Effectiveness of McKenzie Manipulative Therapy on Pain, Function and Disability among Cervical Disc Prolapse Patient

Abstract

Background: Neck pain as well as Cervical disc Prolapse became a more common determination for patient in search of primary care services confronting outpatient physiotherapists. McKenzie method is commonly used for treating neck pain as well as cervical disc prolapse. Objectives: To explore the effectiveness of McKenzie manipulative therapy over conventional physiotherapy for cervical disc prolapse patients. Methodology: A Randomized control trial study design was used in this study. Total of 42 samples were selected from hospital patient for this study attending the Centre for the rehabilitation of the paralysed (CRP) from the musculoskeletal unit at Savar. Among them 21 patients were assigned to the trial group who received McKenzie treatment with usual care and another 21 in the control group received conventional physiotherapy. The total treatment sessions were twelve comprising 3 sessions per week for 4 weeks. A double-blinding procedure was used during data collection. Outcome measurement tools: Dallas Pain Questionnaire (DPQ) was used to measure pain and NDI to measure neck disability. Analysis of data: Inferential statistics such as Unpaired t, Paired t and Chi-square test was done using SPSS version 22. Results: Significant improvements in spinal motion, pain reduction in different functional positions, and disability were observed in both groups, but the majority of indicators improved more in the McKenzie treatment group (p < 0.05 or higher than p < 0.05) in final assessment which indicate that the effectiveness of McKenzie treatment is superior to the conventional physiotherapy for Cervical Disc Prolapse patients. Conclusion: Patients diagnosed with Cervical Disc Prolapse may benefit from McKenzie's treatment approach. Physiotherapists may therefore recommend this treatment to patients with cervical disc prolapse in order to better their condition. Keywords: Cervical disc prolapse, McKenzie Manipulative Therapy, Conventional Physiotherapy.