Due to transition in the journal platform, the previously submitted articles, which are under process can be re-submitted here for quick process, kindly co-operate

Biomedicine

Volume: 43 Issue: 3

  • Open Access
  • Original Article

Effect of Mckenzie lumbar extension exercise with TENS on lumbar radiculopathy

Senthil Kumar B.1, Divyasree S.1, Kumaresan A.2, Surya Vishnuram2

1UCA College of Paramedical Sciences, College of Physiotherapy, Chennai, Tamil Nadu, India
2Saveetha College of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai,
Tamil Nadu, India

Corresponding author: B. Senthil Kumar. Email: [email protected]

Year: 2023, Page: 1032-1035, Doi: https://doi.org/10.51248/.v43i3.2013

Abstract

Introduction and Aim: This study was aimed to investigate the impact of TENS (Transcutaneous Electrical Nerve Stimulation) along with Mckenzie lumbar extension exercise on patients with lumbar radiculopathy. The objective is to compare the effect of TENS with Mckenzie exercise and control group. The study assessed pain levels, radicular pain through SLR (Straight Leg Raise) test, disability using RMDQ (Roland Morris Disability Questionnaire), and spine range of motion (ROM) using MMST (Modified Modified Schober Test). Pre-test and post-test measurements were collected and compared to determine any differences.
Methodology: The study included a total of 50 male and female patients aged between 31 and 40 years, all of whom experienced disabling pain for a duration of 6-12 weeks. The materials used for the assessment included an inch tape for measuring lumbar spine ROM, a goniometer for SLR, and a belt.
Results: After the 6-week program, the findings revealed a significant reduction in pain levels, improved SLR, enhanced lumbar spine ROM, and decreased disability among the participants. Paired t-test showed significant differences in post-test values and independent t-test revealed significant post-test values in the experimental group than the control group at p<0.05.
Conclusion: The group of patients with lumbar radiculopathy who received TENS combined with Mckenzie exercise demonstrated superior outcomes in terms of pain reduction, SLR improvement, MODI (Modified Oswestry Disability Index) scores, and RMQ (Roland Morris Questionnaire) scores compared to the group treated with general exercise and TENS.

Keywords: Mckenzie exercise; TENS (transcutaneous electrical nerve stimulation); MMST (modified-modified Schober’s test); SLR (straight leg raise).

References

1. Tarulli, A. W., Raynor, E. M. Lumbosacral radiculopathy. Neurologic clinics. 2007 May 1;25(2):387-405.

2. Rhee, J. M., Schaufele, M., Abdu, W.A. Radiculopathy and the herniated lumbar disc: controversies regarding pathophysiology and management. JBJS. 2006 Sep 1;88(9):2070-2080.

3. Andersson, G. B. Epidemiology of low back pain. Acta Orthopaedica Scandinavica. 1998 Jan 1;69(sup281):28-31.

4. Balagué, F., Mannion, A. F., Pellisé, F., Cedraschi, C. Non-specific low back pain. The lancet. 2012 Feb 4;379(9814):482-491.

5. Raj, P. P. Intervertebral disc: anatomy‐physiology‐pathophysiology‐treatment. Pain Practice. 2008 Jan;8(1):18-44.

6. Shankar, H., Scarlett, J. A., Abram, S. E. Anatomy and pathophysiology of intervertebral disc disease. Techniques in Regional Anesthesia and Pain Management. 2009 Apr 1;13(2):67-75.

7. Paris, S.V. Anatomy as related to function and pain. Orthopedic Clinics of North America. 1983 Jul 1;14(3):475-489.

8. Machado, L. A., De Souza, M. V., Ferreira, P. H., Ferreira, M. L. The McKenzie method for low back pain: a systematic review of the literature with a meta-analysis approach. Spine. 2006 Apr 20;31(9): E254-E262.

9. Namnaqani, F. I., Mashabi, A. S., Yaseen, K. M., Alshehri, M.A. The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: a systematic review. Journal of musculoskeletal & neuronal interactions. 2019;19(4):492.

10. Skikic, E. M., Trebinjac, S. The effects of McKenzie exercises for patients with low back pain, our experience. Biomolecules and Biomedicine. 2003 Nov 20;3(4):70-75.

11. Williamson, A., Hoggart, B. Pain: a review of three commonly used pain rating scales. Journal of clinical nursing. 2005 Aug; 14(7):798-804.

12. Roland, M., Fairbank, J. The Roland-Morris disability questionnaire and the Oswestry disability questionnaire. Spine. 2000 Dec 15;25(24):3115-3124.

13. Scaia, V., Baxter, D., Cook, C. The pain provocation-based straight leg raise test for diagnosis of lumbar disc herniation, lumbar radiculopathy, and/or sciatica: a systematic review of clinical utility. Journal of back and musculoskeletal rehabilitation. 2012 Jan 1;25(4):215-223.

14. Tousignant, M., Poulin, L., Marchand, S., Viau, A. The Modified–Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: A study of criterion validity, intra-and inter-rater reliability and minimum metrically detectable change. Disability and Rehabilitation. 2005 May 20;27(10):553-559.

15. May, S., Donelson, R. McKenzie Method. Evidence-Based Management of Low Back Pain; Dagenais, S., Haldeman, S., Eds. 2011 Feb 11:122-133.

16. Frank, A. O., De Souza L. H. Conservative management of low back pain. International journal of clinical practice. 2001 Jan;55(1):21-31.

17. Farahpour, N., Esfahani, M. Postural deviations from chronic low back pain and correction through exercise therapy. Tehran University Medical Journal TUMS Publications. 2008 Mar 10;65(2):69-77.

18. Hayden, J. A., Van Tulder, M. W., Malmivaara, A. V., Koes, B. W. Meta-analysis: exercise therapy for nonspecific low back pain. Annals of internal medicine. 2005 May 3;142(9):765-775.

19. Van Middelkoop, M., Rubinstein, S. M., Verhagen, A. P., Ostelo, R. W., Koes, B. W., van Tulder, M. W. Exercise therapy for chronic nonspecific low-back pain. Best practice & research Clinical rheumatology. 2010 Apr 1;24(2):193-204.

20. May, S., Aina, A. Centralization and directional preference: a systematic review. Manual therapy. 2012 Dec 1;17(6):497-506.

21. Sanjana, M., Yatish, R. Comparative study on the Mckenzie technique with tens versus neural mobilization with tens in chronic low back pain with radiculopathy. International Journal of Physical Education, Sports and Health. 2021; 8(1): 08-13.

22. Sharma, J., Kumar, N., Kumar, S. Comparison of the Effectiveness of Core Strengthening Exercise and McKenzie Extension Exercise on the Pain Functional Disability in lumbar PIVD Condition. April 2018 DOI: 10.21088/potj.0974.5777.11218.4

23. Chen, C. C., Tabasam, G., Johnson, M. I. Does the pulse frequency of transcutaneous electrical nerve stimulation (TENS) influence hypoalgesia?: A systematic review of studies using experimental pain and healthy human participants. Physiotherapy. 2008 Mar 1;94(1):11-20.

24. Khadilkar, A., Odebiyi, D. O., Brosseau, L., Wells, G. A. Cochrane Back and Neck Group. Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low‐back pain. Cochrane Database of Systematic Reviews. 1996 Sep 1;2013(5).

Cite this article

Senthil Kumar B., Divyasree S., Kumaresan A., Surya Vishnuram. Effect of Mckenzie lumbar extension exercise with TENS on lumbar radiculopathy. Biomedicine: 2023; 43(3): 1032-1035

Views
1214
Downloads
1642
Citations