The Effects Of Proprioceptive Neuromuscular Facilitation And Mckenzie Method In Non-Specific Low Back Pain Among University Population

Anggiat, Lucky (2018) The Effects Of Proprioceptive Neuromuscular Facilitation And Mckenzie Method In Non-Specific Low Back Pain Among University Population. S2 thesis, KPJ HEALTHCARE UNIVERSITY COLLEGE.

Text TheEffectsOfProprioceptveNeuromusularFacilitation.pdf Download (2MB)

Abstract

University population consists of student and staff, where their daily activities predisposed them to prolonged sitting. Prolonged sitting has been identified as one of the factors leading to non-specific low back pain among university students and staffs. Exercise therapy is one of the mainstays in the management of non-specific low back pain. One of the most common exercise therapy for non-specific low back pain is the McKenzie method, whereas the Proprioceptive Neuromuscular Facilitation (PNF) exercise is seldom been used to treat non-specific low back pain cases. There were no studies being done to compare these two techniques on its effectiveness for PNF and McKenzie method on non-specific low back pain among university population. In this study, a quasi-experimental study involving 36 subjects (students and staffs) from the university population that participating based on the selection criteria set by the study protocols. The subjects were randomly assigned to three treatment groups: PNF group, McKenzie group and control group (hot pack and educational home exercise sheet) which underwent 12 treatment sessions distributed over three times in a week for four weeks duration. Subjects were measured on pain using visual analogue scale, lumbar range of motion by modified Schober method, functional ability by Oswestry disability index and health-related quality of life by SF-12. Measurement was performed at three points: pre-test, mid-test and post-test. Repeated measures ANOVA were used to analyse the study results. The withinbetween groups analysis performed to analyse the difference of the effect between of three treatments based on the measurement time. This study showed that there was significant mean difference between PNF and McKenzie method on pain score (p=0.037)and functional ability score (p=0.011) after 4 weeks. The study also showed no significant mean difference on lumbar flexion (p=0.100) and extension (p=0.127) ROM and Physical Component Summary (p=0.659) and Mental Component Summary (p=0.657) of SF-12 after 4 weeks. Subsequently, the study findings showed that the PNF exercise has more significant in reducing the pain and improving the functional disability than the McKenzie method among the university population. Furthermore, the PNF and McKenzie method showed no significant difference in improvement of lumbar ROM and health-related quality of life. Keywords: Proprioceptive Neuromuscular Facilitation, McKenzie method, nonspecific low back pain, student, staff

Actions (login required)

View Item