Effect of the Hands- on McKenzie Program on Low Back Pain

Study Overview
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Brief Summary
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Low back pain (LBP) is one of most prevalent types of musculoskeletal pain and is strongly related to disability. The McKenzie method is one of most popular treatment options for LBP. The objectives of this study are to determine the effect of the hands-on McKenzie program on pain, disability, spine mobility, and posture deviations in subjects with derangement low back pain.

Detailed Description
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Thirty eight patients with sub-acute and chronic LBP will be randomly assigned to the McKenzie group (MG) or the control group (CG). The MG will perform exercises with the hands-on procedure (three sessions per week) for two weeks, while the CG will perform only exercises for two weeks. Both groups will do a home exercise program. The outcome assessments will measure pain by the Pain Numerical Rating Scale (NPRS), the level of disability through the Oswestry Disability Index (ODI), spine mobility by range of motion (ROM) for the lumbar spine, and the centralization of symptoms and the postural alternation by postural analysis grid (PAG). By using SPSS version 20, a paired t-test will be use to study the effect of the McKenzie program before and after treatment. An independent t-test will be used to study the significance between the two groups.

Official Title
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Effect of the Hands- on McKenzie Program on Derangement Syndrome in Sub-acute and Chronic Low Back Pain

Conditions
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Low Back Pain

Intervention / Treatment
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* Other: McKenzie group
* Other: Control group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - The patients will be age from 18 to 60 years old, and have LBP with or without leg pain, lasting from seven weeks to 12 weeks or more. Additional criteria include recurrent LBP, demonstrating a DP during the mechanical assessment , The subjects have a BMI of normal (17 to 23.9) or overweight (24 to 28.9). Patient is Eligible. Exclusion Criteria: Participants who are underweight (BMI < 18.5) or obese (BMI ≥ 30) will be excluded . Those with contraindications to physical exercise according to the guidelines of the American College of Sports Medicine , such as those with serious spinal pathologies (fractures, tumours, and inflammatory diseases, such as ankylosing spondylitis), nerve root compromise (e.g., cauda equine syndrome), severe cardiopulmonary diseases,SCD, or pregnancy will be excluded. -

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: McKenzie group<br>This group will receive Hand-on technique on the lumbar spine. | Other: McKenzie group<br>* Mobilization for lumbar spine,TENS,Exercises,Postural education ,Home exercises program.<br>|
| Experimental: Control group<br>The Group will not receive Hand-on technique on the lumbar spine. | Other: Control group<br>* TENS,Exercises,Postural education ,Home exercises program.<br>* Other names: without any Hand -on Technique.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Numerical Rating Scale (PNRS). | For assessing the pain in the low back. | Two weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Spine mobility | In the flexion/extension/rotation and side bending(Right -Left) | Two weeks | 
| Centralization or non-centralizer (Peripheralization) of patient symptoms. | Using the body chart. | Two weeks. | 
| Postural alterations. | It is measure by Postural Analysis Grid (PAG) and software | Two weeks | 
| Disability associated with LBP | It is measure by The Oswestry Disability Index (ODI) | Two weeks |