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Reham
Hussein
Diab,
Rania
Hakem
Hamed,
Ibrahem
Mustafa
Mustafa.
EFFICACY
OF
MCKENZIE
PROTOCOL
ON
NON-SPECIFIC NECK PAIN.
Int J Physiother Res 2016;4(5):1631-1638. DOI: 10.16965/ijpr.2016.140.
Type of Article: Original Research
DOI: http://dx.doi.org/10.16965/ijpr.2016.140
Page No.: 1631-1638
EFFICACY OF MCKENZIE PROTOCOL ON NON-SPECIFIC NECK PAIN
Reham Hussein Diab *
1
, Rania Hakem Hamed
2
, Ibrahem Mustafa Mustafa
3
.
*
1,3
Department of Basic Science, Faculty of Physical Therapy, Cairo University.
2
Researcher (M.SC candidate) at the department of basic Science, Faculty of Physical Therapy ,Cairo university.
Address:
Dr.
Reham
Hussein
Diab,
Department
of
Basic
Science,
Faculty
of
Physical
Therapy,
Cairo
University.
E-Mail:
reham.diab@yahoo.com
ABSTRACT
Background:
Neck
pain
is
the
most
common
and
painful
musculoskeletal
condition
which
has
a
great
socioeconomic
burden
on
both
patients
and
society.
McKenzie
protocol
results
in
significant
decrease
in
pain
and
increase
range
of
motion
and
functional
ability
in
spinal
conditions
but
there
are
insufficient
data
available
to
determine
the
efficacy
of
the
McKenzie
protocol
on
non
specific
neck
pain
patient’s
further
research
which
addresses
these
issues
is
required.
Purpose:
This
study
was
conducted
to
evaluate
the
effect
of
McKenzie
protocol
on
cervical
range
of
motion
(CROM),
intensity
of
pain,
and
neck
functional
activity
level
in
the
management
of
non
specific
neck
pain
patients.
Materials
and
Methods:
Thirty
patients
with
non
specific
neck
pain,30-50
years
of
age
was
assigned
in
two
groups(study
and
control)
each
group
contained
fifteen
patients,
all
patients
received
traditional
treatment
for
six
weeks
3times/week
and
additionally
study
group
received
McKenzie
protocol.
CROM,
pain,
and
functional
activity
level
were
measured
pre-treatment
and
post
six
weeks
of
treatment
using myrin goniometer, visual analog scale (VAS), and Copenhagen neck functional disability scale.
Results:
There
was
a
significant
increase
in
CROM
of
study
group
where
flexion
(p=0.002),
extension
(p=0.0001),
lateral
flexion
(p=0.02)
and rotation (p=0.0001), also significant decrees in pain (p=0.0001) and decease in functional disability level (p=0.0001).
Conclusion:
McKenzie
protocol
of
treatment
additionally
to
traditional
treatment
is
effective
in
increase
CROM,
decrease
pain
and
increase functional activity in non specific neck pain patients.
KEY WORDS:
Non specific neck pain, McKenzie protocol.
References
1
.
Schellingerhout,
J.
M.,
Verhagen,
A.
P.,
Heymans,
M.
W.,
Koes,
B.
W.,
Devet,
H.
C.
and
Terwee,
C.
B.
Measurement
properties
of
disease-specific
questionnaires in patients with neck pain: a systematic review. Qual Life Res. 2012;(21):659-70. (level of evidence 2A).
2
.
Steven
P
and
Cohen.
Epidemiology,
Diagnosis,
and
Treatment
of
Neck
Pain.
Mayo
Foundation
for
Medical
Education
and
Research
Mayo
Clin.
Proc.
2015;90(2):284-299.
3
.
Gemmell
H
and
Miller
P.
Comparative
effectiveness
of
manipulation,
mobilization
and
the
activator
instrument
in
treatment
of
non-specific
neck
pain:
a systematic review. 2006.
4
.
Garra,
Gregory;
Singer,
Adam
J.
et
al.
Heat
or
Cold
Packs
for
Neck
and
Back
Strain:
A
Randomized
Controlled
Trial
of
Efficacy".
Academic
Emergency
Medicine 2010;17(5):484-9. doi:10.1111/j.1553-2712.2010.00735.x. PMID 20536800.
5
.
Picavet
HSJ
and
Schouten
JSAG.
(2003):
Musculoskeletal
pain
in
the
Netherlands:
prevalences,
consequences
and
risk
groups,
the
DMC(3)-
study.
Pain.
2003;102:167-178.
6
.
Tom
Petersen,
Kristian
Larsen,
Jan
Nordsteen,
Steen
Olsen,
Gilles
Fournier
,
and
Soren
Jacobsen.
The
McKenzie
Method
Compared
With
Manipulation
When
Used
Adjunctive
to
Information
and
Advice
in
Low
Back
Pain
Patients
Presenting
With
Centralization
or
Peripheralisation
A
Randomized Controlled TrialSpine . 2011;(36):1999
-
2011.
7
.
Boyling
J,
Jull
G.
Grieve’s.(2004).
Modern
Manual
Therapy,
the
vertebral
colum.
Chapter
33:
A
contemporary
approach
to
manual
therapy
2004;47(1):3.
8
.
McKenzie institute international home page. http:/www. Mckenziemedt.org.Accessed September.22.2013.
9
.
Al-Obaidi
SM,
Al-Sayegh
NA,
Nakhi
HB
and
Skaria
N.
Effectiveness
of
Mckenzie
Intervention
in
Chronic
Low
Back
Pain:
A
Comparison
Based
on
the
Centralization Phenomenon Utilizing Selected Bio-Behavioral and Physical Measures. Int J Phys Med Rehabil. 2013;1:128.doi:10.4172/jpmr.1000128.
1
0
.
Trupti
Wardue
and
Shanmugam.
The
Effect
of
McKenzie
Approach
and
Mulligan’s
Mobilization
(SNAGS)
in
Lumbar
Disc
Prolapsewith
Unilateral
Radiculopathy.International Journal of Science and Research (IJSR). 2014;3(10):2319-7064.
1
1
.
Abdulwahab PS, Sabbahi M. Neck retraction, cervical root decompression, and radicular pain. 2000;30(1):4-12.
1
2
.
Miller J andHerbowy S. The McKenzie approach. Rehab Manage. 2002;(15):40
-
44 .
1
3
.
Clare
H,
Adams
R
and
Maher
CG
.
A
systematic
review
of
efficacy
of
McKenzie
therapy
for
spinal
pain.
Australian
Journal
of
Physiotherapy
2004;(50):209-216.
1
4
.
Murtezani
A,
Govori
V,
Meka
VS,
Ibraimi
Z,
Rrecaj
S
andGashi
S.
Comparison
of
McKenzie
therapy
with
electrophysical
agents
for
the
treatment
of
work related low back pain: A randomized controlled trial. J Back MusculoskeletalRehabil. 2015 Jan 1;28(2):247-53. doi: 10.3233/BMR-140511.
1
5
.
Barlow Y, Willoughby J
.
Pathophysiology of soft tissue repair. Br Med Bul. 1992;l48.698-711
.
1
6
.
Maelstrom,EM.,
M.
kariberg,
E.holmastorm,
P.A.fransson,
GA
and
M.magnsoon
hassson.
Influence
of
prolonged
unilateral
cervical
muscle
contraction
on head repositioning-decreased overshoot after 5-min static muscle contraction task
.
Man Ther. 2003;15(3):229-235
.
1
7
.
Binder A. The diagnosis and treatment of nonspecific neck pain and whiplash. Eura Medicophys. 2007;43(1):79-89.
1
8
.
Fejer,
R.,
Jordan,
A.,amp
Hartvigsen
and
J.Categorising.
The
severity
of
neck
pain:
establishment
of
cut-points
for
use
in
clinical
and
epidemiological
research. Pain. 2005;119:176-82. (level of evidence:2C)
1
9
.
Misterska,
E.,
Jankowski,
r.
&Glowacki,
M.
(2001):Cross-cultural
adaptation
of
the
Neck
Disability
Index
and
Copenhagen
Neck
Functional
Disability
Scale
for
patients
with
neck
pain
due
to
degenerative
and
discopathic
disorders.
Psychometric
properties
of
the
Polish
versions.BMCMusculoskeletDisord. 2001;12:84
.
2
0
.
Pietrobon
R,
Coeytaux
R,
Carey
S,
Richardson
W,
and
Devellis
F.
Standard
scales
for
measurement
of
functional
outcome
for
cervical
pain
or
dysfunction: a systematic review. Spine.2002; (phila pa 1976), 27, 515-22. (level of evidence 2a)
.
2
1
.
Schenk
R,
Dukhon
I,
Guyer
Z,
Sommers
M,
Venning
A
andZalewski
K.
An
evidence-based
algorithm
for
examination
of
the
cervical
spine.
Orthopaedic
Practice.2002;14:9-11.
2
2
.
Kietrys DM, Galper JS andVerno V. Effects of at-work exercises on computer operators. Work 2007;(28):67-75
.
2
3
.
Blangsted
AK,
Sogaard
K,
Hansen
EA,
Hannerz
H
and
Sjogaard
G
(2008):
One-year
randomized
controlled
trial
with
differentphysical-activity
programs
to reduce musculoskeletal symptoms in the neck and shoulders among office workers. ScandJ Work Environ Health;(34):55-65.
2
4
.
McKenzie
RA
and
May
S.
Mechanical
diagnosis
and
therapy.
spinal
Publications.
New
Zealand.
Volume
two
PO
Box
2026,
Raumati
Beach,
New
Zealand. 2006;Pp.353-371.
2
5
.
McKenzie
R,
May
S.
The
Human
Extremities:
Mechanical
Diagnosis
&
Therapy.Spinal
Publications,
New
Zealand.
Volume
two
PO
Box
2026,
Raumati
Beach, New Zealand. 2000;Pp.255-321.
2
6
.
Petersen
T,
Kryger
P,
Ekdahl
C,
Olsen
S
and
Jacobsen
S.
The
effect
of
McKenzie
therapy
as
compared
with
that
of
intensive
strengthening
training
for
the treatment of patients with sub-acute or chronic low back pain: a randomized controlled trial. Spine. 2002;(27):1702-9
.
2
7
.
Garcia
AN,
Costa
LCM,
da
Silva
TM,
et
al.
Effectiveness
of
Back
School
versus
McKenzie
exercises
in
patients
with
chronic
nonspecific
low
back
pain:
a
randomized controlled trial. PhysTher. 2013;93:729-747.
2
8
.
Alessandra
N.
Garcia1,
Francine
L.
B.
Gondo2,
Renata
A.
Costa2,
Fábio
N.
Cyrillo2
and
Leonardo
O.
P
Costa
.
Effects
of
two
physical
therapy
interventions
in
patients
with
chronic
non-specific
low
back
pa;feasibility
of
a
randomized
controlled
trial
.
Rev
Bras
Fisioter,
São
Carlos;
Sept./Oct
2011;15(5):1413-3555.
2
9
.
O'Leary
S,
Jull
G,
Kim
M
and
Vicenzino
B.
Specificity
in
retraining
craniocervical
flexor
muscle
performance.
Journal
of
Orthopaedic
and
Sports
Physical
Therapy.2007;37(1):3-9.
3
0
.
Browder
DA,
Childs
JD,
Cleland
JA,
et
al.
Effectiveness
of
an
extension-oriented
treatment
approach
in
a
subgroup
of
subjects
with
low
back
pain:
a
randomized clinical trial . PhysTher. 2007;87:1608-18
.