COMPARISON OF MCKENZIE EXERCISE PROGRAM VERSUS ROUTINE PHYSICAL THERAPY MANAGEMENT ON PAIN, RANGE OF MOTION AND FUNCTION WITH CHRONIC MECHANICAL NECK PAIN

Abstract

Background: Neck pain is a key public health issue that affects the human beings with reduction productivity and quality of life and produced significant socioeconomic burden on society. It is necessary to raise public awareness about risk factors and preventive treatments of chronic neck pain.  Neck pain is fairly common and has a significant impact on a person's quality of life. According to Statistics, neck issues also contribute significantly to occupational illness and disability. This study aims to assess the frequency of neck pain, decreased range of motion, and disability among chronic neck pain with the goal of raising awareness about the risks and promoting preventative measures, such as ergonomic design, postural re- education, and regular exercise.

Objective: The aim of this study is to Comparison of McKenzie Exercise Program Versus Routine Physical Therapy Management on Pain, Range of Motion and Function with Chronic Mechanical Neck Pain.

Methods: A randomized clinical trial study was conducted on 50 patients with chronic neck pain. Subjects were randomly divided into two interventional groups where group A received Routine physical therapy (joint mobilization, Hot pack and home exercise program) and McKenzie exercise group B received Routine physical therapy for total duration 12 week. Outcome measure such as pain, function and range of motion will be assessed by NPRS, NDI and Goniometer respectively. Assessment will be done at 4^th, 6^th and 12^th week.

Results: 50 participants with mean age 46.2±5.9 years while BMI of participant with standard deviation was 21.4±2.6. Normality of data which was analyzed by Shapiro-Walk test comparing variables such as NPRS, NDI and ROM. For NPRS p value was <0.05 which showed that data was not normally distributed and non-parametric test were used for this variable to show difference like Fried Man test for within group analysis and Man Whitney test for between group analysis. But for NDI and ROM p value was >0.05 which showed that data was normally distributed and parametric tests such as Repeated measure ANOVA for within group analysis and Mixed Model ANOVA for between group analysis were used.

Conclusion: It is concluded that both groups are equally effective in management of chronic neck pain based on P > 0.05 between group analysis and within group analysis But McKenzie exercises have a great effect on pain relief, Improvement in range of motion and Disability.