Mckenzie Versus William Exercise for Non Specific Low Back Pain in Adolescents

NCT05340894 | Unknown

• 1 other identifier: P.T.REC/012/003327
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

MCKENZIE EXERCISE VERSUS WILLIAMS EXERCISE ON DECREASING PAIN IN ADOLESCENT WITH NON SPECIFIC LOW BACK PAIN Low back pain is uncommon in the first decade of life,but prevalence increases steeply during the teenage years; around 40% of 9-18-year olds in high-income, medium-income, and low-income countries report having had low back pain. NSLBP represents about 85% of LBP patients seen in primary care. Non-specific low back pain is one of the most common health problems and is the leading cause of disability in young adults. During school age, the overall risk of low back pain is similar to adults, with prevalence rates as high as 70% to 80% by the age of 20 years old Non-specific low back pain is defined as low back pain not attributable to a recognisable, known specific pathology. Understanding back pain in adolescents is crucial to obtain timely diagnosis and determine appropriate treatment. Proper treatment and management of LBP in the adolescent years can minimize back pain lasting into adulthood Non pharmacological treatments are emphasised over pharmacological interventions in the management of persistent non-specific low back pain. natinal institute for health and care excellence(NICE) 2016 draft guideline endorses self-management, exercise, manual therapy, psychological therapies, combined physical and psychological programmes, return-to-work programmes, and radiofrequency denervation. Back exercises can be an inexpensive and easy option of treatment for NSLBP and proven to be effective. McKenzie extension exercise and William flexion exercise are the most common types of back exercises. Selection the appropriate treatment method is important. So this study will be aimed to compare between Mckenzie and William's exercises in order to find which method has better effect on adolescents with NSLBP.

Conditions

Non Specific Low Back Pain

Keywords

Adolescents, Balance, Low Back Pain, McKenzie Exercises, and William's Exercises.

Outcome Measures

Primary Outcomes (1)

• Visual Analogue Scale (VAS)

  This will be used to determine the intensity of pain.The VAS is a valid and reliable measure of chronic pain intensity . It is the amount of pain that a patient feels ranges across a continuum from none to an extreme amount of pain. Operationally, a VAS is usually a horizontal line, 100 mm in length, anchored by word descriptors at each end The patient will mark on the line at the point that he feels which represents his perception of the current state.The VAS score is determined by measuring in millimeters from the left hand end of the line to the point that the child marks .

  changes in pain at 4 weeks

Secondary Outcomes (1)

• ModifiedSchober's Test(MSchober test)

  changes in back flexibility in 4 weeks

Other Outcomes (1)

• YMED TEST Balance Test

  changes in balance in 4 weeks

Study Arms (2)

Mckenzie group

ACTIVE COMPARATOR

* adolescents will receive 4 weeks Mckenzie exercise program * Follow-up:pre-test (Baseline), 2 weeks post-test and 4 weeks post-test.

Procedure: MCKENZIE exercises

William's group

ACTIVE COMPARATOR

* adolescents will receive 4 weeks William's exercise program * Follow-up:pre-test (Baseline), 2 weeks post-test and 4 weeks post-test.

Procedure: WILLIAM'S exercises

Interventions

MCKENZIE exercises PROCEDURE

McKenzie method is popular amongst physiotherapists as a management approach for spinal pain and McKenzie exercises for LBP are beneficial treatment for increasing flexibility of spine and improving the pain with better results in pain relief

Mckenzie group

WILLIAM'S exercises PROCEDURE

William flexion exercise is to reduce pain or soreness and provide lower trunk stability by actively developing the abdominal muscles,gluteus maximus and hamstring, passively stretching the hip flexors and lower back muscles(sacro spinalis) and to restore or improve the work balance between the postural flexor and extensor muscle groups

William's group

Eligibility Criteria

• Age: 14 Years - 18 Years
• Gender Eligibility Details: adolescents male only
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Age range from 14 to 18 years.
• Diagnosed as non-specific low back pain.
• Medically and clinically stable.
• All participants are within normal range weight and height.

You may not qualify if:

• Adolescents have one or more of the followings will be excluded:
• Any spinal deformities.
• History of spinal or pelvic surgery.
• Specific spinal pathologies as cauda equina syndrome, cord compression, infection, fracture, neoplasm, inflammatory disease, whiplash associated disorders and vertebro-basilar insufficiency.
• Any visual or auditory problems that interfere with the rehabilitation program.
• Children with significant mental or psychological problems that interfere with understanding instructions.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: March 15, 2022
• First Posted: April 22, 2022
• Study Start: October 10, 2022
• Primary Completion: November 30, 2022
• Study Completion: December 10, 2022
• Last Updated: October 17, 2022

Record last verified: 2022-08