The Mckenzie Methodwith Interferential Therapy on Acute Low Back Pain (Sciatica) Patients: A Randomised Controlled Clinical Trial
DOI:
https://doi.org/10.37506/d0qmnm79Keywords:
McKenzie method, Interferential Therapy, Acute Low back pain (Sciatica) Patients.Abstract
Purpose: To investigate the effect of McKenzie method withInterferential therapy (IFT)when compare to IFT
alone on acute low back pain (Sciatica) patients in terms of relieving pain, increasing lumbar extension range of motion and speed of walking.
Methods: Randomised controlled clinical trial,fifty seven patients were screened; forty sciatica patients aged
from 30 to 60 years with no recent injury were selected through the special tests, after randomisation, the experimental group (n-15) was treated with the McKenzie method andInterferential therapy whereas control group (n-15) was treated with the Interferential therapy alone. The primary outcome was the relief of low back pain and increasing the lumbar extension range of motion. The secondary outcome was the speed of walking by measuring the stride length and cadence for 10 meters.
Result: The study aimed to compare the pain, lumbar extension range of motion (ROM), stride length, and cadence of two different teams before and after physiotherapy. The experimental team had an average pain score of 7.70 VAS, a lumbar extension range of motion of -3.70 degrees, a stride length of 56.70 cms, and a cadence of 115.35 steps. In post-physiotherapy, the team had an average pain score of 2.20 VAS, a lumbar extension range of motion of 24.85 degrees, a stride length of 58.65 cms, and a cadence of 113.15 steps. The mean difference in pain, ROM, stride length, and cadence was statistically significant. The results suggest that physiotherapy can be a valuable tool for improving pain management and reducing back pain.
Conclusion: McKenzie method with Interferential therapy showed greater relief of low back pain, increased lumbar extension range of motion, increased speed of walking in terms of step length and cadence than IFT alone.
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Fairag M, Kurdi R Alkathiry A, Alghamdi N, Alshehri R,Alturkistany FO, Almutairi A, Mansory M, Alhamed M,Alzahrani A, Alhazmi A. Risk Factors, Prevention, and Primary and Secondary Management of Sciatica: An Up-dated Overview. Cureus. 2022 Nov 12;14(11):e31405. doi: 10.7759/cureus.31405. PMID: 36514653; PMCID: PMC9743914.
Euro U, Heliövaara M, Shiri R, Knekt P, Rissanen H,Aromaa A, Karppinen J. Work-related risk factors forsciatica leading to hospitalization. Sci Rep. 2019 Apr25;9(1):6562. doi: 10.1038/s41598-019-42597-w.PMID: 31024023; PMCID: PMC6484005.
Lee K, Kim ES, Jung B, Park SW, Ha IH. Associa-tion between pain and gait instability in patientswith lumbar disc herniation. J Int Med Res. 2021Aug;49(8):3000605211039386.
Bonab M, Colak TK, Toktas ZO, Konya D. Assessment ofSpatiotemporal Gait Parameters in Patients with Lum-bar Disc Herniation and Patients with Chronic Mechan-ical Low Back Pain. Turk Neurosurg. 2020;30(2):277-284.
Mann SJ, Lam JC, Singh P. McKenzie Back Exercises.[Updated 2022 Jul 4]. In: StatPearls [Internet]. Trea-sure Island (FL): StatPearls Publishing; 2022 Jan-.Available from: https://www.ncbi.nlm.nih.gov/books/NBK539720/
ArbnoreIbrahimaj, SamireDeliu, SylejmanMiftari. Ef-fectiveness of the mckenzie method in the treatment of low back pain in subacute and chronic stage. Researchin Physical Education, Sport and Health 2015, Vol. 4,No. 1, pp.79-86.
Busanich BM, Verscheure SD. Does McKenzie therapyimprove outcomes for back pain? J Athl Train. 2006 Jan-Mar;41(1):117-9.
Shipton, E.A. Physical Therapy Approaches in the Treat-ment of Low Back Pain.Pain Ther7, 127–137 (2018).
Angela Dunsford and Saravana Kumar and Sara Clarke.Integrating evidence into practice: use of McKen-zie-based treatment for mechanical low back pain. Jour-nal of Multidisciplinary Healthcare. 2011,Vol-4,393-40212
Olawale O A, Agudzeamegah C M. The efficacy of inter-ferential therapy and exercise therapy in the treatmentof low back pain. Niger J ExpClinBiosci 2014;2:10-4
The efficacy of interferential therapy and exercise ther-apy in the treatment of low back pain OA Olawale, CMAgudzeamegah, Nigerian Journal of Experimental andClinical Biosciences, Year: 2014, Volume: 2, Issue: 1,Page:10-14
https://www.indiamart.com/proddetail/interfer-ential-electrotherapy-comp-ift-physiotherapy-bion-ics-12547067630.html (Accessed on 04/01/23)
Long A, Donelson R, Fung T. Does it matter which exercise? A randomized control trial of exercise for low back pain.Spine (Phila Pa 1976). 2004 Dec 1;29(23):2593-602.
Sousa Filho LF, Barbosa Santos MM, Matos Vasconce-los DB, Soares EA, Dos Santos GHF, da Silva Júnior WM.Neurodynamic exercises provide no additional benefit to extension-oriented exercises in people with chroniclow back-related leg pain and a directional preference:A randomized clinical trial. J BodywMovTher. 2022Apr;30:140-147.
Tacu C, Rezuş E, Boiculese LV, Stratulat IS, Miu SN. Dif-ferentiation of patients with chronic lombosciatica dueto disc hernia using gait analysis techniques. Rev MedChirSoc Med Nat Iasi. 2010 Jul-Sep;114(3):694-9. PMID: 21235116.
Wheeler AH. Diagnosis and management of lowback pain and sciatica. Am Fam Physician. 1995Oct;52(5):1333-41, 1347-8. PMID: 7572557.
Albert HB, Hauge E, Manniche C. Centralization in pa-tients with sciatica: are pain responses to repeatedmovement and positioning associated with outcome ortypes of disc lesions? Eur Spine J. 2012 Apr;21(4):630-6.
Cherkin DC, Deyo RA, Battié M, Street J, Barlow W. A comparison of physical therapy, chiropractic manipu-lation, and provision of an educational booklet for thetreatment of patients with low back pain. N Engl J Med.1998 Oct 8;339(15):1021-9.
Gordon R, Bloxham S. A Systematic Review of the Ef-fects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare (Basel). 2016 Apr25;4(2):22.
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