Volume 7, Issue 3 (winter 2022)                   SJNMP 2022, 7(3): 76-85 | Back to browse issues page

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1- Department of Physical Education and Sport Sciences, Faculty of Humanities, Islamic Azad University of Boroujerd, Boroujerd, Iran
2- Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
3- Technical Manager of Afra Technical Orthopedic Clinic, Kermanshah, Iran
4- Cardiovascular Diseases Research Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran , ali.soroush.mhr@gmail.com
Abstract:   (1185 Views)
Background & Aim: Low back pain is one of the most common pains that about 80% of people experience in their lifetime. Millions of dollars are spent annually on the treatment of chronic low back pain, so proper and timely treatment is essential. This study aimed to determine the effect of McKenzie-based and Pneumatic Lumbar Unloading Orthosis on pain and disability in patients with chronic low back pain.
Materials & methods: In this clinical trial, 27 patients with chronic low back pain who referred to the clinic of Shahid Adabian in Kermanshah in 2018 were included in the study by convenience sampling method and were randomly assigned to one of the study groups, which included the McKenzie-based group with Pneumatic Lumbar Unloading Orthosis, the McKenzie-based group, and the control group.
Results: In both McKenzie-based and McKenzie-based groups with Pneumatic Lumbar Unloading Orthosis, pain and disability were significantly reduced. Although the intervention in the McKenzie-based group receiving Pneumatic Lumbar Unloading Orthosis resulted in a further reduction in pain and disability compared to the McKenzie-based group, the difference between the two groups in terms of pain relief was statistically significant (P< 0.05) but it was not significant in terms of the reduction of disability.
Conclusions: The Pneumatic Lumbar Unloading Orthosis with McKenzie-based reduced the pain and disability of people with chronic low back pain more effectively, so the simultaneous use of these therapeutic interventions in these people is recommended.
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Type of Study: Research | Subject: Special
Received: 2021/10/7 | Revised: 2022/05/30 | Accepted: 2022/01/19 | Published: 2022/03/9 | ePublished: 2022/03/9

References
1. DE David CN, Deligne LdMC, da Silva RS, Malta DC, Duncan BB, de Azeredo Passos VM, et al. The burden of low back pain in Brazil: estimates from the Global Burden of Disease 2017 Study. Population health metrics. 2020;18(1):1-10. [DOI:10.1186/s12963-020-00205-4]
2. Adhikari B, Ghimire A, Jha N, Karkee R, Shrestha A, Dhakal R, et al. Factors associated with low back pain among construction workers in Nepal: A cross-sectional study. PloS one. 2021;16(6):e0252564. [DOI:10.1371/journal.pone.0252564]
3. Ilic I, Milicic V, Grujicic S, Macuzic IZ, Kocic S, Ilic MD. Prevalence and correlates of low back pain among undergraduate medical students in Serbia, a cross-sectional study. PeerJ. 2021;9(1):e11055. [DOI:10.7717/peerj.11055]
4. Erick P, Sethatho M, Mbongwe B, Tapera R, editors. The prevalence of self-reported neck and back pain among supermarket cashiers in botswana. Ifeh World Academic Conference On Environmental Health; 2021-04-21.
5. Parno A, Sayehmiri K, Nabi Amjad R, Ivanbagha R, Hosseini Ahagh M M, Hosseini Foladi S, et al . Meta-analysis Study of Work-related Musculoskeletal Disorders in Iran. jrehab. 2020; 21 (2) :182-205. [DOI:10.32598/RJ.21.2.2444.4]
6. Mohebbi Rad Y, Fadaei Chafy M, Elmieh A. Comparison of the Effect of Core Stability and Suspension Training on Beta Endorphin, Pain, and Functional Disability in Patients with Lumbar Disc Herniation: A Clinical Trial. Journal of Rafsanjan University of Medical Sciences. 2021;20(6):661-80. [Persian] [DOI:10.52547/jrums.20.6.661]
7. Jafarnezhadgero A, Oroji A, Letafatkar A, Shojaodin S. The Effect of Movement-Pattern Training on Selected Landing Kinematic Variables in Athletes with Non-Specific Chronic Low Back Pain: A Randomized Clinical Trial. Journal of Rafsanjan University of Medical Sciences. 2021;20(6):631-44. [Persian] [DOI:10.52547/jrums.20.6.631]
8. Khaledi A, Bayattork M, Gheitasi M. The Effectiveness of Exercise Therapy on Improving Pain and Functional Disability in Patients with Non-Specific Chronic Low Back Pain: A Systematic Review of English Clinical Trials. Anesthesiology and Pain. 2020;11(2):89-107. [Persian]
9. Almeida MO, Yamato TP, Parreira PdCS, Costa LOP, Kamper S, Saragiotto BT. Overall confidence in the results of systematic reviews on exercise therapy for chronic low back pain: a cross-sectional analysis using the Assessing the Methodological Quality of Systematic Reviews (AMSTAR) 2 tool. Brazilian journal of physical therapy. 2020;24(2):103-17. [DOI:10.1016/j.bjpt.2019.04.004]
10. Hayden JA, Wilson MN, Stewart S, Cartwright JL, Smith AO, Riley RD, et al. Exercise treatment effect modifiers in persistent low back pain: an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials. British journal of sports medicine. 2020;54(21):1277-8. [DOI:10.1136/bjsports-2019-101205]
11. Dunsford A, Kumar S, Clarke S. Integrating evidence into practice: use of McKenzie-based treatment for mechanical low back pain. Journal of multidisciplinary healthcare. 2011;4(1):393-402. [DOI:10.2147/JMDH.S24733]
12. Dallolio V. Lumbar spinal decompression with a pneumatic orthesis (orthotrac): preliminary study. Advanced Peripheral Nerve Surgery and Minimal Invasive Spinal Surgery: Springer; 2005. p.133-7. [DOI:10.1007/3-211-27458-8_29]
13. Govin D, Saenz L, Athanasaki G, Snyder L, Polygerinos P. Design and development of a soft robotic back orthosis. InFrontiers in Biomedical Devices 2018 Apr 9 (Vol. 40789, p. V001T10A001). American Society of Mechanical Engineers. [DOI:10.1115/DMD2018-6806]
14. Schott C, Zirke S, Schmelzle JM, Kaiser C, i Fernández LA. Effectiveness of lumbar orthoses in low back pain: Review of the literature and our results. Orthopedic reviews. 2018;10(4): 7791. [DOI:10.4081/or.2018.7791]
15. Mazidi M, Khodadad B, Shahabpour E, Khorsandi Kolur M. The comparison the effect of six weeks McKenize and back school education exercises in patients with chronic non-specific low back pain. journal of motor and behavioral sciences. 2018;1(3):231-44. [Persian]
16. Jung N-J, Kim K-H, Kim H-S. The effect of Horse riding exercise, McKenzie Exercise on back pain and muscle activity in patients with low back pain. Journal of the Korea Academia-Industrial cooperation Society. 2020;21(12):502-9.
17. Aqil F, Iqbal MA, Karim S, Iqbal MU, Akram MJ, Mehreen Z, et al. Comparison of Mckenzie approach versus Lumbar Stabilization Exercises in the treatment of chronic low back pain. Rehman Journal of Health Sciences. 2021;3(1):24-31. [DOI:10.52442/rjhs.v3i1.62]
18. Kuhnow A, Kuhnow J, Ham D, Rosedale R. The McKenzie Method and its association with psychosocial outcomes in low back pain: a systematic review. Physiotherapy theory and practice. 2020;37(12):1-15. [DOI:10.1080/09593985.2019.1710881]
19. Alrwaily M, Almutiri M, Schneider M. Assessment of variability in traction interventions for patients with low back pain: a systematic review. Chiropractic & manual therapies. 2018;26(1):1-11. [DOI:10.1186/s12998-018-0205-z]
20. Alin CK, Uzunel E, Kronhed A-CG, Alinaghizadeh H, Salminen H. Effect of treatment on back pain and back extensor strength with a spinal orthosis in older women with osteoporosis: a randomized controlled trial. Archives of osteoporosis. 2019;14(1):1-10. [DOI:10.1007/s11657-018-0555-0]
21. Nwuga G, Nwuga V. Relative therapeutic efficacy of the Williams and McKenzie protocols in back pain management. Physiotherapy practice. 1985;1(2):99-105. [DOI:10.3109/09593988509163857]
22. Rezvani Amin M, Siratinayer M, Abadi A, Moradyan T. Correlation between visual analogue scale and short form of McGill questionnaire in patients with chronic low back pain. Qom University of Medical Sciences Journal. 2011;5(1):31-4. [Persian]
23. Majidi A, Hiradasa R, Aghdam H, Shirzad H, Sikaroodi H, Samadi S. Assessment of disability effects of chronic low back pain in naja vali-e-asr (a) hospital patients before and after a period of medical treatment using oswestry disability questionnaire. Police Medicine. 2013;1(3):160-54. [Persian]
24. Rahimi N, Raeisi H. The prevalence of low back pain and its correlation with functional disability, quality of life, and body mass index in military staff. Sadra Medical Sciences Journal. 2015;3(4): 269-77. [Persian]
25. Karlsson M, Bergenheim A, Larsson ME, Nordeman L, Van Tulder M, Bernhardsson S. Effects of exercise therapy in patients with acute low back pain: a systematic review of systematic reviews. Systematic reviews. 2020;9(1):1-25. [DOI:10.1186/s13643-020-01412-8]
26. Rahimi A, Forghany S, Pol F. The Effect of Rollover Footwear and McKenzie extension exercise on Pain, Disability and Lumbar Posture in people with Sub-acute Low Back Pain. Journal of Research in Rehabilitation Sciences. 2015;10(6):721-32. [Persian]
27. Gupta S. A comparison between mckenzie extensions exercises versus william's flexion exercises for low back pain in b. Pt. Students. Indian journal of physical therapy. 2016;3(2):51-5.
28. Ahmed GM, Ramzy GM, Rezk MYE, Abdelaziz NGMM. The effect of mcKenzie assessment and treatment method on patients with chronic low back pain with Radiculopathy, Single Blinded Randomized Controlled Trial. International Journal of Health Sciences. 2019;7(1):7-17.
29. Garcia AN, Costa LdCM, Hancock MJ, De Souza FS, de Oliveira Gomes GVF, De Almeida MO, et al. McKenzie Method of Mechanical Diagnosis and Therapy was slightly more effective than placebo for pain, but not for disability, in patients with chronic non-specific low back pain: a randomised placebo controlled trial with short and longer term follow-up. British journal of sports medicine. 2018;52(9):594-600. [DOI:10.1136/bjsports-2016-097327]

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