The Effect of Hyperextension Exercises In Lumbal Disc Hernia
Condition: Female Patients Diagnosed With LDH at L4-S1
Study type: Interventional

Summary: 
      The aim of this study was to examine the short-term effect on pain severity, disability
      level, flexibility and performance level of McKenzie hyperextension exercises applied in
      addition to conventional physiotherapy approaches in patients diagnosed with LDH.

      A total of 48 consecutive female patients diagnosed with LDH at L4-S1 were randomly separated
      into 2 groups of 24 as the study group and control group. The control group subjects were
      applied with 15 sessions of conventional physiotherapy consisting of hotpack, ultrasound, and
      TENS. The study group subjects received 15 sessions of McKenzie hyperextension exercises in
      addition to the conventional physiotherapy program.
    

Detailed description: 
      Aim: The aim of this study was to examine the short-term effect on pain severity, disability
      level, flexibility and performance level of McKenzie hyperextension exercises applied in
      addition to conventional physiotherapy approaches in patients diagnosed with LDH.

      Method: A total of 48 consecutive female patients diagnosed with LDH at L4-S1 were randomly
      separated into 2 groups of 24 as the study group and control group. The control group
      subjects were applied with 15 sessions of conventional physiotherapy consisting of hotpack,
      ultrasound, and TENS. The study group subjects received 15 sessions of McKenzie
      hyperextension exercises in addition to the conventional physiotherapy program. Before
      treatment, immediately after treatment, and at 3 months after the end of treatment, the two
      groups were compared in respect of pain severity (Visual Analog Scale- VAS), performance
      level (Half-Squat Test and The 5 Times Sit-Stand Test), flexibility level (Modified Sit And
      Reach Test), and disability level (Oswestry Disability Index - ODI).
    

Intervention name(s): Study Group; Control Group
Intervention type(s): Other; Other
Intervention description(s): Treatment: Hyperextension exercises as described by McKenzie (in addition to the conventional physiotherapy program)
McKenzie Hyperextension Exercises:
Exercises:
Prone position, arms by the side, deep breath, relax back muscles, holding for 2-3 minutes.
Prone position, raise trunk by raising head above forearms, elbows at shoulder level, maintaining for 2-3 minutes (10 repetitions).
Prone position, hands at elbow level, straighten elbows, raise the upper body from the floor and backwards as far as pain permits, holding for 2-3 seconds (10 repetitions).
Standing with feet shoulder-width apart, hands on waist, leaning backwards as far as possible from the lumbar region without bending knees, holding for 2-3 seconds (10 repetitions).
Additional Information:
Researcher Consistency: All treatments and evaluations were performed by the same researcher.
Frequency: 5 days a week Duration: 3 consecutive weeks; Treatment: Conventional physiotherapy program
Components:
Hot pack was applied to the lumbar region for 20 minutes
Ultrasound (ITO device) at 1 MHz and 1.5 W/cm2 for 5 minutes
Transcutaneous Electrical Nerve Stimulation (TENS) at 50-100 Hz for 20 minutes
Researcher Consistency: All treatments and evaluations for both groups were performed by the same researcher.
Session Duration: An average of 45 minutes per session
Frequency: 5 days a week
Duration: 3 consecutive weeks
Total Sessions: 15
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment