Effectiveness of McKenzie treatment for Prolapsed Lumber Intervertebral Disc (PLID) patients to musculoskeletal unit at CRP: A Randomized Controlled Trail

Abstract

Low back pain as well as Lumbar disc herniation became more common determination for patients in search of primary care services confronting outpatient physical therapists. McKenzie method is commonly used for treating low back pain as well as PLID. To explore the effectiveness of McKenzie Physiotherapy treatment over basic physiotherapy treatment along with medication (painkiller) for the PLID patients, a study was conducted with a design of randomized control trial. Total 20 samples were selected from hospital patient for this study attending Centre for the rehabilitation of the paralysed (CRP) in between February-June, 2016 from musculoskeletal unit at Savar and Mirpur. Data was collected by using four structured questionnaire related to LBP and disability. Socio-demographic data were collected by a semi-structured questionnaire. Data was analyzed by using SPSS software version 16.0 which focused through column, pie chart, line diagram and paired t-test and also unrelated t-test of the parametric test. A significant improvement of spinal motion, reduction of pain in different position and disability were demonstrated in both groups but the results show the better improvement among most of the indicators in the McKenzie treatment group (p < 0.05 or higher than p<0.05) in final assessment and two months after follow up which indicate that the effectiveness of McKenzie treatment is superior to the basic physiotherapy with medicine for PLID patients. So, McKenzie treatment approach may be considered as beneficial for PLID patients. Therefore, Physiotherapist may suggest applying this intervention for PLID patients to improve their condition.