Comparison between efficacy of spinal mobilization with leg movement versus McKenzie technique in patients with lumbar disc herniation

Autores/as

  • Mohammad N. Selim Department of Basic Science, Faculty of Physical Therapy, Beni Suaf University, Egypt
  • Maha M. Mokhtar Faculty of Physical Therapy, Beni Suef University, Egypt
  • Mahmoud H. Mohamed Faculty of Physical Therapy, Ahram Canadian University, Giza, Egypt
  • Asmaa A. Abonour Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy Cairo University | Department of Medical Rehabilitation, Faculty of Applied Medical Sciences, King Khalid University, Kingdom of Saudi Arabia
  • Sahar M. Abdelmutilibe Faculty of Physical Therapy, BNS University, Beni Suef, Beni Suef Governorate, Egypt
  • Mohamed M. M. Essa Department of Biomechanics. Faculty of Physical Therapy. Deraya University, Elminia, Egypt.
DOI: https://doi.org/10.6018/sportk.522801
Palabras clave: H reflex, Lumbar disc herniation, McKenzie, Spinal mobilization with leg movement

Resumen

Background: Lumbar disc herniation (LDH) is one of the most common causes of medical consultation in the orthopedic clinics. LDH is believed to be the root cause of 60-80 percent of low back pain cases over a lifetime. Objective: The current study aims to evaluate the effectiveness of different dissimilar manual therapy techniques (Mulligan’s spinal mobilization with leg movement versus McKenzie technique) in patients with lumbar disc herniation. Design: The present study is a randomized control trial in which 45 individuals diagnosed with LDH were recruited as the participants of the study (mean age 48.54 ± 5.8 years). The participants were randomly allocated into three groups, with n=15 in each group. Intervention: Participants of the group A  (Experimental group A) received  Mulligan spinal mobilization with leg movement and T.E.N.S. (Transcutaneous Electrical Nerve Stimulation). Group B (Experimental group B) participants received McKenzie technique. Group C (control group) participants only received T.E.N.S. for four weeks. All patients in the three groups received 3 sessions each week. Pain, functional disability, and the H reflex were the primary outcome measures. The visual analogue scale (VAS) was used to assess pain, the Oswestry disability scale was used to assess functional disability, and electromyography was used to assess the H reflex. Results: Significant improvements were seen in the participants of group A, with reduction in the intensity and severity of pain, decreased level of functional disability and improvement in the H reflex, in comparison with other groups. Conclusion: Spinal mobilization with leg movement was more effective than McKenzie technique and TENS to reduce pain and functional disability, and to improve the H reflex, in individuals suffering from lumbar disc herniation.

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Citas

Abdulwahab, S. S., & Sabbahi, M. (2000). Neck retractions, cervical root decompression, and radicular pain. Journal of Orthopaedic & Sports Physical Therapy, 30(1), 4-12.

Adams, M. A., May, S., Freeman, B. J., Morrison, H. P., & Dolan, P. (2000). Effects of backward bending on lumbar intervertebral discs: relevance to physical therapy treatments for low back pain. Spine, 25(4), 431-438.

Airaksinen, O., Brox, J. I., Cedraschi, C., Hildebrandt, J., Klaber-Moffett, J., Kovacs, F., ... & COST B13 Working Group on Guidelines for Chronic Low Back Pain. (2006). European guidelines for the management of chronic nonspecific low back pain. European Spine Journal, 15(Suppl 2), s192-300. https://dx.doi.org/10.1007%2Fs00586-006-1072-1

Anderson, P. A., McCormick, P. C., & Angevine, P. D. (2008). Randomized controlled trials of the treatment of lumbar disk herniation: 1983-2007. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 16(10), 566-573.

Atlas, S. J., Chang, Y., Kammann, E., Keller, R. B., Deyo, R. A., & Singer, D. E. (2000). Long-term disability and return to work among patients who have a herniated lumbar disc: the effect of disability compensation. JBJS, 82(1), 4-15.

Beattie, P.F., Brooks, W.M. & Rothstein, J.M. (1994). Effect of lordosis on the positionof the nucleus pulposus in supine subjects. Spine, 19:296-302.

Beyaz, E.A. & Akyuz, G. (2009). The role of somatosensory evoked potentials in the diagnosis of lumbosacral radiculopathies. Electromyogr Clinical Neurophysiology, 49, 131-142.

Bialosky, J. E., Bishop, M. D., Price, D. D., Robinson, M. E., & George, S. Z. (2009). The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Manual therapy, 14(5), 531-538. https://doi.org/10.1016/j.math.2008.09.001

Carroll, L. J., Cassidy, J. D., & Côté, P. (2000). The Saskatchewan Health and Back Pain Survey: the prevalence and factors associated with depressive symptomatology in Saskatchewan adults. Canadian Journal of Public Health, 91(6), 459-464. https://doi.org/10.1007/BF03404830

Davidson, M., & Keating, J. L. (2002). A comparison of five low back disability questionnaires: reliability and responsiveness. Physical therapy, 82(1), 8-24. https://doi.org/10.1093/ptj/82.1.8

Donelson, R., Silva, G., & Murphy, K. (1995). Centralization Phenomenon: Its Usefulness in Evaluating and Treating Referred Pain. International Journal of Yoga Therapy, 6(1), 10-14. https://doi.org/10.17761/ijyt.6.1.b3587167251j5k14

Facci, L. M., Nowotny, J. P., Tormem, F., & Trevisani, V. F. (2011). Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecificchronic low back pain: randomized clinical trial. Sao Paulo Medical Journal, 129(4), 206-216.

Fairbank, J. C., & Pynsent, P. B. (2000). The Oswestry disability index. Spine, 25(22), 2940-2953.

Fujiwara, A., An, H. S., Lim, T. H., & Haughton, V. M. (2001). Morphologic changes in the lumbar intervertebral foramen due to flexion-extension, lateral bending, and axial rotation: an in vitro anatomic and biomechanical study. Spine, 26(8), 876-882.

Karas, R., McIntosh, G., Hall, H., Wilson, L., & Melles, T. (1997). The relationship between nonorganic signs and centralization of symptoms in the prediction of return to work for patients with low back pain. Physical therapy, 77(4), 354-360. https://doi.org/10.1093/ptj/77.4.354

Koes, B. W., Van Tulder, M. W., & Peul, W. C. (2007). Diagnosis and treatment of sciatica. Bmj, 334(7607), 1313-1317. https://doi.org/10.1136/bmj.39223.428495.BE

Kreiner, D. S., Hwang, S. W., Easa, J. E., Resnick, D. K., Baisden, J. L., Bess, S., ... & Toton, J. F. (2014). An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. The Spine Journal, 14(1), 180-191. https://doi.org/10.1016/j.spinee.2013.08.003

Kumar, S. P. & Cherian, P. J. (2011). Efficacy of spinal mobilization in the treatment of patients with lumbar radiculopathy due to disc herniation: A randomized clinical trial. International Journal of Neurology and Neurosurgery, 3(2), 65-76.

Marc, A. (2001). Pain measurement. In P. Prithvi Ray: Pain Medicine: A Comprehensive Review. Mosby, Los Angeles, California, USA.

Mazzocchio, R., Scarfò, G. B., Mariottini, A., Muzii, V. F., & Palma, L. (2001). Recruitment curve of the soleus H-reflex in chronic back pain and lumbosacral radiculopathy. BMC musculoskeletal disorders, 2(1), 1-8. https://doi.org/10.1186/1471-2474-2-4

McKenzie, R. & May, S. (2003). The lumbar spine: mechanical diagnosis and therapy. Waikanae: Spinal Publications.

McKenzie, R. & May, S. (1989). The lumbar spinemechanical diagnosis and therapy. Spinal publication ltd, New Zeland.

McKenzie, R. A., & May, S. (1981). The lumbar spine. Mechanical diagnosis & therapy, 1, 374.

Mulligan, B. (2006). Manual Therapy: NAGS, SNAGS, MWMS, etc, 5 th. Plane View Services: New Zealand.

Mulligan, B. R. (2004). Manual therapy: NAGS, SNAGS, MWMS etc. Plane View Services Ltd, New Zealand.

Mulligan, B. R. (1993). Mobilization with movement (MWM’s). Journal of Manual & Manipulative Therapy, 1, 154e6.

Schäfer, A., Hall, T., Müller, G., & Briffa, K. (2011). Outcomes differ between subgroups of patients with low back and leg pain following neural manual therapy: a prospective cohort study. European Spine Journal, 20(3), 482-490. https://doi.org/10.1007/s00586-010-1632-2

Schoenfeld, A. J., & Weiner, B. K. (2010). Treatment of lumbar disc herniation: Evidence-based practice. International journal of general medicine, 3, 209-214. https://doi.org/10.2147/ijgm.s12270

Sertpoyraz, F., Eyigor, S., Karapolat, H., Capaci, K., & Kirazli, Y. (2009). Comparison of isokinetic exercise versus standard exercise training in patients with chronic low back pain: a randomized controlled study. Clinical rehabilitation, 23(3), 238-247. https://doi.org/10.1177/0269215508099862

Shen, F. H., Samartzis, D. & Andersson, G. B. (2006). Nonsurgical management of acute and chronic low back pain. Journal of the American Academy of Orthopaedic Surgeons, 14(8), 477-487.

Stretanski, M. F. (2004). H-reflex latency and nerve root tension sign correlation in fluoroscopically guided, contrast-confirmed, translaminar lumbar epidural steroid-bupivacaine injections. Archives of physical medicine and rehabilitation, 85(9), 1479-1482. https://doi.org/10.1016/j.apmr.2003.09.024

Tarulli, A. W., & Raynor, E. M. (2007). Lumbosacral radiculopathy. Neurologic clinics, 25(2), 387-405. https://doi.org/10.1016/j.ncl.2007.01.008

Tehranzadeh, J., & Gabriele, O. F. (1984). The prone position for CT of the lumbar spine. Radiology, 152(3), 817-818. https://doi.org/10.1148/radiology.152.3.6235538

Tucker, K. J., & Türker, K. S. (2005). A new method to estimate signal cancellation in the human maximal M-wave. Journal of neuroscience methods, 149(1), 31-41. https://doi.org/10.1016/j.jneumeth.2005.05.010

Vicenzino, B., Paungmali, A., & Teys, P. (2007). Mulligan's mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature. Manual therapy, 12(2), 98-108. https://doi.org/10.1016/j.math.2006.07.012

Publicado
30-04-2022
Cómo citar
Selim, M. N., Mokhtar, M. M. ., Mohamed, M. H. ., Abonour, A. A. ., Abdelmutilibe, S. M. ., & M. Essa, M. M. . (2022). Comparison between efficacy of spinal mobilization with leg movement versus McKenzie technique in patients with lumbar disc herniation. SPORT TK-Revista EuroAmericana de Ciencias del Deporte, 11, 23. https://doi.org/10.6018/sportk.522801
Número
Vol 11 (2022): Suplemento 2
Sección
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