Manigandan, M (2018) Compare the Effectiveness of Maitland Spinal Mobilization Versus Mckenzie Exercise along with Core Stability Exercise on Pain, Range of Motion and Functional Activities in Subjects with Mechanical Low Back Pain. Masters thesis, PSG College of Physiotherapy, Coimbatore.
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Abstract
Background: Mechanical low back pain is the term that refers to a type of back pain caused by abnormal stress and strain on muscles, ligaments of the vertebral column. Mechanical back pain results from bad habits such as poor posture, poorly-designed seating and incorrect bending – lifting activities. Occurs most frequently in people between the age of 20 to 40 years. Both male and females population are affected. Pain is associated with the deconditioning of spine and trunk due to lack of core strength in which 60-8% general population suffering. OBJECTIVES: To compare the effects of Maitland Spinal Mobilization versus McKenzie Exercise along with core stability exercise on pain, range of motion and functional activities in subjects with Mechanical Low Back Pain. METHODS: Among 40 patients, 12 were excluded. The remaining 28 patients age group of 20 to 45 years were recruited. The study was a quasi-experimental comparative design. This was conducted at department of orthopaedics and department of physical medicine rehabilitation, PSG Hospitals, Coimbatore. By simple random sampling method 14 patients were selected in each group of intervention. Group A received Maitland Spinal Mobilization and Group B McKenzie Exercises. The core stability exercises were a common treatment for both groups. The treatment given for groups were 3 session/week for 2 weeks. The treatment outcome was assessed using Numerical Pain Rating Scale, Range of Motion, Oswestry Disability Index. Data were analyzed by SPSS 20 to determine the effects of both the treatment regimes and compared with each other. RESULTS: Data analysis revealed statistically significant difference within Group A analysis on pain pre and post mean values 7.571 and 2.5, SD value 0.916, “t” value is 20.696 (p < 0.001). Range of Motionlumbar flexion the Pre and Post test mean value 2.51 and 5.428, SD value 0.662, “t” value is 16.125 (p < 0.001). Range of Motion-lumbar extension the Pre and Post test mean value 1.428 and 3, SD value 0.513 “t” value 11.449 (P < 0 0.001) ODI Pre and Post-test mean value 44.428 and 17.142, SD value 8.061, ‘t’ value is 12.664 (P < 0 0.001). The Group B for the Pain Pre and Post test mean value 7.50 and 2.714, SD value 1.368 “t” value is 13.082 (p < 0.001). Range of Motion-lumbar flexion Pre and Post test mean value 2.214 and 5.285, SD value, 0.997, “t” value is 11.524 (p < 0.001). Range of Motion-lumbar extension Pre and Post test mean value 1.714 and 3.428, SD value 0.468 “t” value is ˗13.682 (p < 0.001). ODI Pre and Post-test mean value 41.571 and 15.571, SD value 5.922 “t” values is 16.426 and (p < 0.001). But the between groups analysis is it showed insignificant changes in pain Group A and B post test mean value 2.5 and 2.714 “t” value 0.822 (p > 0.001). In between groups analysis is it showed insignificant changes in Range of Motion- lumbar flexion Group A and B post test mean value 5.428 and 5.285 “t” value 0.883 (p > 0.001). In between groups analysis is it showed insignificant changes in Range of Motion-lumbar extension Group A and B post test mean value 3 and 3.428 “t” value 0.002 (p > 0.001). In between groups analysis is it showed insignificant changes in ODI group A and B post test mean value 17.142 and 15.571 “t” value 0.855 (p > 0.001). CONCLUSION: This study shows that Maitland Spinal Mobilization with Core stability exercises improves on functional activities in a greater level then McKenzie exercise with Core stability exercises on treating on mechanical low back pain patients.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271610244 |
| Uncontrolled Keywords: | Mechanical low back pain, Numerical pain rating scale, Range of motion Oswestry disability index Maitland Spinal Mobilization, McKenzie exercise, Core stability exercises. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Orthopaedics |
| Depositing User: | Ravindran C |
| Date Deposited: | 16 Sep 2019 15:33 |
| Last Modified: | 20 Sep 2019 07:26 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11510 |
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