Abstract

Background: Work related low back pain has been identified as a one of the most costly disorders among the worldwide working population. This condition was highly prevalent that approximately 85% patients having back pain were brought on by prolonged sitting. With the rapid development of modern technology, sitting has now become the most common posture in today’s work- place. Idea of using motor control learning approach provides the optimal control and coordination of the spine. The McKenzie evaluation was received using repeated movements and sustained positions. Therefore high quality randomized clinical trial was required to compare the effectiveness of these treatments for work related low back pain. Objectives: To compare the effectiveness of motor control exercises and McKenzie exercises in reducing pain and disability in work related low back pain. Method: The study included 40 subjects with work related low back pain due to prolonged sitting. They were randomly allocated into two groups (Group A and Group B). Group A was treated with motor control exercises and group B was treated with McKenzie exercises for 4 weeks. Results: Both the groups have shown statically significant improvement in vas with p < 0.0001 and ODI with p < 0.0001. When the comparison was done after the 4 weeks, the percentage of improvement in group A was much higher than Group B. Conclusion: The study concluded that motor control exercises have shown statically and clinically significant improvement in reducing pain and disability when compared to McKenzie exercises among work related low back pain subjects.

Highlights

  • Low back pain is an important health problem with significant consequences from socio economical point of view and is associated with high costs, work absenteeism and disability

  • Lack of spinal motion as a provocative factor seems to correspond with what has been found in analysis of patient with Low Back Pain (LBP): 85% found pain was brought on by prolonged sitting, 73% by standing, but only 23% by walking and 15% by cycling [1]

  • There was significant difference between the two means of Visual Analogue Scale (VAS) on GROUP A versus GROUP Bas shown in Table 5 the group A 5.25 vs 1.5 while group B 5.05 vs 2.25

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Summary

Introduction

Low back pain is an important health problem with significant consequences from socio economical point of view and is associated with high costs, work absenteeism and disability. Work related low back pain has been identified as a one of the most costly disorders among the worldwide working population This condition was highly prevalent that approximately 85% patients having back pain were brought on by prolonged sitting. Objectives: To compare the effectiveness of motor control exercises and McKenzie exercises in reducing pain and disability in work related low back pain. Method: The study included 40 subjects with work related low back pain due to prolonged sitting. They were randomly allocated into two groups (Group A and Group B). Conclusion: The study concluded that motor control exercises have shown statically and clinically significant improvement in reducing pain and disability when compared to McKenzie exercises among work related low back pain subjects

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