Comparison of Effect of Mckenzie Approach And Motor Control Exercise in Patients With Sub Acute Low Back Ache

27101105, (2012) Comparison of Effect of Mckenzie Approach And Motor Control Exercise in Patients With Sub Acute Low Back Ache. Masters thesis, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, Coimbatore.

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Abstract

INTRODUCTION: Low back pain is a common disorder. Nearly everyone is affected by it at some time. For most people affected by low back pain substantial pain or disability is short lived and they soon return to normal activities regardless of any advice or treatment they receive. A small proportion, however, develop chronic Back pain can be acute, sub acute, or chronic. Acute back pain develops suddenly and lasts up to several weeks. Acute pain is the most common type of back pain. Sub acute back pain is pain that lasts up to 3 months. Chronic back pain can begin abruptly or gradually, but it lasts longer than 3 months. Most of the patients with acute or sub acute lower back pain recover completely over a few weeks without of any treatments. 60% of patients recover after seven weeks, without any treatments they receive. A recent study found that almost 30% of patients did not recover from the presenting episode of back pain within a year. For those patients whose low back pain become to chronicity, it is rarely a self limiting, as 10% of those patients whose low back pain becomes chronic had reports no pain five years later. OBJECTIVE OF THE STUDY: This study aim is to quantify the reduction in low back ache brought about by McKenzie approach and motor control exercise. MATERIALS AND METHODOLOGY: MATERIALS: Treatment Couch, Pillows, Small stool, Exercise mat. METHODOLOGY Study Design: This study is carried out by two groups, each group having 15 patients for both groups pre test and post test will be taken. Group A-Patient treated with McKenzie approach. Group B - Patients treated with motor control exercise. Both groups have been given back stretching and hamstring stretching after the session. Study Setting: This study is proposed to conduct in outpatient department of orthopedics and various other departments, Sri Ramakrishna Hospital, Coimbatore. Study Duration: The study extended for a period of 6 months. Duration: Each patient received the treatment for 30min, single session and for 5 days per week, total of 15 sessions. Sampling: The sample included in this study is simple random sampling. Each group assigned with 15 patients. A sample of 30 patients were randomly selected and divided into Group A and Group B Group A- Patient received McKenzie approach. Group B - Patients received motor control exercise. • Groups were evaluated using Visual Analogue Scale and Oshwrthy low back pain scale. • First day pre test measurement was taken and the outcome was assessed at the end of the 3rd week of intervention based Oshwrthy low back pain scale and visual analogue scale. CRITERIA FOR SAMPLE SELECTION: Inclusion Criteria: Mean age of 25 – 50 years, Both male and female groups were included, All low back pain with or without sciatica, who volunteered to participate in the study were included. Exclusion Criteria: • Recent fracture of vertebrae, Spinal canal stenosis, Tuberculosis of spine, Osteomyelities of spine, Severe spinal deformities, Severe osteoporosis, Patient who require surgical management, Cardiac patients, Spondylolisthesis, Cauda equina syndrome. DISCUSSION: This was comparative study conducted to evaluate and to compare the effectiveness of McKenzie exercise and motor control exercise for sub acute low back ache. Pain was found to decrease effectively in group A when compared to group B. The independent ‘t’ test the ‘t’ value is 3.9. This ‘t’ value greater than the one tail table value 2.763 with 28 degrees of freedom at p=0.05 respectively. Hence we can reject the null hypothesis and accept the alternative hypothesis. Therefore treatment given in group A reduces pain effectively than treatment given in group B. The disability also reduces effectively in group A when compared to group B. In functional improvement the independent ‘t’ test the ‘t’ value is 2.75. This ‘t’ value greater than the one tail table value 2.763 with 28 degrees of freedom at p=0.05 respectively. Therefore treatment given in group A increases functional improvement in back pain effectively than treatment given in group B. Hence we can reject the null hypothesis and accept the alternate hypothesis. CONCLUSION: The literature review and statistical analysis done from the data collected from the study have shown that the McKenzie approach helps in early pain relief and improves functional activities effectively in sub acute low back pain when compared to the motor control exercise. Hence the alternate hypothesis of this study is accepted and stated as “There is a significant difference between McKenzie approach and motor control exercise in reducing pain and improves functional activities in patients with sub acute low back ache.”

Item Type: Thesis (Masters)
Additional Information: Reg.No. 27101105
Uncontrolled Keywords: Mckenzie Approach, Motor Control Exercise, Sub Acute Low Back Ache, Comparison study.
Subjects: PHYSIOTHERAPY > Physiotherapy in Orthopaedics
Depositing User: Subramani R
Date Deposited: 08 Nov 2020 01:51
Last Modified: 08 Nov 2020 01:53
URI: http://repository-tnmgrmu.ac.in/id/eprint/13175

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