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NCT Number: NCT06955117

McKenzie vs Manual Therapy for Low Back Pain

A comparative study evaluating the effectiveness of the McKenzie technique versus manual therapy in patients with nonspecific low back pain. The study aims to assess which intervention is more effective in reducing pain and improving functional mobility.

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Key information

Age range

35 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Riphah international University Malakand

Malakand, KPK, 23060, Pakistan

Location status: Recruiting

Location contact

DrNadeem Ahmad

CONTACT

[email protected]

03451915105

About this study

The study compares McKenzie Method, a directional preference-based approach involving repeated movements and posture correction, against Manual Therapy, which includes hands-on techniques such as mobilizations and manipulations. Patients with nonspecific low back pain will be randomly assigned to one of the two groups and treated over a defined period. Outcomes will be measured using pain and disability scores.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Diagnosis of nonspecific low back pain lasting more than 4 weeks
  • Willing to participate and comply with the study protocol

Exclusion criteria

  • History of lumbar spine surgery
  • Presence of spinal fracture, tumor, or infection
  • Pregnant women
  • Severe osteoporosis or spinal deformity

Treatment and study plan

physical therapy exercises

Other

Experimental - McKenzie Technique (Group A) Intervention Type: Other: Physical Therapy Exercises

Other Names:

Intervention for low back pain

Description:

Soft Tissue Mobilization: Manual massage to release muscle tension (5-10 mins)

Lumbar Mobilization Techniques:

PA Mobilization (Posteroanterior glide) on the lumbar spine (Grade I-IV, 3-5 min per segment)

Side-lying Rotational Mobilization (3 sets × 10 reps)

Muscle Energy Techniques (METs):

Pelvic Tilts (3 sets × 10 reps)

Hip Flexor Stretch with Isometric Hold (3 sets × 10 sec per side)

Core Stabilization Exercises:

Bridge Exercise (3 sets × 10-15 reps)

Dead Bug Exercise (3 sets × 10 reps per side)

Modalities:

Hot Pack (15-20 mins) for relaxation before therapy

TENS (10 mins) for pain relief before mobilization

Other names: intervention for low backpain

Group B

Other

Manual Therapy (Group B)

Description:

Soft Tissue Mobilization: Manual massage to release muscle tension (5-10 mins)

Lumbar Mobilization Techniques:

PA Mobilization (Posteroanterior glide) on the lumbar spine (Grade I-IV, 3-5 min per segment)

Side-lying Rotational Mobilization (3 sets × 10 reps)

Muscle Energy Techniques (METs):

Pelvic Tilts (3 sets × 10 reps)

Hip Flexor Stretch with Isometric Hold (3 sets × 10 sec per side)

Core Stabilization Exercises:

Bridge Exercise (3 sets × 10-15 reps)

Dead Bug Exercise (3 sets × 10 reps per side)

Modalities:

Hot Pack (15-20 mins) for relaxation before therapy

TENS (10 mins) for pain relief before mobilization

Other names: Manual Therapy (Group B)

Primary outcomes

  1. To assess the change in pain intensity

    Time frame: 6 Months

    Pain intensity will be measured using the Visual Analog Scale (VAS), a 10-centimeter scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores represent worse outcomes. Pain levels will be assessed from baseline to the end of the intervention period.

Secondary outcomes

  1. Disability score

    Time frame: 6months

    Disability will be assessed using the Oswestry Disability Index (ODI), a 0-100 scale, to evaluate the degree of functional limitation in daily activities.

Other outcomes

  1. lumbar range of motion

    Time frame: 6 months

    Range of motion will be evaluated using goniometric measurements to assess changes in lumbar flexion and extension.

Study contacts

Contact information is provided by the study sponsor or research team.

Dr.Nadeem Ahmad, MS

CONTACT

[email protected]

03451915105

Dr.Nadeem Ahmad, MS

CONTACT

[email protected]

03028367237

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparative Study of McKenzie Technique and Manual Therapy for Pain and Function in Low Back Pain

Acronym: LowBackpain

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
May 2, 2025
Registry last updated
May 25, 2025

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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