EFFECT OF MCKENZIE THERAPY AND LUMBAR STRENGTHENING PROGRAM IN LUMBAR SPINE DERANGEMENT SYNDROME 1.

Gopal Nambi Subash Chandra Bose* and Divya Gohill

ABSTRACT

Introduction: Low back pain affects approximately 80% of individuals, and represents the most common reason of activity limitation in individuals less than 45 years of age. Objective: To determine the efficacy of a Lumbar Strengthening Program in Lumbar Spine Derangement Syndrome 1. Methods: In a 2-week intervention study, 40 patients with lumbar spine derangement syndrome-1 were studied. Patients were randomly divided in two Groups: Group-A (n=20) who were given McKenzie exercises; Group-B (n=20) performed the McKenzie exercises & performed Resistance Training for the Lumbar Extensors. Both groups were submitted to two consecutive weeks of treatment consisting of six times weekly. A Visual Analogue scale (VAS), Modified Oswestry Back Pain Disability Questionnaire (MOQ) was administered at pretest and posttest. Wilcoxon signed ranks test was used for the comparison between the pre and posttest values within Group A and Group B. Mann Whitney U test was used for comparison between the posttest values of two groups. Results: A significant reduction in the pain intensity (p<0.05), and increase in the functionality (p< 0.05) between pre & post treatment stages in both groups were found. Both groups showed significant differences as to the pre & post treatment stages in the McKenzie therapy and Resistance training for the Lumbar Extensor Muscle exercises, wherein Group B showed a more significant improvement when compared to Group A. Conclusion: McKenzie therapy with resistance training for lumbar extensors muscles produced a significantly greater decline in the pain intensity and improvement in function, when compared to Mckenzie exercises alone.

Keywords: Lumbar spine derangement syndrome 1, McKenzie therapy, Visual analog scale, Modified oswestry low back pain disability questionnaire.