine.June 2019; 98(26).
• 11.   Koes BW, Bouter LM, van Mameren H. Randomized clinical trial of manipulative therapy and physiotherapy for persistent back and neck complaints: results of one-year follow-up.BMJ.1992; 304(6827):601–605.
• 12.   KoesBW, Bouter LM, van der Heijden GJ. Methodological quality of randomized clinical trials on treatment efficacy in low back pain. Spine. 1995;20:228-235.
• 13.   Mohammad Hosseinifar, Mohammad Akbari, Hamid Behtas, Mohsen Amiri, Javad Sarrafzadeh. The Effects of Stabilization and McKenzie Exercises on Transverse Abdominis and Multifidus Muscle Thickness, Pain, and Disability: A Randomized Controlled Trial in Non Specific Chronic Low Back Pain. J Phys Ther Sci. 2013 Dec;25(12):1541-1545.
• 14.   Muhammad Waseem Akhtar, Hossein Karimi, Syed Amir Gila. Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic non-specific low back pain: A randomized controlled clinical trial. Pak J Med Sci. 2017 Jul-Aug;33(4):1002-1006.
• 15.   Bae CR, Jin Y, Yoon BC, Kim NH, Park KW, Lee SH. Effects of assisted sit-up exercise compared to core stabilization exercise on patients with non-specific low back pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2018;31(5):871-880.
• 16.   Mohammad Hosseinifar, Asghar Akbari, Abolfazl Shahrakinasab.The effects of McKenzie and lumbar stabilization exercises on the improvement of function and pain in patients with chronic low back pain: a randomized controlled trial.J Shahrekord Univ Med Sci. 2009;11(1):1-9.
• 17.   Saira Waqqar, Syed Shakil-ur-Rehman, Shakeel Ahmad.McKenzie treatment versus mulligan sustained natural apophyseal glides for chronic mechanical low back pain. Pak J Med Sci. 2016 Mar-Apr; 32(2): 476–479.
• 18.   R. Chitra. Effect of lumbar stabilization exercise and lumbar extension exercise in the treatment of chronic low back pain. European Scientific Journal. July 2014;10(21).
• 19.   F Y Aliyu, A A Wasiu, B Bello.Effects of a combined lumbar stabilization exercise and cognitive behavioral therapy on selected variables of individuals with non-specific low back pain. A randomized clinical trial. Fisioterapia. Sept-Oct 2018;40(5):257-264.
• 20.   Saravanan Kuppusamy, Raghunath Narayanasamy, Johnson Dillip Christopher. Effectiveness of McKenzie Exercises and Mat Based Pilates Exercises in Subjects with Chronic Non-Specific Low Back Pain: A Comparative Study. International Journal of Prevention and Treatment. 2013;2(4):47-54.
• 21.   Halliday M H, Pappas E, Hancock M J, Clare H A, Pinto RZ, Robertson G et al. A Randomized Controlled Trial Comparing the McKenzie Method to Motor Control Exercises in People With Chronic Low Back Pain and a Directional Preference. J Orthop Sports Phys Ther. 2016 Jul;46(7):514-
• 22.   Alexandre Henrique Nowotny, Mariene Guizeline Calderon, P A de Souza et al. Lumbar stabilization exercises versus back endurance-resistance exercise training in athletes with chronic low back pain: protocol of a randomized controlled trial. BMJ Open Sport Exerc Med. 2018;4(1):e000452.
• 23.   Kim M, Kim M, Oh S, Yoon B.The Effectiveness of Hollowing and Bracing Strategies With Lumbar Stabilization Exercise in Older Adult Women With Nonspecific Low Back Pain.J Manipulative Physiol Ther. 2018 Jan;41(1):1-9.
• 24.   Garcia AN, Hancock MJ, de Almeida MO, de Souza FS, Costa LO. Efficacy of the McKenzie method in patients with chronic nonspecific low back pain: a protocol of randomized placebo-controlled trial. Phys Ther. 2015 Feb;95(2):267-73.
• 25.   Ali Hasanpour, Dehkordi, Arman Dehghani, Kamal Solati.A Comparison of the Effects of Pilates and McKenzie Training on Pain and General Health in Men with Chronic Low Back Pain: A Randomized Trial.Indian J Palliat Care. 2017 Jan-Mar;23(1):36–40.
• 26.   David Joseph Ponte, Gail J. Jensen, Barbara E. Kent.A Preliminary Report on the Use of the McKenzie Protocol versus Williams Protocol in the Treatment of Low Back Pain. Journal of Orthopedic & Sports Physical Therapy.1984;6(2):130-139.
• 27.   Lucy Jane, Ann P Moore, Jo Doust et al. A Randomized Controlled Trial Investigating the Efficiency of Musculoskeletal Physiotherapy on Chronic Low Back Disorder. Spine. June 2006;31(10):1083-93.

Data Sharing Statement

Funding