Efficacy of McKenzie Manipulative Therapy on Pain, Functional Activity and Disability for Lumbar Disc Herniation

Abstract

AbstractIntroductionLumbar disc herniation (LDH) is one of the common determinations for low back pain and disability. The objectives of the study were to explore the effectiveness of McKenzie exercises and Manipulative Therapy approaches for LDH.MethodologyAssessor blinded RCT carried out for 36 months at CRP. 72 subjects aged 25-50 years, clinically and radiologically diagnosed with LDH were randomly recruited and 68 found eligible. The control group received stretching exercises and Maitland mobilization, and the experimental group received McKenzie therapy for 12 sessions in 4 weeks, both groups received conventional care in addition. Pain was the primary outcome and secondary outcome was participation in functional activities and disability.ResultsFrom day 1 to 4 weeks both groups had improvement in pain, fear avoidance and bothersome (p<.05). McKenzie found superior in disability (p<.001) from 4 weeks to 6 months, in pain and disability (p<.05) from day 1 to 6 months, and in fear avoidance belief total (p<.05).ConclusionThe McKenzie manipulative therapy approach reported effective for pain, disability and participating in activities for single or multiple level LDH patients from day 1 to week 4 and the treatment effect extends after 6 months.