Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2014 Jan 18;17 Suppl 1(Suppl 1):5.
doi: 10.11694/pamj.supp.2014.17.1.2950. eCollection 2014.

Influence of Mckenzie protocol and two modes of endurance exercises on health-related quality of life of patients with long-term mechanical low-back pain

Chidozie Emmanuel Mbada  1 , Olusola Ayanniyi  2 , Samuel Olusegun Ogunlade  3 , Elkanah Ayodele Orimolade  3 , Ajibola Babatunde Oladiran  3 , Abiola Oladele Ogundele  3
Affiliations
Randomized Controlled Trial

Influence of Mckenzie protocol and two modes of endurance exercises on health-related quality of life of patients with long-term mechanical low-back pain

Chidozie Emmanuel Mbada et al. Pan Afr Med J. .

Abstract

Introduction: Long-term Mechanical Low-Back Pain (LMLBP) negatively impacts on patients' physical capacity and quality of life. This study investigated the relationship between Health-Related Quality of Life (HRQoL) and pain intensity, and the influence of static and dynamic back extensors' endurance exercises on HRQoL in Nigerian patients with LMLBP treated with the McKenzie Protocol (MP).

Methods: A single-blind controlled trial involving 84 patients who received treatment thrice weekly for eight weeks was conducted. Participants were assigned to the MP Group (MPG), MP plus Static Back Endurance Exercise Group (MPSBEEG) or MP plus Dynamic Endurance Exercise Group (MPDBEEG) using permuted randomization. HRQoL and pain was assessed using the Short-Form (SF-36) questionnaire and Quadruple Visual Analogue Scale respectively.

Results: Sixty seven participants aged 51.8 ± 7.35 years completed the study. A total drop-out rate of 20.2% was observed in the study. Within-group comparison across weeks 0-4, 4-8 and 0-8 of the study revealed significant differences in HRQoL scores (p < 0.05). Treatment Effect Scores (TES) across the groups were significantly different (p = 0.001). MPSBEEG and MPDBEEG were comparable in TES on General Health Perception (GHP) at week 4; and GHP and Physical Functioning at week 8 respectively (p > 0.05). However, MPDEEG had significantly higher TES in the other domains of the SF-36 (p = 0.001).

Conclusion: HRQoL in patients with LMLBP decreases with pain severity. Each of MP, static and dynamic back extensors endurance exercises significantly improved HRQoL in LMLBP. However, the addition of dynamic back extensors endurance exercise to MP led to greater improvement in HRQoL.

Keywords: Mckenzie protocol; back pain; endurance exercises; quality of life.

PubMed Disclaimer

References

    1. Waddell G. London: Churchill Livingstone; 1998. The back pain revolution.
    1. Burton AK, Balague F, Cardon G, Eriksen HR, Henrotin Y, Lahad A, et al. On behalf of the COST B13 Working Group on Guidelines for Prevention in Low Back Pain. European guidelines for prevention in low back pain - November 2004. Eur Spine J. 2006;15:s136–168. - PMC - PubMed
    1. Mckenzie RA. Waikanae, New Zealand: Spinal Publication Limited; 1990. Treat Your Own Back. Spinal Publication. Pu.
    1. Sikorski JM, Stampfer HG, Cole RM, Wheatley AE. Psychological aspects of chronic low back pain. Aust N Zeal J Surg. 1996;66(5):294–7. - PubMed
    1. Filho IT, Simmonds MJ, Protas EJ, Jones S. Back pain, physical function, and estimates of aerobic capacity: what are the relationships among methods and measures? Am J Phys Med Rehabil. 2002;81(12):913–20. - PubMed

Publication types

LinkOut - more resources