OBJECTIVES:
The objectives of this study will be:
To determine the effects of McKenzie Mechanical Diagnosis and Therapy (MDT) on MRI-based
structural changes in Pateints with mechanical low back pain.
To determine the effects of McKenzie MDT on Pain and Disabaility scores in patients with
mechanical low back pain.
To determine the effects of McKenzie MDT on Disabaility scores in patients with
mechanical low back pain.
HYPOTHESIS:
Alternate Hypothesis:
The Mckenzie MDT will be effective in improving the MRI-based structural changes, pain and
disability caused by the mechanical low back pain.
Null Hypothesis:
The Mckenzie MDT will not be effective in improving the MRI-based structural changes, pain
and disability caused by the mechanical low back pain.
Research Design: Quasi - experimental Study.
Clinical setting: Foundation University College of Physical Therapy, Foundation University
Islamabad.
Study duration: 12 months
Sampling technique: Non-probability Purposive sampling
Intervention to be given
After assessing the patient for eligibility, following intervention regime will be followed:
st consultation-Day 1: In standing right side gliding will be repeated for ten to twenty
times. Afterwards, extension will be repeated in lying position for ten to twenty times.
The protocol will be repeated after every three hours.
nd consultation- Day 3: Extension will be repeated in lying position for ten to twenty
times. The protocol will be repeated after every three hours.
rd consultation- Day 15: After two weeks of initial consultation, the patient will be
taught to perform slouch-overcorrect on day 1 followed by flexion on day 2 in lying
position and accompanied by flexion for 5 days in sitting position and finally flexion
in standing will be performed.
The exercises will be repeated for 10 times and followed by extension in standing exercises.
Significance:
McKenzie mechanical diagnosis and therapy (MDT) is more effective than other therapeutic
physiotherapies. But, the biomechanical ground proofing of the beneficial effects of MDT on
non-mechanical low back pain has not been studied in depth. This gap will be filled by the
gold standard MRI imaging technology that allows non-invasive and more detailed view of
intervertebral disc. This study will emphasize the healthcare practitioners regarding the
cellular level benefits of said intervention and hence decrease the surgical cost by early
treatment through physical therapy and rehabilitation.
This study will emphasize the healthcare practitioners regarding the cellular level benefits
of said intervention and hence decrease the surgical cost by early treatment through physical
therapy and rehabilitation.