Effects of Rhythmic Stabilization and Mckenzie Techniques on Pain and Function in Patients with Non-Specific Chronic Low Back Pain

Rhythmic Stabilization and Mckenzie Techniques for Back Pain

Authors

  • Arzoo Nawaz Riphah International Islamic University, Lahore, Pakistan
  • Sana Hafeez University of Management and Technology, Lahore, Pakistan
  • Usama Ahmad Khan SMC Physio Care Centre, Gujranwala, Pakistan
  • Muhammad Usama The University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i05.1233

Keywords:

Backache, Disability, Flexibility, Mckenzie Technique, Rythmic Stabilization

Abstract

Non-specific chronic low back pain affects 90% of people around the world, resulting in impairment. Their quality of life can be enhanced by exercising. However, due to the complexity of non-specific chronic low back pain (NSCLBP) the most effective type of exercise as a rehabilitation technique is unknown, and more research is required. Objective: To assess the effects of rhythmic stabilization and McKenzie techniques on pain and function in patients with NSCLBP. Methods: A total of 36 NSCLBP patients were randomly assigned to the McKenzie group and the rhythmic stabilization group. Over a four weeks’ period, both groups received 12 sessions. Numeric pain rating scale (NPRS), modified oswestry low back pain (MODI), and bubble inclinometer were used to measure outcomes at baseline of 2nd, and 4th week. Results: Across the group, both rhythmic stabilization and McKenzie's results were significant. McKenzie had more significant results within the group than rhythmic stabilization (p<0.05). Conclusion: It was concluded that both rhythmic stabilization and McKenzie were helpful in improving pain, functional status, and mobility, with significant changes in NPRS, MODI score, and ranges. In CNSLBP patients, however, McKenzie's technique was demonstrated to be more effective in alleviating pain and impairment, as well as improving mobility, when compared to the technique of rhythmic stabilization

References

Park HJ, Choi JY, Lee WM, Park SM. Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys. Journal of Orthopaedic Surgery and Research. 2023 Jan; 18(1): 29. doi: 10.1186/s13018-023-03509-x. DOI: https://doi.org/10.1186/s13018-023-03509-x

Lozano R, Fullman N, Abate D, Abay SM, Abbafati C, Abbasi N et al. Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2018 Nov; 392(10159): 2091-138.

Júnior MA, De Almeida MO, Santos RS, Civile VT, Costa LO. Effectiveness of kinesio taping in patients with chronic nonspecific low back pain: a systematic review with meta-analysis. Spine. 2019 Jan; 44(1): 68-78. doi: 10.1097/BRS.0000000000002756. DOI: https://doi.org/10.1097/BRS.0000000000002756

Ganesan S, Acharya AS, Chauhan R, Acharya S. Prevalence and risk factors for low back pain in 1,355 young adults: a cross-sectional study. Asian Spine Journal. 2017 Aug; 11(4): 610. doi: 10.4184/asj.2017.11.4.610. DOI: https://doi.org/10.4184/asj.2017.11.4.610

Sipaviciene S and Kliziene I. Effect of different exercise programs on non-specific chronic low back pain and disability in people who perform sedentary work. Clinical Biomechanics. 2020 Mar; 73: 17-27. doi: 10.1016/j.clinbiomech.2019.12.028. DOI: https://doi.org/10.1016/j.clinbiomech.2019.12.028

Ramond-Roquin A, Bouton C, Bègue C, Petit A, Roquelaure Y, Huez JF. Psychosocial risk factors, interventions, and comorbidity in patients with non-specific low back pain in primary care: need for comprehensive and patient-centered care. Frontiers in Medicine. 2015 Oct; 2:73. doi: 10.3389/fmed.2015.00073. DOI: https://doi.org/10.3389/fmed.2015.00073

Chiarotto A, Maxwell LJ, Ostelo RW, Boers M, Tugwell P, Terwee CB. Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review. The Journal of Pain. 2019 Mar; 20(3): 245-63. doi: 10.1016/j.jpain.2018.07.009. DOI: https://doi.org/10.1016/j.jpain.2018.07.009

Czajka M, Truszczyńska-Baszak A, Kowalczyk M. The effectiveness of McKenzie Method in diagnosis and treatment of low back pain–a literature review. Advances in Rehabilitation. 2018; 32(1): 5-11. doi: 10.5114/areh.2018.76985. DOI: https://doi.org/10.5114/areh.2018.76985

Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017 Feb; 389(10070): 736-47. doi: 10.1016/S0140-6736(16)30970-9. DOI: https://doi.org/10.1016/S0140-6736(16)30970-9

Lam OT, Strenger DM, Chan-Fee M, Pham PT, Preuss RA, Robbins SM. Effectiveness of the McKenzie method of mechanical diagnosis and therapy for treating low back pain: literature review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy. 2018 Jun; 48(6): 476-90. doi: 10.2519/jospt.2018.7562. DOI: https://doi.org/10.2519/jospt.2018.7562

Anggiat L, Hon WH, Sokran SN, Mohammad NM. The changes of functional disability in non-specific low back pain among university population after proprioceptive neuromuscular facilitation and mckenzie method. International Journal of Medical and Exercise Science. 2020; 6(1): 656-67. doi: 10.36678/ijmaes.2020.v06i01.001. DOI: https://doi.org/10.36678/ijmaes.2020.v06i01.001

Malla S, Chahal A, Tiku RK, Kaul B. Effect of motor control exercise on Swiss ball and PNF technique on non-specific low back pain. International Journal of Medical Research and Health Sciences. 2018 Jan; 7(4): 114-24.

Garcia AN, Costa LD, Hancock MJ, De Souza FS, de Oliveira Gomes GV, De Almeida MO et al. McKenzie Method of Mechanical Diagnosis and Therapy was slightly more effective than placebo for pain, but not for disability, in patients with chronic non-specific low back pain: a randomised placebo controlled trial with short and longer term follow-up. British Journal of Sports Medicine. 2018 May; 52(9): 594-600. doi: 10.1136/bjsports-2016-097327. DOI: https://doi.org/10.1136/bjsports-2016-097327

Waqqar S, Shakil-ur-Rehman S, Ahmad S. McKenzie treatment versus mulligan sustained natural apophyseal glides for chronic mechanical low back pain. Pakistan Journal of Medical Sciences. 2016 Mar; 32(2): 476. d

Bose GN and Gohill D. Effect of Mckenzie Therapy and Lumbar Strengthening Program in Lumbar Spine Derangement Syndrome 1. European Journal of Pharmaceutical and Medical Research. 2018; 5(3), 160-164.

Panjaitan LA, Hon WH, Baait SN, Mawaddah N. Comparison between proprioceptive neuromuscular facilitation and mckenzie method in lumbar range of motion on non-specific low back pain. ACTIVE: Journal of Physical Education, Sport, Health and Recreation. 2020 Feb; 9(1): 63-71.

Arcanjo FL, Martins JV, Mote P, Leporace G, de Oliveira DA, de Sousa CS et al. Proprioceptive neuromuscular facilitation training reduces pain and disability in individuals with chronic low back pain: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice. 2022 Feb; 46: 101505. doi: 10.1016/j.ctcp.2021.101505. DOI: https://doi.org/10.1016/j.ctcp.2021.101505

Areeudomwong P and Buttagat V. Comparison of core stabilisation exercise and proprioceptive neuromuscular facilitation training on pain-related and neuromuscular response outcomes for chronic low back pain: a randomised controlled trial. The Malaysian Journal of Medical Sciences. 2019 Nov; 26(6): 77. doi: 10.21315/mjms2019.26.6.8. DOI: https://doi.org/10.21315/mjms2019.26.6.8

Areeudomwong P and Buttagat V. Proprioceptive neuromuscular facilitation training improves pain-related and balance outcomes in working-age patients with chronic low back pain: a randomized controlled trial. Brazilian Journal of Physical Therapy. 2019 Sep; 23(5): 428-36. doi: 10.1016/j.bjpt.2018.10.005. DOI: https://doi.org/10.1016/j.bjpt.2018.10.005

Iizuka Y, Iizuka H, Mieda T, Tsunoda D, Sasaki T, Tajika T et al. Prevalence of chronic nonspecific low back pain and its associated factors among middle-aged and elderly people: an analysis based on data from a musculoskeletal examination in Japan. Asian Spine Journal. 2017 Dec; 11(6): 989. doi: 10.4184/asj.2017.11.6.989. DOI: https://doi.org/10.4184/asj.2017.11.6.989

Downloads

Published

2024-05-31
CITATION
DOI: 10.54393/pjhs.v5i05.1233
Published: 2024-05-31

How to Cite

Nawaz, A., Hafeez, S., Khan, U. A., & Usama, M. (2024). Effects of Rhythmic Stabilization and Mckenzie Techniques on Pain and Function in Patients with Non-Specific Chronic Low Back Pain: Rhythmic Stabilization and Mckenzie Techniques for Back Pain. Pakistan Journal of Health Sciences, 5(05), 09–14. https://doi.org/10.54393/pjhs.v5i05.1233

Issue

Section

Original Article

Plaudit