Comparison of Mckenzie Extension Exercises verses Mulligan Sustained Natural Apophyseal Glides on Pain and Functional Outcomes in Patients with Acute Non-specific Low Back Pain
Author(s) : Dileep Kumar Lohana, Salwa Atta and Nida Akbar Rajput
The objective of the study was to compare the effects of McKenzie Extension Exercises versus Mulligan Sustained Natural Apophyseal Glides on Pain and Functional outcomes in patients with Acute Non-Specific Low Back Pain.
Material and Methods:
Study design was experimental. 84 Patients were selected randomly through computer balloting and were allocated into group A and B. The questionnaire was based on two primary outcome measures i.e. Visual Analogue Scale for pain and Back performance scale for functional abilities. Patients were assessed by a research assessor at pre-treatment i.e. t0, mid treatment i.e. t1 and after treatment i.e. t2.
Mean age for patients in group A was found to be 41.97±8.16 and 45.02±7.29 for patients in group B. 45.24% were males and 54.76% were females. Pain score according to VAS was recorded to be 8 which significantly dropped to 4.02±0.80 and 4.12±0.76 (p=0.56 i.e. non-significant) in patients of group A and B respectively at mid treatment level. Moreover, pain was recorded to be 1.45± 0.50 and 1.43 ± 0.50 (p=0.81 i.e. non-significant) in group A and B respectively. Functional abilities measured by Back Performance Scale was found to be 5.02 ± 2.05 and 6.78 ± 3.3 at post treatment level (p=0.00). Back Performance Scale results at 8th week follow up for both groups were significant (p-value of 0.03) with values of 2.15 ± 1.64 and 3.16± 2.43 respectively.
The present study concluded that McKenzie exercises and SNAGs both were equally effective in improving pain whereas McKenzie exercises improved Functional abilities better than SNAGs.
Key Words: Nonspecific Low back pain, McKenzie extension exercises, Mulligan SNAGs.