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Comparative Study
. 2019 Dec 1;19(4):492-499.

The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: a systematic review

Fayez Ibrahim Namnaqani  1 , Abdulrhman Salah Mashabi  2 , Khalid Mohammed Yaseen  3 , Mansour Abdullah Alshehri  4
Affiliations
Comparative Study

The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: a systematic review

Fayez Ibrahim Namnaqani et al. J Musculoskelet Neuronal Interact. .

Abstract

The aim of this study was to evaluate the effectiveness of the McKenzie method compared to manual therapy in the management of patients with chronic low back pain (CLBP). Randomised controlled trials evaluating the McKenzie method in treating CLBP in adults compared to manual therapy (MT) were searched in MEDLINE, CINAHL, Cochrane Library, and PEDro. The primary outcomes were pain and disability. Five trials were eligible for inclusion in the review, of which, most had a score of 8 out of 11 on the PEDro scale. At 2-3 months, all studies reported significant improvement in the pain level in the McKenzie group, and more than that in the MT group. At 6 months, significant improvements had occurred in the disability index reported by two trials in the McKenzie group than the MT group. At 12 months follow-up, there were no significant differences in measures of LBP, but three studies reported that the McKenzie method group had a better disability level than the MT group. In patients with CLBP, many pain measures showed that the McKenzie method is a successful treatment to decrease pain in the short term, while the disability measures determined that the McKenzie method is better in enhancing function in the long term.

Keywords: Chronic Low Back Pain; Disability; Manual Therapy; Mckenzie Treatment; Physical Therapy.

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Conflict of interest statement

The authors have no conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of search process.
See this image and copyright information in PMC

References

    1. Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8(1):8–20. - PubMed
    1. Vos T, Flaxman A, Naghavi M, Lozano R, Michaud C. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010:a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2163–96. - PMC - PubMed
    1. Tveito TH, Eriksen HR. United Kingdom back pain exercise and manipulation (UK BEAM) trial:is manipulation the most cost effective addition to “best care”? BMJ. 2005;330(7492):674. - PMC - PubMed
    1. Haldeman S, Dagenais S. A supermarket approach to the evidence-informed management of chronic low back pain. Spine J. 2008;8(1):1–7. - PubMed
    1. Chou R, Loeser JD, Owens DK, Rosenquist RW. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain:an evidence-based clinical practice guideline from the American Pain Society. Spine. 2009;34(10):1066–77. - PubMed