Comparison of the effect of the McKenzie method and spiral stabilization in patients with low back pain: A prospective, randomized clinical trial

2021 ◽  
pp. 1-7
Author(s):  
Pavol Nechvátal ◽  
Tomáš Hitrík ◽  
Lucia Demjanovič Kendrová ◽  
Michal Macej
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Treatment Options ◽  
Pain Scale ◽  
Economic Problem ◽  
Daily Activities ◽  
Low Back ◽  
Initial Examination ◽  
Degree Of Disability ◽  
Mckenzie Method

BACKGROUND: Low back pain (LBP) causes disability in daily life, and presents not only a health but also a socio-economic problem. New treatment options need to be tested and confirmed. OBJECTIVE: Compare the effect of the McKenzie method and spiral stabilization in patients with LBP. METHODS: Sixty patients with an average age of 47 years, which were included in our prospective, comparative study were randomly divided into two 30-member groups. One group exercised according to the McKenzie method (MDT), the other one according to the Spiral Stabilization Method (SPS). During the initial examination the Aberdeen Back Pain Scale was used to determine the degree of managing with daily activities and functionality, and the Roland-Morris Disability Questionnaire was used to determine the degree of disability. Check- up was performed after 2 and 6 weeks of treatment. RESULTS: In both groups, there was a significant improvement in results after 2 and 6 weeks of treatment (p< 0.05). When comparing the effect of 2 and 6 weeks of treatment of both therapeutic procedures (MDT and SPS), the difference was insignificant (p> 0.05). CONCLUSIONS: None of these two treatment methods achieved better results, as they both have a comparable effect on reducing disability and improving the management of daily activities and physical functions. Therefore, both are equally effective in patients with LBP.

scholarly journals Lumbopelvic Stabilization Exercises and McKenzie Method in Low Back Pain Due to Disc Protrusion. A Blind Randomized Clinical Trial

2020 ◽  
Vol 10 (04) ◽  
pp. 740
Author(s):  
M.B. Dohnert ◽  
C. Schwanck Borges ◽  
A. Steffen Evaldt ◽  
C. de Jesus Francisco ◽  
L. da Silva Dias ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Randomized Clinical Trial ◽  
Low Back ◽  
Disc Protrusion ◽  
Mckenzie Method ◽  
Lumbopelvic Stabilization

scholarly journals Lumbar Lordosis, Pain Intensity and Type of Work in Women Participating in Fitness Activities

2019 ◽  
Vol 26 (4) ◽  
pp. 22-27
Author(s):  
Patrycja Proskura ◽  
Małgorzata Sobera
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Everyday Life ◽  
Oswestry Disability Index ◽  
Lumbar Lordosis ◽  
Daily Activities ◽  
Sitting Position ◽  
Low Back ◽  
Digital Inclinometer ◽  
Postural Muscles

AbstractIntroduction. The aim of this study was to examine women participating in fitness activities regarding their level of disability in daily activities and lumbar lordosis.Material and methods. Data were collected from 68 females between the ages of 25-70 participating in fitness exercises. The Oswestry Disability Index was applied to measure the level of disability due to the low back pain in everyday life. The angle of lumbar lordosis was measured using a Saunders’ digital inclinometer.Results. The results of the study confirmed the existence of problems related to low back pain in people performing sedentary work. There were no correlations between lumbar lordosis angle and the level of disability in daily activities of the groups. The low back pain increases especially among people performing sedentary work.Conclusions. The results of this study suggest that work in a sitting position is not associated with a decrease in the angle of lordosis in relation to another work than in a sitting position. Sitting work can be an indirect cause of back pain and slight disability in everyday life by weakening postural muscles.

Personalized multitarget biologic injection in the spine: prospective case series of multitarget platelet-rich plasma for low back pain

2021 ◽  
Author(s):  
Edilson S Machado ◽  
Mary A Ambach ◽  
José MP Caldas ◽  
Jason J Wei ◽  
Markus Bredemeier
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Platelet Rich Plasma ◽  
Case Series ◽  
Pain Scale ◽  
Roland Morris Disability Questionnaire ◽  
Low Back ◽  
Visual Analog Pain Scale ◽  
Paravertebral Muscles ◽  
Disability Questionnaire

Aim: To evaluate the use of a multitarget platelet-rich plasma (PRP) injection approach for the treatment of chronic low back pain (LBP). Materials & Methods: Forty-six patients with more than 12 weeks of LBP who failed conservative treatments were injected with PRP into the facet joints, intervertebral discs, epidural space and/or paravertebral muscles. Visual analog pain scale and Roland-Morris Disability Questionnaire scores were measured at baseline and predefined intervals. Results: Mean visual analog pain scale was reduced from 8.48 to 5.17 and mean Roland-Morris Disability Questionnaire from 18.0 to 10.98 at 12 weeks (p < 0.001). These statistically significant improvements were sustained over 52 weeks. No adverse effects were observed. Conclusion: Our PRP approach demonstrated clinically favorable results and may be a promising treatment for chronic LBP.

Approach to Radiculopathy

2021 ◽  
Vol 41 (06) ◽  
pp. 760-770
Author(s):  
Rafid Mustafa ◽  
Narayan R. Kissoon
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Treatment Approach ◽  
Treatment Plan ◽  
Treatment Options ◽  
Accurate Diagnosis ◽  
Clinical Approach ◽  
Low Back ◽  
Appropriate Treatment ◽  
Neurology Clinic

AbstractLow back pain and neck pain, often with associated radiculopathy, are two of the most common reasons for referral to the outpatient neurology clinic. A thorough clinical evaluation remains paramount in establishing an accurate diagnosis and subsequently an appropriate treatment plan. In this article, we review anatomic considerations for spondylotic radiculopathy; outline the clinical approach for the evaluation of these patients, including discussion of electrodiagnostic and imaging modalities; and address treatment options based on a stratified treatment approach.

scholarly journals Comparative Study Finds McKenzie Protocol 97% Effective against Lumbar Syndrome

AAOHN Journal ◽  
1988 ◽  
Vol 36 (5) ◽  
pp. 198-199
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Comparative Study ◽  
Low Back ◽  
Lateral Bending ◽  
Patient Response ◽  
Musculoskeletal Medicine ◽  
Flexion Extension ◽  
Lumbar Syndrome ◽  
Mckenzie Method

A program utilizing patient response to repeated lumbar movements (including flexion, extension, lateral bending and rotation), known as the McKenzie method, has now been demonstrated to be twice as effective in alleviating low back pain compared to traction and back schools. This is a capsule summary of the “Extrac '86” study as detailed in The Journal of Musculoskeletal Medicine 1987; vol. 4(9):27–34 and 4(12):63–74.

scholarly journals Influence of Psychosocial and Sociodemographic Variables on Sickness Leave and Disability in Patients with Work-Related Neck and Low Back Pain

2020 ◽  
Vol 17 (16) ◽  
pp. 5966
Author(s):  
Israel Macías-Toronjo ◽  
José Luis Sánchez-Ramos ◽  
María Jesús Rojas-Ocaña ◽  
E. Begoña García-Navarro
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Educational Level ◽  
Cross Sectional Study ◽  
Study Data ◽  
Low Back ◽  
Cross Sectional ◽  
Sociodemographic Variables ◽  
Work Related ◽  
Degree Of Disability

The purpose of this study was to describe the association between psychosocial factors in patients with work-related neck or low back pain (n = 129), in order to study sickness leave, its duration, the disability reported, and to analyze the relationship of these factors with different sociodemographic variables. This was a descriptive cross-sectional study. Data on kinesiophobia, catastrophizing, disability, and pain were gathered. Sociodemographic variables analyzed included sex, age, occupational, and educational level. Other data such as location of pain, sick leave status and duration of sickness absence were also collected. Educational level (p = 0.001), occupational level (p < 0.001), and kinesiophobia (p < 0.001) were found to be associated with sickness leave; kinesiophobia (b = 1.47, p = 0.002, r = 0.35) and catastrophizing (b = 0.72, p = 0.012, r = 0.28) were associated with the duration of sickness leave. Educational level (p =0.021), kinesiophobia (b = 1.69, p < 0.000, r = 0.505), catastrophizing (b = 0.76, p < 0.000, r = 0.372), and intensity of pain (b = 4.36, p < 0.000, r = 0.334) were associated with the degree of disability. In the context of occupational insurance providers, educational and occupational factors, as well as kinesiophobia and catastrophizing, may have an influence on sickness leave, its duration and the degree of disability reported.

scholarly journals The effect of infliximab in patients with chronic low back pain and Modic changes (the BackToBasic study): study protocol of a randomized, double blind, placebo-controlled, multicenter trial

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Elisabeth Gjefsen ◽  
Lars Christian Haugli Bråten ◽  
Guro Løvik Goll ◽  
Monica Wigemyr ◽  
Nils Bolstad ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Treatment Strategy ◽  
Treatment Options ◽  
Modic Changes ◽  
Low Back ◽  
Double Blind ◽  
Link Type

Abstract Background Low back pain is common and a significant number of patients experience chronic low back pain. Current treatment options offer small to moderate effects. Patients with vertebral bone marrow lesions visualized as Modic changes on magnetic resonance imaging may represent a subgroup within the low back pain population. There is evidence for inflammatory mediators being involved in development of Modic changes; hence, suppression of inflammation could be a treatment strategy for these patients. This study examines the effect of anti-inflammatory treatment with the TNF-α inhibitor infliximab in patients with chronic low back pain and Modic changes. Methods/design The BackToBasic trial is a multicenter, double blind, randomized controlled trial conducted at six hospitals in Norway, comparing intravenous infusions with infliximab with placebo. One hundred twenty-six patients aged 18–65 with chronic low back pain and type 1 Modic changes will be recruited from secondary care outpatients’ clinics. The primary outcome is back pain-specific disability at day 154 (5 months). The study is designed to detect a difference in change of 10 (SD 18) in the Oswestry Disability Index at day 154/ 5 months. The study also aims to refine MRI-assessment, investigate safety and cost-effectiveness and explore the underlying biological mechanisms of Modic changes. Discussion Finding treatments that target underlying mechanisms could pose new treatment options for patients with low back pain. Suppression of inflammation could be a treatment strategy for patients with low back pain and Modic changes. This paper presents the design of the BackToBasic study, where we will assess the effect of an anti-inflammatory treatment versus placebo in patients with chronic low back pain and type 1 Modic changes. The study is registered at ClinicalTrials.gov under the identifier NCT03704363. The EudraCT Number: 2017–004861-29.

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