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Abstract

Background:

Low back pain (LBP) is pain that is felt in the lower back area, namely between the corners of the lowest ribs and the lower buttocks (lumbar or lumbo-sacral area) and can be local pain or radiate to the upper thighs/legs or both. Low back pain is a 10% debilitating condition that results in a change in life expectancy due to disability. Low back pain is not a malignancy and is a self-limiting condition, but patients always seek treatment to reduce the severity of their symptoms. Chronic Low Back Pain can alter lifestyle and increase the rate of prolonged absenteeism at work resulting in physical limitations. Discomfort due to chronic low back pain is a sign that requires immediate treatment.

Methods:

The purpose of this evidence-based case report is to get the right answer about McKenzie exercise in reducing low back pain in office workers. Article searches were conducted through PubMed, Embase and Cochrane Library. Inclusion criteria were Systematic Review, Meta-Analysis, Randomized Control Trial (RCT), Adult or Productive Age, Non Specific Chronic Low Back Pain and McKenzie Exercise. Then critically reviewed using Oxford CEBM criteria for intervention-therapy studies

Results:

1 research article was obtained that met the inclusion criteria with the type of Randomized Control Trial (RCT).

Conclusion:.

The critical review showed that McKenzie exercise can reduce complaints of low back pain at 5 weeks of treatment, but this exercise did not show a clinical effect in the form of a reduction in complaints of low back pain after being implemented for 3,6 and 12 months.

Keywords: Low Back pain; McKenzie; Exercise

References

  1. Melialia L, Suryamiharja A, Purba JS, Sadeli HA. Pain Study Group. Indonesian Neurologist Association. Neuropathic Pain, pathophysiology and treatment. Jakarta. 2001. P: 145-164.
  2. Helakorpi S, Uutela A, Prataala R. Health behavior among Finnish adult population. Helsinki: Publication of The National Public Health Institute, Spring 1997.
  3. Vos T, Flaxman A, Naghavi M, Lozano R, Michaud C. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010. A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380;9859:2163-2196. https://doi.org/10.1016/S0140-6736(12)61729-2
  4. Tveito TH, Eriksen HR. United Kingdom back pain Exercise and manipulation (UK BEAM) trial: is manipulation the most cost-effective addition to ‘best care’? BMJ. 2005;330:674. https://doi.org/10.1136/bmj.330.7492.674-a
  5. Manchikanti L. Epidemiology of Low Back Pain. Pain Physician. 2000;3(2):167-92. https://doi.org/10.36076/ppj.2000/3/167
  6. Juul-Kristensen B, Sogaard K, Stroyer J, Jensen C. Computer Users Risk Factors for developing shoulder, elbow and back symptoms. Scand J Work Environ Health. 2004;30(5):390-8. https://doi.org/10.5271/sjweh.827
  7. Dionne CE, von Korff M, Koepsell TD, Deyo RA, Barlow WE, Checkoway H. Formal Education and back pain: A review. J Epidemiol Community Health 2001;55:455-68. https://doi.org/10.1136/jech.55.7.455
  8. Shiri R, Karppinen J, Leino-Arjas P, Solovieva S, Viikari-Juntara E. The association between smoking and low back pain: a meta-analysis. Am J Med. 2010;123(1):87.e7-e.35. https://doi.org/10.1016/j.amjmed.2009.05.028
  9. Muto S, Muto T, Seo A, Yoshida T, Taoda K, Watanabe M. Prevalence of and risk factors for low back pain among staffs in schools for physically and mentally handicapped children. Ind Health. 2006;44(1):113-7. https://doi.org/10.2486/indhealth.44.123
  10. Chen JC, Chang WR, Chang W, Christiani D: Occupational Factors associated with low back pain in urban taxi drivers. Occup Med (London). 2005;55(7):535-40. https://doi.org/10.1093/occmed/kqi125
  11. Gremeaux V, Casillas JM, Fabbro-Peray P, Pelissier J, Herisson C, Perennou D. Analysis of Low Back pain in adults with Scoliosis. Spine. 2008;33(4):402-5. https://doi.org/10.1097/BRS.0b013e318163fa42
  12. Hamberg-van Reenen HH, Ariens GA, Blatter BM, Twisk JW, van Mechelen W, Bongers PM. Physical capacity about low back, neck, or shoulder pain in a working population. Occup Environ Med. 2006;63:371-7. https://doi.org/10.1136/oem.2006.026914
  13. Hodges PW, Richardson CA. Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Spine. 1996;21(22):2640-50. https://doi.org/10.1097/00007632-199611150-00014
  14. Adams MA, Mannion AF, Dolan P. Personal risk factors for first-time Low Back Pain. Spine. 1999;24(23): 2497-505. https://doi.org/10.1097/00007632-199912010-00012
  15. Takala EP, Viikari-Juntara E. Do functional tests predict low back pain? Spine. 2000;25(16):2126-32. https://doi.org/10.1097/00007632-200008150-00018
  16. Ortiz-Hernandez L, Tamez-Gonzales S, Martinez-Alcantara S, Mendes-Remirez I. Computer use increases the risk of musculoskeletal disorders among newspaper office workers. Arch Med Res 2003;34(4):331-42. https://doi.org/10.1016/S0188-4409(03)00053-5
  17. Lis AM, Black KM, Korn H, Nordin M: Association between sitting and occupational LBP. Eur Spine J 2007. Eur Spine J. 2007;16:283–298. https://doi.org/10.1007/s00586-006-0143-7
  18. Spyropoulus P, Papathanasiou G, Georgoudis G, Chronopoulos E, Koutis H, Koumoutsou F. Prevalence of Low Back Pain in Greek Public Office workers. Pain Physician. 2007;10:651-60. https://doi.org/10.36076/ppj.2007/10/651
  19. Yip YB, Ho SC, Chan SG. Socio-psychological stressors as risk factors for low back pain in Chinese middle-aged women. J Adv Nurs. 2001;36(3) :409-16. https://doi.org/10.1046/j.1365-2648.2001.01988.x
  20. Clays E, De Bacquer D, Leynen F, Kornitzer M, Kittel F, De Backer G. The Impact of psychosocial factors on low back pain: longitudinal results from Belstress Study. Spine. 2007;32(2):262-8. https://doi.org/10.1097/01.brs.0000251884.94821.c0
  21. Rugulies R, Krause N: Effort-reward imbalance and incidence of low back and neck injuries in San Francisco transit operators. Occup Environ Med 2008. P: 525-33. https://doi.org/10.1136/oem.2007.035188
  22. Raymond Kurzweil. The 10% solution for a healthy life. March 2002. www.kurzweil.net.id. Downloaded on March 12, 2022.
  23. Waikar AM, Bradshaw ME. Exercise in the workplace? Employee preferences! International Journal of Men Power Vol. 16. No. 9 1995. P: 16-30
  24. Emami ML, Abdinejad F, Nazarizedah H. Epidemiology of Low Back Pain in Women. Shiraz, Iran. Department of Orthopaedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences. Irn J Med Sci;23(3&4). 1998. P: 116-19.
  25. Suharto. Pengaruh Back Exercises Terhadap Penurunan Nyeri Pinggang Bawah Pada Pegawai Kantor Pelayanan Pajak. Jurnal penelitian tentang Kesehatan. Makassar. 2008
  26. Center for Evidence-Based Medicine. Oxford Centre for Evidence-based Medicine- Levels of Evidence (2011) [Internet]. 2011. Available from: https://www.cebm.net/wp- content/uploads/2014/06/CEBM-Levels-of-Evidence-2.1.pdf
  27. Garcia AN, Costa LDCM, Hancock MJ, et al. McKenzie Method of Mechanical Diagnosis and Therapy was slightly more effective than a placebo for pain, but not for disability, in patients with chronic non-specific low back pain: a randomized placebo-controlled trial with short and longer-term follow-up British Journal Sports Medicine. 2018;52(9):594-600. https://doi.org/10.1136/bjsports-2016-097327
  28. Olivier TL, David MC. Mat Thew CF. Effectiveness of The McKenzie Method of Mechanical Diagnosis and Therapy for Treating Low Back Pain: Literature Review with Meta-analysis. Journal of Orthopaedic & Sports Physical Therapy. 2018;48(6):476-90. https://doi.org/10.2519/jospt.2018.7562
  29. Schenk RJ, Jozefczyk C, Kopf A. A Randomized Trial Comparing Interventions in Patients With Lumbar Posterior Derangement. J Man Manip Ther. 2003;11(2):95-102. https://doi.org/10.1179/106698103790826455
  30. Kilpikoski S, Alen M, Paatelma M. Simonen R, Heinonen A, Videman T. Outcome comparison among working adults with centralizing low back pain: Secondary analysis of a Randomized Controlled Trial with 1-year follow up. Adv. Physiother. 2005;11(4):210-7. https://doi.org/10.3109/14038190902963087
  31. Paatelma M, Kilpikoski S, Simonen R. Orthopaedic Manual Therapy, McKenzie Method or advice only for low back pain in working adults: A randomized controlled trial with one year follow up. Journal Rehabilitation Med. 2008;40(10):858-63. https://doi.org/10.2340/16501977-0262
  32. Daniel CC, Richard AD, Michele Battie. A Comparison of Physical Therapy, Chiropractic Manipulation and Provision of An Educational Booklet for The Treatment of Patients with Low Back Pain. The New England Journal of Medicine. 1998;339(15):1021-29. https://doi.org/10.1056/NEJM199810083391502
  33. Fayez IN, Abdulrahman SM, Khalid MY. The effectiveness of McKenzie method compared to manual Therapy for treating Chronic Low Back Pain: A Systematic Review. Journal Musculoskeletal Neuronal Interact. 2019; 19(4):492-499

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