EFFECTIVENESS OF THE MCKENZIE METHOD IN THE TREATMENT OF LOW BACK PAIN IN SUBACUTE AND CHRONIC STAGE

Arbnore Ibrahimaj, Samire Deliu, Sylejman Miftari

Introduction: Low back pain is a highly prevalent condition worldwide. Physiotherapists commonly use a system of diagnosis and exercise prescription called the McKenzie Method to manage patients with low back pain. Objective: The main aim of this study was to evaluate the effectiveness of the Mckenzie method treatment, in sub-acute and chronic low back pain. Meterial and methods: Our study was conducted between years 2009-2010 , in General Hospital “Rezonanca”, in physical therapy care. We did a short-term, prospective study in duration of 15 days. The total number of patients enrolled in the study was 100, age above 23 years, of both sexes. Patients were treated with McKenzie Method, the assessment was done before and after the treatment .We used the Numeric Rating Scale to assess the pain, and Modified Schober’s test for mobility. Results: McKenzie method increases the mobility and reduces the pain in the lumbar region more on sub-acute stage. Short-term treatment of patients, (on sub-acute and chronic stage) with the McKenzie method is more effective in reducing pain. McKenzie method is most effective in patients in sub-acute stage. Conclusions: Chronic low back pain patients need to be treated for longer periods, with the McKenzie Method. Our recommendation is to further research the efficacy of Mckenzie method for longer periods, larger sample size, with randomized, crossed –over, double-blind, placebo-controlled treatment groups, in order to avoid bias.

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