Efficacy of McKenzie Protocol on Non-Specific Neck Pain

Abstract

Background: Neck pain is the most common and painful musculoskeletal condition which has a great socioeconomic burden on both patients and society. McKenzie protocol results in significant decrease in pain and increase range of motion and functional ability in spinal conditions but there are insufficient data available to determine the efficacy of the McKenzie protocol on non specific neck pain patient's further research which addresses these issues is required.Purpose: This study was conducted to evaluate the effect of McKenzie protocol on cervical range of motion (CROM), intensity of pain, and neck functional activity level in the management of non specific neck pain patients. Materials and Methods:Thirty patients with non specific neck pain,30-50 years of age was assigned in two groups(study and control) each group contained fifteen patients, all patients received traditional treatment for six weeks 3times/week and additionally study group received McKenzie protocol. CROM, pain, and functional activity level were measured pre-treatment and post six weeks of treatment using myrin goniometer, visual analog scale (VAS), and Copenhagen neck functional disability scale. Results:There was a significant increase in CROM of study group where flexion (p=0.002), extension (p=0.0001), lateral flexion (p=0.02) and rotation (p=0.0001), also significant decrees in pain (p=0.0001) and decease in functional disability level (p=0.0001). Conclusion:McKenzie protocol of treatment additionally to traditional treatment is effective in increase CROM, decrease pain and increase functional activity in non specific neck pain patients.

Effectiveness of Mckenzie Traction and Exercises on Neck Pain Secondary to Upper Crossed Syndrome.

“…A group of researchers did work on McKenzie protocol for non-specific neck pain treatment. They clinched that McKenzie protocol was an effective treatment for CROM patients (Diab et al, 2016). In contrast to current study a group of researchers evaluated that McKenzie therapy did not much improve the disabilities related to cervical pain including range of motion related issues (Clare et al, 2004).…”

“…TENS treatment method of Chiu was used in this study with modifications(Chiu, Hui-Chan, & Cheing, 2005). After taking the consent of the subjects for participation in the study, they were assessed by a questionnaire pretreatment and post treatment for necessary personal data (name, age, occupation, personal care) and other parameters (CROM, pain intensity, lifting, reading, headache,) based on goniometer (Diab et al, 2016), Oswestry neck pain and disability index (Vernon & Mior, 1991) equated with Independent sample t-test.…”

“…Patients were arbitrarily divided into two set of respondents, each set contained fifteen respondents and all those got conventional management etiquette whereas furthermore study group received McKenzie protocol. They clinched that McKenzie protocol was an effective treatment for such patients (Diab, Hamed, & Mustafa, 2016).Primary instrument for cervical torment patients during 1991 was the Neck Disability Index (NDI). The scientist reviewed that how NDI was used for whiplash injuries and cervical torment assessment.…”

“…Goniometer(Diab et al, 2016) Oswestry neck pain and disability index (Vernon & Mior, 1991)3.6 DATA COLLECTION PROCEDUREName, age, occupation, personal care data of patients was collected before analysis. Various parameters (CROM, pain intensity, lifting, reading, headache, concentration, work, driving, sleeping, recreational activities and head; neck; shoulders posture) were collected with the help of goniometer, Oswestry neck pain and disability index, reed-co scale(Booshanam et al, 2011;Diab et al, 2016; Vernon & Mior, 1991).…”

Effectiveness of ultrasound addition in intervention McKenzie’s neck exercise in reducing the mechanical neck pain

“…MNE in conventional therapy are effective in increasing the range of motion of the neck, lowering pain, and increasing functional activity in non-specific neck pain patients. 20 In 2020, Edmond, S.L., et al added a cognitive behavioral approach by physiotherapists to MNE to determine their effect on pain and functionality in nonspecific neck pain. The authors found that there was insufficient evidence to show that patients managed by the MNE would achieve clinically relevant improvements in function or pain when adding to the cognitive-behavioral approach undertaken by a physiotherapist.…”