Clinical trial NCT05340894: Mckenzie Versus William Exercise for Non Specific Low Back Pain in Adolescents
Official title: A Randomaized ,Double Study ,Aims to Compare Between Mckenzie and William's Exercises in Order to Find Which Method Has Better Effect on Adolescents With Non Specific Low Back Pain
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Non Specific Low Back Pain
Keywords: Adolescents, Balance, Low Back Pain, McKenzie Exercises, and William's Exercises.
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2022-04-22
Enrollment: 30
Sex: MALE
Minimum age (years): 14
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: MCKENZIE EXERCISE VERSUS WILLIAMS EXERCISE ON DECREASING PAIN IN ADOLESCENT WITH NON SPECIFIC LOW BACK PAIN

Low back pain is uncommon in the first decade of life,but prevalence increases steeply during the teenage years; around 40% of 9-18-year olds in high-income, medium-income, and low-income countries report having had low back pain. NSLBP represents about 85% of LBP patients seen in primary care. Non-specific low back pain is one of the most common health problems and is the leading cause of disability in young adults. During school age, the overall risk of low back pain is similar to adults, with prevalence rates as high as 70% to 80% by the age of 20 years old Non-specific low back pain is defined as low back pain not attributable to a recognisable, known specific pathology.

Understanding back pain in adolescents is crucial to obtain timely diagnosis and determine appropriate treatment. Proper treatment and management of LBP in the adolescent years can minimize back pain lasting into adulthood Non pharmacological treatments are emphasised over pharmacological interventions in the management of persistent non-specific low back pain.

natinal institute for health and care excellence(NICE) 2016 draft guideline endorses self-management, exercise, manual therapy, psychological therapies, combined physical and psychological programmes, return-to-work programmes, and radiofrequency denervation.

Back exercises can be an inexpensive and easy option of treatment for NSLBP and proven to be effective. McKenzie extension exercise and William flexion exercise are the most common types of back exercises.

Selection the appropriate treatment method is important. So this study will be aimed to compare between Mckenzie and William's exercises in order to find which method has better effect on adolescents with NSLBP.


Eligibility criteria: Inclusion Criteria:

* Age range from 14 to 18 years.
* Diagnosed as non-specific low back pain.
* Medically and clinically stable.
* All participants are within normal range weight and height.

Exclusion Criteria:

Adolescents have one or more of the followings will be excluded:

* Any spinal deformities.
* History of spinal or pelvic surgery.
* Specific spinal pathologies as cauda equina syndrome, cord compression, infection, fracture, neoplasm, inflammatory disease, whiplash associated disorders and vertebro-basilar insufficiency.
* Any visual or auditory problems that interfere with the rehabilitation program.
* Children with significant mental or psychological problems that interfere with understanding instructions.

Primary outcomes:
measure: Visual Analogue Scale (VAS)
timeFrame: changes in pain at 4 weeks
Secondary outcomes:
measure: ModifiedSchober's Test(MSchober test)
timeFrame: changes in back flexibility in 4 weeks
Other outcomes:
measure: YMED TEST Balance Test
timeFrame: changes in balance in 4 weeks
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Study officials:
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