Effectiveness of Back School Versus McKenzie Exercises in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial

Garcia, Alessandra Narciso; Costa, Lucíola da Cunha Menezes; Silva, Tatiane Mota da; Gondo, Francine Lopes Barreto; Cyrillo, Fabio Navarro; Costa, Renata Gomes da; Costa, Leonardo Oliveira Pena

doi:10.2522/ptj.20120414

Cited by 99 publications

(133 citation statements)

References 54 publications

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…There are no similar studies investigating the efficacy of McKenzie exercises on MND while there are other studies sharing the same principal but pertaining to a related area (lumber spine). For instance, Garcia et al, (2013) showed concurrence with this study as they reported that McKenzie method was more effective than Back School method for promoting physical function in patients with low back dysfunction [10]. Regarding the neck region, there were studies that demonstrated the efficacy of McKenzie approach on cervical radiculopathy.…”

Section: Discussionsupporting

confidence: 64%

“…Stabilization and endurance exercises have been recommended as an effective intervention for patients with neck pain [9]. McKenzie exercises have also been also recommended to reduce spinal pain [10]. Stabilization and McKenzie exercises utilize different protocols to reduce pain and there is controversy about which is more effective in spinal pain [11].…”

mentioning

confidence: 99%

“…Stabilization and McKenzie exercises utilize different protocols to reduce pain and there is controversy about which is more effective in spinal pain [11]. Stabilization exercise works to rectify muscle abnormalities and restore correct function of muscles to support and stabilize the spine [10,11]. Whereas the McKenzie method involves postural awareness and repetitive movements with the fundamental concept of a reverse force may decrease pain and restore function [12].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Stabilization Versus McKenzie Exercises in Patients With Mechanical Neck Dysfunction

Ammar¹

2018

IJPR

View full text Add to dashboard Cite

Background: Mechanical neck dysfunction (MND) is a disabling and costly disorder. There are insufficient data available to determine the efficacy of the stabilization and McKenzie exercises on MND.Purpose: The objective of this study was to compare stabilization exercises to McKenzie exercises in patients with MND.Design: Two group pretest-posttest design.Materials and Methods: Twenty-seven participants were randomly allocated to the stabilization group (n=14) and the McKenzie group (n=13). Each group received treatment twice a week over a 6-week period. Outcome included pain intensity measured on a visual analogue scale, disability measured with the neck disability index, pain threshold measured with the pressure algometer and cervical range of motion measured with an electronic goniometer at baseline and after six weeks of treatment.Results: Pain intensity, functional disability, pain threshold and cervical range of motion showed significant differences in all groups after intervention. However, there were no significant differences between groups.Conclusion: Within the limitations of this study, both programs were equally effective in improving pain, disability, and range of motion of patients with MND.

show abstract

Section: Discussionsupporting

confidence: 64%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Stabilization Versus McKenzie Exercises in Patients With Mechanical Neck Dysfunction

Ammar¹

2018

IJPR

View full text Add to dashboard Cite

show abstract

“…the frequency of visits due to pain (depending on the severity of pain) does not need to exceed 1-2 times a week. the next visit should begin with the patient demonstrating the self-therapy activities he or she performs at home in order to improve their effectiveness [49,[51][52][53][54].…”

Section: Palpation Assessment For Physiotherapeutic Needsmentioning

confidence: 99%

Recommendations of the Polish Society of Physiotherapy, the Polish Society of Family Medicine and the College of Family Physicians in Poland in the field of physiotherapy of back pain syndromes in primary health care

Kassolik¹,

Rajkowska-Labon²,

Tomasik³

et al. 2017

fmpcr

View full text Add to dashboard Cite

4 college of Family Physicians in Poland 5 department of Family medicine, chair of internal diseases and gerontology, jagiellonian university medical college in krakow, Poland 6 academy of Physical Education in katowice, Poland 7 Polish society of Family medicine, Poland 8 department of Family medicine, wroclaw medical university, Poland A -study design, B -data collection, C -statistical analysis, D -data interpretation, E -manuscript Preparation, F -literature search, G -Funds collection the purpose of these guidelines is to attract attention to the need for systemic corrections in the existing health care model to become an effective tool for improving health. the intention of the authors is to present the assumptions of a new approach of physiotherapeutic treatment standards for patients with motor disorders in back pain syndromes: cervical, thoracic and lumbar--sacral, at the primary health care level. the current management provides care for this group of primary care patients mainly through pharmacotherapy and/or by referring them to an appropriate specialist outpatient clinic. in the latter situation, the waiting time from the appearance of pain to first contact with the physiotherapist in Poland is several months. in many patients, the symptoms of back pain are uncomplicated and require a few simple low-cost physiotherapeutic procedures (massage, simple physical therapy and kinesis therapy). in such cases, physiotherapeutic treatment should be based on the simple assessment of the patient's condition and planning therapy on this basis. this can be achieved by performing a functional examination and palpation assessment to determine which muscles and ligaments are responsible for pain. this evaluation provides a basis for establishing a physiotherapeutic strategy based on massage, physical therapy and kinesitherapy. in addition, simple instruction on self-massage, self-physiotherapy and self--kinesitherapy should be provided, as well as the need for orthotic supplies and other technical assistance ought to be considered. the potential effects of such a form of primary care activation include: increase of the possibility to have influence, using directed simple physical factors, on a particular motion system disorder by the patient himself/herself, support of the rehabilitation process performed by a physiotherapist in the primary care and specialist outpatient clinic setting and shaping conscious pro-health attitudes in primary care patients. Key words: primary care physician, physiotherapy, back pain syndromes. Summary

show abstract

“…A further problem is that the current literature only offers studies which are not clearly comparable due to their different composition of control groups and the varying length and structure of the programs [15][16][17]. At least the studies of Lamb et al, [18] and O'Sullivan et al, [19] are reproducible regarding study designs and therapy measurements.…”

Section: Introductionmentioning

confidence: 99%

The Long-Term Effect of an Outpatient Intervention Program with a Behavioral Therapy Approach in Patients with Chronic Back or Neck Pain with a Focus on Psychosocial Aspects

Hahne¹

2015

ORP

View full text Add to dashboard Cite

Effectiveness of Back School Versus McKenzie Exercises in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial

Abstract: The McKenzie method (a more resource-intensive intervention) was slightly more effective than the Back School method for disability, but not for pain intensity immediately after treatment in participants with chronic low back pain.

Cited by 99 publications

References 54 publications

Stabilization Versus McKenzie Exercises in Patients With Mechanical Neck Dysfunction

Stabilization Versus McKenzie Exercises in Patients With Mechanical Neck Dysfunction

Recommendations of the Polish Society of Physiotherapy, the Polish Society of Family Medicine and the College of Family Physicians in Poland in the field of physiotherapy of back pain syndromes in primary health care

The Long-Term Effect of an Outpatient Intervention Program with a Behavioral Therapy Approach in Patients with Chronic Back or Neck Pain with a Focus on Psychosocial Aspects

Contact Info

Product

Resources

About