Comparative Efficacy of Clinic-Based and Telerehabilitation Application of McKenzie Therapy in Chronic Low-Back Pain

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dc.contributor.authorMbada, chidozie emmanuel
dc.contributor.authordada, olarewaju
dc.contributor.authorayanniyi, olusola
dc.contributor.authorjohnson, olubusola
dc.date.accessioned2023-05-13T17:53:29Z
dc.date.available2023-05-13T17:53:29Z
dc.date.issued2019-06
dc.descriptionVol. 11, No. 1 p.18 pub.International Journal of Telerehabilitation doi:(10.5195/ijt.2019.6260)en_US
dc.description.abstractStudies on validation of telerehabilitation as an effective platform to help manage as well as reduce burden of care for LowBack Pain (LBP) are sparse. This study compared the effects of Telerehabilitation-Based McKenzie Therapy (TBMT) and Clinic-Based McKenzie Therapy (CBMT) among patients with LBP. Forty-seven consenting patients with chronic LBP who demonstrated ‘directional preference’ for McKenzie Extension Protocol (MEP) completed this quasi experimental study. The participants were assigned into either the CBMT or TBMT group using block permuted randomization. Participants in the CBMT and TBMT groups received MEP involving a specific sequence of lumbosacral repeated movements in extension aimed to centralize, decrease, or abolish symptoms, thrice weekly for eight weeks. TBMT is a comparable version of CBMT performed in the home with the assistance of a mobile phone app. Outcomes were assessed at the 4th and 8th weeks of the study in terms of Pain Intensity (PI), Back Extensors Muscles’ Endurance (BEME), Activity Limitation (AL), Participation Restriction (PR), and General Health Status (GHS). Data were analyzed using descriptive and inferential statistics. Alpha level was set at p< 0.05. Within-group comparison across baseline, 4th and 8th weeks indicate that both CBMT and TBMT had significant effects on PI (p=0.001), BEME (p=0.001), AL (p=0.001), PR (p=0.001) and GHS (p=0.001) respectively. However, there were no significant differences (p>0.05) in the treatment effects between TBMT and CBMT, except for ‘vitality’ (p=0.011) scale in the GHS where TBMT led to significantly higher mean score. Mobile-app platform of the McKenzie extension protocol has comparable clinical outcomes with the traditional clinic-based McKenzie Therapy, and thus is an effective supplementary platform for care of patients with low-back pain. Keywordsen_US
dc.identifier.urihttps://ir.oauife.edu.ng/123456789/5524
dc.language.isoenen_US
dc.publisherInternational Journal of Telerehabilitationen_US
dc.subjectLow-Back Painen_US
dc.subjectMcKenzie Therapyen_US
dc.subjectMobile-Appen_US
dc.subjectNigeriaen_US
dc.subjecttelerehabilationen_US
dc.titleComparative Efficacy of Clinic-Based and Telerehabilitation Application of McKenzie Therapy in Chronic Low-Back Painen_US
dc.typeJournalen_US
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