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.
Hartvigsen, J., Leboeuf, Y.C., Lings, S. and Corder, E.H. (2000) Is Sitting-While-at-Work Associated with Low Back Pain? A Systematic Critical Literature Review. Scandinavian Journal of Public Health, 28, 230-239.
Browder, D.A., et al. (2007) Effectiveness of an Extension-Oriented Treatment Approach in a Subgroup of Subjects with Low Back Pain: A Randomized Clinical Trail. The Scientific Journal of American Physical Therapy Association, 87, 1608-1618.
Garcia, A., et al. (2011) Effectiveness of the Back School and McKenzie Techniques in Patients with Chronic Non- Specific Low Back Pain: A Protocol of a Randomized Controlled Trial. BMC Musculoskeletal Disorders, 12, 179 (B).
Hodges, P.W. and Lorimer Moseley, G. (2003) Pain and Motor Control of Lumbopelvic Region: Effect and Possible Mechanism. Journal of Electromyography and Kinesiology, 13, 361-370.
Peterson, T., et al. (2007) One Year Follow up Comparison of Effectiveness of McKenzie Treatment and Strengthening Training for Patient with Chronic Low Back Pain: Outcome and Prognostic Factor. Spine, 32, 2948-2956.
Danneels, L.A., et al. (2001) The Effect of Three Different Training Modalities on Cross Sectional Area of the Para Vertebral Muscles. Scandinavian Journal of Medicine & Science in Sports, 11, 335-341.