Effect of McKenzie Technique Combined with Ultrasound Therapy in Mechanical Neck Pain | ||
| The Medical Journal of Cairo University | ||
| Volume 91, Issue 06, June 2023, Pages 937-944 PDF (320.54 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2023.320243 | ||
| Author | ||
| MARWA Sh.M. SALEH, Ph.D.4,5 RAGIA M. KAMEL, Ph.D.1; GHADA S. SEDIK, M.Sc.2; MAHMOUD Y. IBRAHIM, M.D.3 | ||
| The Department of Physical Therapy, Basic Science Department1, Faculty of Physical Therapy, Cairo University, Pharos University2, Orthopedic Surgery Department3, Faculty of Medicine, Cairo University, Physical Therapy, Basic Science Department4, Faculty of Physical Therapy, Cairo University and Physical Therapy, Basic Science Department5, Faculty of Physical Therapy, 6th of University | ||
| Abstract | ||
| Abstract Background: McKenzie protocol has been widely advo-cated for management of patients with different spinal condi-tions; although that, its combined effect with ultrasound therapy (US) in patient with Mechanical Neck Pain (MNP) are not fully investigated. Aim of Study: To investigate the effect of McKenzie technique combined with US In patient with MNP. Subjects and Methods: Sixty six patients with MNP aged from 18-40 years were randomly assigned into three groups: Group A (study): 22 patients received McKenzie technique, US and traditional physical therapy, Group B (study): 22 patients received US and traditional physical therapy, Group C (control): 22 patients received the traditional physical therapy only (hot packs and isometric strengthen exercises). Interventions were conducted three times a week for six weeks. Pain intensity was measured by Numeric Rating Scale (NRPS), Cervical ROM was measured by Smartphone Cli-nometer application and neck functional ability was measured by Neck Disability Index (NDI). All outcome measures were assessed for all participants before and after the treatment program. Result: There was no significant difference between groups pre treatment (p>0.05). Within-group comparison revealed a significant improvement in all measured variables in all groups post treatment compared with that pre treatment (p<0.001). Comparison between groups post treatment revealed a signif-icant improvement in all measured variables in group A compared with that of group B and group C (p<0.01), and a significant decrease in NRPS and NDI of group B compared with that of group C (p<0.01). While there was no significant difference in ROM of group B compared with that of group C post treatment (p>0.05). Conclusion: Adding McKenzie technique to US for pa-tients with MNP could provide an additional improvement in neck pain, ROM and functional ability. | ||
| Keywords | ||
| Mechanical Neck pain; McKenzie technique; Ultrasound Therapy; Isometric exercise | ||
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