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Completed

NCT Number: NCT07438470

Combined Effects of Mckenzie and Motor Control Exercises in Chronic Non-specific Low Back Pain

This study was conducted to compare the results of McKenzie extension exercises and motor control exercises, with a combined exercise program on pain intensity, core muscle endurance and range of motion and quality of life in those suffering from persistent, non-specific low back pain.

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Key information

Conditions

Non Specific Chronic Low Back Pain

Age range

45 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Surgimed Hospital, Lahore

Lahore, Punjab Province, Pakistan

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Both male and female
  • Age between 45-70
  • History of LBP of 3 months or greater with pain intensity greater than 6 on NPRS scale
  • Sorensen test positive

Exclusion criteria

  • Vertebral fractures
  • Previous Spinal surgery and Infections should be excluded.
  • Osteoporosis, Ankylosing Spondylosis, Inflammatory and Rheumatological diseases.
  • Pregnancy, malignancy, Trauma, Disc Herniation

Treatment and study plan

McKenzie Extension Exercises

Behavioral

Participants received a McKenzie-based extension exercise program consisting of repeated lumbar extension movements performed in lying and standing positions. The exercises were prescribed and supervised by a physical therapist according to standardized McKenzie principles. The intervention focused on symptom centralization, pain reduction, and improvement in lumbar range of motion and functional ability in individuals with chronic non-specific low back pain.

Other names: McKenzie Method

Motor control exercises

Behavioral

Participants received a motor control exercise program aimed at improving activation, coordination, and endurance of deep trunk muscles, including the transversus abdominis and multifidus. Exercises were supervised by a physical therapist and progressed according to patient tolerance. The intervention focused on enhancing spinal stability, reducing pain, and improving functional performance.

Other names: Lumbar Stabilization Exercises

Combined McKenzie and Motor Control Exercises

Behavioral

Participants received a combined exercise program consisting of McKenzie extension exercises and motor control exercises. The intervention integrated repeated lumbar extension movements with trunk stabilization and motor control training. All exercises were supervised by a physical therapist and aimed to improve pain intensity, lumbar range of motion, muscle endurance, and functional disability.

Other names: Combined Exercise Program

Primary outcomes

  1. Pain Intensity (Numeric Pain Rating Scale)

    Time frame: From enrollment till the end of treatment at 6 weeks

    Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), an 11-point scale ranging from 0 (no pain) to 10 (worst imaginable pain). Participants reported their average pain intensity, with higher scores indicating greater pain severity.

  2. Trunk Muscle Endurance (Biering-Sorensen Test)

    Time frame: From enrollment till the end of treatment at 6 weeks

    Trunk extensor muscle endurance was measured using the Biering-Sorensen test. Participants maintained the horizontal prone position with the upper body unsupported for as long as possible, and the duration was recorded in seconds as a measure of trunk muscle endurance.

  3. Lumbar Range of Motion

    Time frame: From enrollment till the end of treatment at 6 weeks

    Lumbar range of motion was assessed using a goniometer to measure flexion and extension movements of the lumbar spine. Measurements were recorded in degrees, with higher values indicating greater spinal mobility.

  4. Functional Disability (Oswestry Disability Index)

    Time frame: From enrollment till the end of treatment at 6 weeks

    Functional disability was evaluated using the Oswestry Disability Index (ODI), a validated self-reported questionnaire assessing disability related to low back pain. Scores were calculated as percentages, with higher scores indicating greater disability.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Combined Effects of Mckenzie and Motor Control Exercises on Pain, Range of Motion, Muscle Endurance and Disability in Chronic Non-specific Low Back Pain

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 27, 2026
Registry last updated
Feb 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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