Asmaa Mahmoud El-Bandrawy, Hassan Omer Ghareeb
ABSTRACT
Back and spine impairments are more common in women than men and are most common between the ages of 45 and 64.The purpose of this study is to determine the efficacy of McKenzie method on low back pain in postmenopausal women
This study was carried out at the Outpatient clinic of faculty of Physical Therapy, Cairo University, between March 2014 and October 2015 upon forty postmenopausal women diagnosed as low back pain. Their age ranged from (50-65) years and BMI<30kg/ m2. Patients were excluded if they have red flags indicative of serious spinal pathology with signs and symptoms of nerve root compromise (with at least two of dermatomal sensory loss, myotomal muscle weakness and reduced lower limb reflexes), individuals with any obvious spinal deformity or neurological disease, previous spinal surgery; patients with pacemaker (or indwelling stimulator); breaks in the skin or lack of normal skin sensation under the area where the electrodes were to be placed or epilepsy.These exclusion criteria were verified by history and physical examination. The patients were informed about the study, and written consent was obtained from all patients.
Patients were randomly assigned into two equal groups (A& B). Group (A) consisted of twenty patients who received McKenzie therapy in addition to Interferential current.
Group (B) consisted of twenty patients, who received Interferential current only. Treatment program was performed 2 sessions per week over 5 weeks for both groups A&B. Assessment of all subjects in both groups (A& B) was carried out before and after the treatment program throughout visual analogue scale and lumber ROM measurements.Showed a highly statistically significant decrease (P<.0001) in group A than in group B. The study demonstrates the superiority of the efficacy of the McKenzie method in addition to interferential current, compared with interferential only on low back pain in postmenopausal women.
Key words: low back pain, menopause, McKenzie method, interferential.