Comparison Of The Effectiveness Of Back School Exercises And Mckenzie Exercises In The Treatment Of Chronic Low Back Pain; A Randomized Controlled Trial”RCT: Back School Exercises and Mckenzie Exercises in The Treatment of Chronic Low Back Pain

Aniqa  Nasreen; Zarafshan  Majeed; Malik Ali  Hassan Awan; Sania  Maqbool; Hafiz Muhammad  Uzair Asghar; Hafsa  Tahir; Khushbakhat  Butt; Bayyinah  Zaheer

doi:10.54393/pbmj.v5i7.639

Authors

Aniqa Nasreen King Edward Medical University Lahore
Zarafshan Majeed Women Medical Officer WMO, Basic Health Unit BHU 14 1AL
Malik Ali Hassan Awan Medical Officer MO at RHC Bama Bala
Sania Maqbool Department of Physical Medicine and Rehabilitation SHS, University of Management and Technology (UMT) Lahore
Hafiz Muhammad Uzair Asghar Lahore College of Physical Therapy
Hafsa Tahir SHS (School of Health Sciences) University of Management & Technology, Lahore
Khushbakhat Butt Rehab Care Johar Town, Lahore
Bayyinah Zaheer King Edward Medical University Lahore

DOI:

https://doi.org/10.54393/pbmj.v5i7.639

Keywords:

LBP (Low back pain), RCT (randomized controlled trail)

Abstract

Low back pain has become the most common critical health problem and it is well known for causing a personal, and community financial burden globally. Low back pain is demarcated as non-specific, non-radiating pain with no accompanying neurological signs and symptoms. Objective: The purpose of this study was to compare the effectiveness between Mckenzie exercises and back school exercises in the treatment of low back pain. Methods: This research included 36 patients who met the eligibility criteria. Prior to undertaking any examinations or receiving treatments, each participant in this study gave their ethical approval via filling out informed consent. Patients with nonspecific chronic back pain were divided randomly into 3 groups. In ‘group A’ only the conventional treatment was provided and in group 2 patients performed back school exercises. Similarly, in group 3 patients performed Mckenzie exercises. The lottery method was used to assign patients to these three randomized groups. All of these aforementioned groups received conventional therapy, which remained identical throughout the study. The conventional treatment included a hot pack for 10 minutes and back isometrics. Additionally, group A received conventional therapy, group B received conventional therapy along with back school exercises, and group 3 received Mckenzie exercises and conventional therapy. Each patient received treatment three times a week for of total 4 weeks. Roland Morris’s disability questionnaire was used to measure self-reported physical impairment due to low back pain. Moreover, a numeric pain rating scale was used to measure pain severity. Results: This study showed that patients receiving back school and Makenzie exercises showed marked improvement in pain and disability scores. Conclusion: This study concluded that Mckenzie exercises are more effective than back school exercises for the management of chronic nonspecific low back pain. That is because Mckenzie’s exercises not only decrease pain but equally improve, the flexibility and posture of the spine

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