McKenzie vs Manual Therapy for Low Back Pain

NCT06955117 | Recruiting

• 1 other identifier: REC01010SANA HAYAT
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

A comparative study evaluating the effectiveness of the McKenzie technique versus manual therapy in patients with nonspecific low back pain. The study aims to assess which intervention is more effective in reducing pain and improving functional mobility.

Conditions

Low Back Pain

Keywords

Low Back Pain

Outcome Measures

Primary Outcomes (1)

• To assess the change in pain intensity

  Pain intensity will be measured using the Visual Analog Scale (VAS), a 10-centimeter scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores represent worse outcomes. Pain levels will be assessed from baseline to the end of the intervention period.

  6 Months

Secondary Outcomes (1)

• Disability score

  6months

Other Outcomes (1)

• lumbar range of motion

  6 months

Study Arms (2)

McKenzie Technique (Group A)

EXPERIMENTAL

Experimental - McKenzie Technique (Group A) Intervention Type: Physical Therapy Intervention Name: McKenzie Extension Exercises Description: This group will receive McKenzie-based physical therapy including postural correction, prone lying, prone on elbows, prone press-ups (3×10), soft tissue mobilization (5-10 mins), lumbar mobilization (PA glide, side-lying rotations), METs (pelvic tilts, hip flexor stretch), core exercises (bridge, dead bug), plus hot pack (15-20 mins) and TENS (10 mins) before and after therapy.

Other: Physical Therapy Exercises

Active Comparator: Manual Therapy (Group B)

ACTIVE COMPARATOR

Physical Therapy Intervention Name: Manual Therapy and Exercises Description: Participants will receive soft tissue mobilization, lumbar mobilization (PA glide, side-lying rotations), METs (pelvic tilts, hip flexor stretch), core exercises (bridge, dead bug), general stretching, hot pack (15-20 mins), and TENS (10 mins) before mobilization. No McKenzie techniques will be applied.

Other: Physical Therapy Exercises; Other: Group B

Interventions

Physical Therapy Exercises OTHER

Experimental - McKenzie Technique (Group A) Intervention Type: Other: Physical Therapy Exercises Other Names: Intervention for low back pain Description: Soft Tissue Mobilization: Manual massage to release muscle tension (5-10 mins) Lumbar Mobilization Techniques: PA Mobilization (Posteroanterior glide) on the lumbar spine (Grade I-IV, 3-5 min per segment) Side-lying Rotational Mobilization (3 sets × 10 reps) Muscle Energy Techniques (METs): Pelvic Tilts (3 sets × 10 reps) Hip Flexor Stretch with Isometric Hold (3 sets × 10 sec per side) Core Stabilization Exercises: Bridge Exercise (3 sets × 10-15 reps) Dead Bug Exercise (3 sets × 10 reps per side) Modalities: Hot Pack (15-20 mins) for relaxation before therapy TENS (10 mins) for pain relief before mobilization

Also known as: intervention for low backpain

Active Comparator: Manual Therapy (Group B); McKenzie Technique (Group A)

Group B OTHER

Manual Therapy (Group B) Description: Soft Tissue Mobilization: Manual massage to release muscle tension (5-10 mins) Lumbar Mobilization Techniques: PA Mobilization (Posteroanterior glide) on the lumbar spine (Grade I-IV, 3-5 min per segment) Side-lying Rotational Mobilization (3 sets × 10 reps) Muscle Energy Techniques (METs): Pelvic Tilts (3 sets × 10 reps) Hip Flexor Stretch with Isometric Hold (3 sets × 10 sec per side) Core Stabilization Exercises: Bridge Exercise (3 sets × 10-15 reps) Dead Bug Exercise (3 sets × 10 reps per side) Modalities: Hot Pack (15-20 mins) for relaxation before therapy TENS (10 mins) for pain relief before mobilization

Also known as: Manual Therapy (Group B)

Active Comparator: Manual Therapy (Group B)

Eligibility Criteria

• Age: 35 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosis of nonspecific low back pain lasting more than 4 weeks
• Willing to participate and comply with the study protocol

You may not qualify if:

• History of lumbar spine surgery
• Presence of spinal fracture, tumor, or infection
• Pregnant women
• Severe osteoporosis or spinal deformity

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah international University Malakand

Malakand, KPK, 23060, Pakistan

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Interventions

Exercise Therapy; Methods; Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Investigative Techniques; Complementary Therapies

Study Officials

• Dr.Nadeem Ahmad, MS

  Riphah International University Malakand Campus

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr.Nadeem Ahmad, MS

CONTACT

03451915105; n.ahmad@riphah.edu.pk

Dr.Nadeem Ahmad, MS

CONTACT

03028367237; n.ahmad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be randomly assigned to one of two parallel groups: one receiving McKenzie Technique and the other receiving Manual Therapy. Both groups will receive interventions independently to compare outcomes on pain and function in low back pain patients.

Study Record Dates

• First Submitted: April 24, 2025
• First Posted: May 2, 2025
• Study Start: February 17, 2025
• Primary Completion (Estimated): April 17, 2027
• Study Completion (Estimated): April 17, 2027
• Last Updated: May 25, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)