Comparison of Four Physiotherapy Regimens in the Treatment of Long-Term Mechanical Low Back Pain

Abstract

Combination physiotherapy regimens proved effective in the management of long- term mechanical LBP. Regimen A is recommended in managing long-term mechanical LBP.

EFFICACY OF Mc KENZIE EXERCISE OVER CONVENTIONAL PHYSIOTHERAPY TREATMENT IN LOW BACK PAIN [DYSFUNCTION SYNDROME]

“…However, either exercise was slightly more effective than no exercise when patients with acute low back pain were treated [22] . Johnson et al (2010) compared the efficacy of McKenzie exercise, endurance training and back care education and concluded that McKenzie exercise was effective in modulating long-term LBP and proposed that a combination therapy involving McKenzie exercise and endurance training was more effective [23] .Therapies with good evidence of moderate efficacy for chronic or sub acute low back pain are cognitive-behavioral therapy, exercise, spinal manipulation, and interdisciplinary rehabilitation. For acute low back pain, the only therapy with good evidence of efficacy is superficial heat [24] .…”

The efficacy of surface electromyographic biofeedback assisted stretching for the treatment of chronic low back pain: A case-series

“…Defined topographically as pain occurring between the lower margins of the 12 th rib and the gluteal folds (Johnson, Adegoke, & Ogunlade, 2010), LBP is an expensive issue due to the necessary spending towards repeated treatment, as well as the need for additional professional and personal support. In New Zealand, the estimated cost to the economy as a result of LBP is (NZD)$500 million annually (McBride, Begg, Herbison, & Buckingham, 2004), with Australia recently estimating over (AUD)$9 billion spent per year (Dagenais, Caro, & Haldeman, 2008).…”

“…With an estimated 70-90% of any adult population experiencing at least one episode over their lifetime, LBP is the most prevalent of all musculoskeletal problems (Hoy, Brooks, Blyth, & Buchbinder, 2010;Johnson et al, 2010;Walker, 2000). In New Zealand, an estimated 20-25% of all work place injuries are LBP related (Firth, Herbison, McBride, & Feyer, 2002).…”

Therapeutic Exercises in the Management of Non-Specific Low Back Pain

“…Johannes et al (1995) compared the effects of intensive training of muscle endurance and a treatment protocol that emphasized coordination in the trunk and found that the two groups studied, improved in pain, disability and spinal mobility. Johnson et al (2010) compared the efficacy of McKenzie exercise, endurance training and endurance training and back care education and concluded that McKenzie exercise was effective in modulating long-term LBP and proposed that a combination therapy involving McKenzie exercise, endurance training with McKenzie exercise was more effective. Exercise training increases endorphins and alter perception of pain, perhaps by reducing anxiety and depression (Blumenthal et al, 1982).…”

“…A study by (Nwuga and Nwuga, 1985), compared William's flexion exercise and McKenzie exercise and Akosile (2006) involved spine manipulation. Johnson et al, (2010) administered a combination treatment involving, McKenzie exercise, endurance training and back care education. Most studies incorporated back care education as baseline treatment and sometimes for comparison.…”