McKenzie vs Manual Therapy for Low Back Pain

NCT ID: NCT06955117

Last Updated: 2025-05-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-17

Study Completion Date

2027-04-17

Brief Summary

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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.

Detailed Description

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The study compares McKenzie Method, a directional preference-based approach involving repeated movements and posture correction, against Manual Therapy, which includes hands-on techniques such as mobilizations and manipulations. Patients with nonspecific low back pain will be randomly assigned to one of the two groups and treated over a defined period. Outcomes will be measured using pain and disability scores.

Conditions

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Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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McKenzie Technique (Group A)

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.

Group Type EXPERIMENTAL

Physical Therapy Exercises

Intervention Type 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

Active Comparator: Manual Therapy (Group B)

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.

Group Type ACTIVE_COMPARATOR

Physical Therapy Exercises

Intervention Type 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

Group B

Intervention Type 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

Interventions

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Physical Therapy Exercises

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

Intervention Type OTHER

Group B

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

Intervention Type OTHER

Other Intervention Names

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intervention for low backpain Manual Therapy (Group B)

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* History of lumbar spine surgery
* Presence of spinal fracture, tumor, or infection
* Pregnant women
* Severe osteoporosis or spinal deformity
Minimum Eligible Age

35 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr.Nadeem Ahmad, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University Malakand Campus

Locations

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Riphah international University Malakand

Malakand, KPK, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Dr.Nadeem Ahmad, MS

Role: CONTACT

03451915105

Dr.Nadeem Ahmad, MS

Role: CONTACT

03028367237

Facility Contacts

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DrNadeem Ahmad

Role: primary

03451915105

Other Identifiers

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REC01010SANA HAYAT

Identifier Type: -

Identifier Source: org_study_id

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