The changes of functional disability in non-specific low back pain among University population after proprioceptive neuromuscular facilitation and Mckenzie method

Abstract

Background of study: Non-specific low back pain (LBP) becomes the most common cases in University population. Prolonged sitting has been identified as one of the factors leading to non-specific LBP among University population. The purpose of the study is to identify the change of functional disability in non-specific LBP among university population after PNF and McKenzie method. Methods: A quasi-experimental study involving 36 subjects (students and office workers) from the university population. The study population were selected from students and office worker of KPJ Healthcare University College (KPJUC) who met the inclusion criteria. The subjects were divided into three treatment groups: PNF group, McKenzie group and control group (hot pack and educational home exercise sheet) which underwent 12 treatment sessions distributed over three times in a week for four weeks duration. Subjects were measured on functional disability by Oswestry Disability Index (ODI). Measurement was performed at pre-test, mid-test and post-test. Repeated measures ANOVA was used to analyse the effectiveness of PNF and McKenzie treatments based on the measurement time. Result: This study showed that the PNF and McKenzie gave effect in improving ODI score in within group analysis. However, the results of PNF showed that it has more effect than McKenzie method on functional disability score (p <0.05) after 4 weeks. Conclusion: There was a change in functional disability on non-specific LBP after PNF and McKenzie method. Furthermore, the study findings showed that the PNF exercise has more effect in improving functional disability compared to McKenzie method on non-specific LBP among university population.

Management of Low Back Pain With Concurrent Hamstring Tightness: A Case Report Highlighting the Efficacy of Proprioceptive Neuromuscular Facilitation, Mulligan’s Two-Leg Rotation Technique, and Exercise Regimen

“…Factors contributing to the development of low back pain (LBP) include increased lumbar lordosis, hampered abdominal muscle strength, reduced back extensor muscle endurance and flexibility, shortened iliopsoas and hamstring muscles, alterations in body composition, and other related factors. Additionally, reduced spinal mobility due to disruptions in muscle synergies can increase the energy expenditure of maintaining posture [ 1 ]. Chronic primary LBP is defined by the World Health Organization as persistent or recurrent pain lasting more than three months without a clear underlying disease process, structural lesion, or deformity.…”

“…Chronic non-specific low back pain (CNLBP) often arises from physiological structural fragility in the lumbar region and can be exacerbated by poor posture, resulting in functional damage. NSLBP primarily correlates with posture or improper body mechanics, along with various anatomical issues contributing to the condition [ 1 ]. Risk factors for NSLBP include poor hamstring flexibility, inadequate abdominal strength, heightened levels of physical activity, and work-related postural stress.…”

Comparison of the Effects of Self-Myofascial Release and Combined Core Stabilization Exercises in Physiotherapy and Rehabilitation Students with Non-Specific Low Back Pain

“…In addition, it has been suggested in studies that individuals, who do not perform exercise sufficiently could be more prone to develop muscle strain, spasms, intervertebral disc injuries, and eventually LBP because the deeply-localized stabilizer muscles could weaken and cannot maintain an optimal stabilization of trunk (Teichtahl et al, 2015;Citko A et al, 2018). A study showed that NSLBP could highly affect certain occupations that necessitate the sitting posture for long periods, such as office workers and university students (Bontrup et al, 2019, Anggiat et al, 2020. Another study also suggested that university students could be more prone to develop such problems because they tend to spend time sitting at the computer and their daily routine lacks regular exercise (Morais et al, 2018).…”

The Role of CVA Gymnastics Against Increase Functional Ability of Post Cerebro Vascular Accident Patients

“…Meanwhile in Indonesia alone, 29.5% of cerebro vascular accident sufferers died and the rest experienced paralysis or disability. Only 16% can recover completely from a cerebro vascular accident or disability (Anggiat, L., Hon, W. H. C., Sokran, S. N. B. B. M., & Mohammad, 2020).…”