A randomized clinical trial comparing the McKenzie method and motor control exercises in people with chronic low back pain and a directional preference: 1-year follow-up

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dc.creatorMark Halliday
dc.creatorEvangelos Pappas
dc.creatorMark Hancock
dc.creatorHelen Clare
dc.creatorRafael Zambelli de Almeida Pinto
dc.creatorGavin Robertson
dc.creatorPaulo Henrique Ferreira
dc.date.accessioned2022-07-07T14:52:29Z
dc.date.accessioned2025-09-09T01:10:27Z
dc.date.available2022-07-07T14:52:29Z
dc.date.issued2019-12
dc.description.sponsorshipOutra Agência
dc.identifier.doihttps://doi.org/10.1016/j.physio.2018.12.004
dc.identifier.issn0031-9406
dc.identifier.urihttps://hdl.handle.net/1843/43022
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofPhysiotherapy
dc.rightsAcesso Restrito
dc.subjectExercícios terapêuticos
dc.subjectEstabilidade
dc.subjectSistema musculoesquelético
dc.subjectDor lombar
dc.subjectUltrassom
dc.subject.otherMechanical diagnosis and therapy
dc.subject.otherCore stability
dc.subject.otherTrunk muscle recruitment
dc.subject.otherUltrasound
dc.titleA randomized clinical trial comparing the McKenzie method and motor control exercises in people with chronic low back pain and a directional preference: 1-year follow-up
dc.typeArtigo de periódico
local.citation.epage445
local.citation.issue4
local.citation.spage442
local.citation.volume105
local.description.resumoObjective: The primary objective of this study was to compare the long-term (1-year follow-up) effects of the McKenzie method and motor control exercises on trunk muscle thickness in people with chronic low back pain (LBP) and a directional preference. Design: Randomized controlled trial. Setting: A secondary public health facility in Sydney, Australia. Participants: Seventy adults with greater than 3-month history of LBP and a directional preference. Interventions: Participants were randomized to receive 12 treatments of either the McKenzie method or motor control exercises over 8-weeks. Outcome measures: Muscle thickness of the transversus abdominis, obliquus internus, and obliquus externus measured from ultrasound images. Secondary outcomes included function, perceived recovery, and pain. Outcomes were collected at baseline, post intervention at 8-weeks, and at 1-year follow-up by blinded assessors. The current paper focuses on the 1-year follow-up. Results: Fifty-eight participants completed data collection for the primary outcome at 1-year. There were no significant between group differences for changes in trunk muscle thickness for any of the three investigated muscles: transversus abdominis [3%, 95% confidence interval (CI): −5%, 11%], obliquus internus [−4%, 95% CI: −9%, 2%] and obliquus externus [3%, 95% CI: −4%, 11%]. Similarly, there were no significant differences between groups for the secondary outcomes of function, perceived recovery and pain. Conclusion: Trunk muscle thickness, function, perceive recovery and pain are similar between patients receiving McKenzie method or motor control exercises at a 1-year follow-up in a population of people with chronic LBP and a directional preference.
local.identifier.orcidhttps://orcid.org/ 0000-0002-8340-0303
local.identifier.orcidhttps://orcid.org/ 0000-0002-9277-5377
local.identifier.orcidhttps://orcid.org/0000-0002-2775-860X
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0031940618306527?via%3Dihub

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