Comparison of the effectiveness of McKenzie Method and selected procedures in reducing pain according to VAS, i_e_ selected physiotherapeutic methods, first-line care and educational booklet
| VAS before the therapy | VAS after the therapy | VAS after 3 weeks | VAS after 1 month | VAS after 3 months | VAS after 6 months | ||
|---|---|---|---|---|---|---|---|
| Garcia [17] | McKenzie | 6.77 | - | - | 4.14 | 5.18 | 5.09 |
| Back school | 6.41 | - | - | 4.39 | 5.53 | 5.19 | |
| Machado [18] | McKenzie | 6.60 | 3.50 | 2.00 | - | - | - |
| First-line care | 6.30 | 3.70 | 2.30 | - | - | - | |
| Paatelma [20] | McKenzie | 3.20 | - | - | - | 1.00 | 1.00 |
| Manual therapy | 3.50 | - | - | - | 1.80 | 1.40 | |
| Educational booklet | 3.70 | - | - | - | 1.70 | 2.20 | |
| Waqqar [21] | McKenzie | 9.12 | 1.46 | - | - | - | - |
| Mulligan SNAGS | 8.85 | 2.55 | - | - | - | - | |
| Probachta [22] | McKenzie | 5.60 | 2.90 | - | - | - | - |
| Exercises | 5.30 | 3.60 | - | - | - | - | |
| Plaskiewicz [23] | McKenzie | 6.96 | 1.48 | - | - | - | - |
| modalities | 7.24 | 3.00 | - | - | - | - | |
| Szulc [24] | McKenzie | 6.25 | 2.05 | - | - | 2.10 | - |
| McKenzie + MET | 6.35 | 2.05 | - | - | 2.00 | - | |
| modalities | 5.70 | 5.25 | - | - | 5.29 | - | |
Assessment of disability level before and after the application of McKenzie Method assessed with the Roland-Morris Disability Questionnaire_ 0-3 – lack of disability, 4-10 – low level of disability, 11-17 – average level of disability, 18-24 – high level of disability
| R-M before the therapy | R-M after the therapy | R-M after 3-4 weeks | R-M after 8 weeks | R-M after 3 months | R-M after 6 months | ||
|---|---|---|---|---|---|---|---|
| Garcia [17] | McKenzie | 11.32 | - | 6.20 | - | 7.12 | 6.77 |
| Back school | 11.08 | - | 8.15 | - | 8.39 | 8.12 | |
| Machado [18] | McKenzie | 13.70 | 8.40 | 4.60 | - | - | - |
| First-line care | 13.50 | 9.00 | 4.50 | - | - | - | |
| Paatelma [20] | McKenzie | 9.00 | - | - | - | 1.00 | 0.00 |
| Manual therapy | 9.00 | - | - | - | 2.00 | 1.00 | |
| Booklet | 8.00 | - | - | - | 0.00 | 1.00 | |
| Cherkin [19] | McKenzie | 12.20 | - | 4.10 | 4.10 | - | - |
| Chiropractice | 12.10 | - | 3.70 | 3.10 | - | - | |
| Booklet | 11.70 | - | 4.90 | 4.30 | - | - | |
Comparison of the effectiveness of McKenzie Method and selected physiotherapeutic methods in reducing disability according to Oswestry Disability Index
| ODI before the therapy | ODI after the therapy | Improvement in ODI | ||
|---|---|---|---|---|
| Szulc [24] | McKenzie | 28.35 | 10.90 | - |
| McKenzie + MET | 24.30 | 9.30 | - | |
| Physiotherapy | 31.20 | 29.20 | - | |
| Waqqar [21] | McKenzie | 73.82 | 6.24 | - |
| Mulligan SNAGS | 73.75 | 7.05 | - | |
| Kochański [25] | McKenzie | 54.96 | 10.80 | - |
| Physiotherapy | 59.60 | 26.56 | - | |
| Probachta [22] | McKenzie | - | - | -7.90 |
| Exercises | - | - | -5.50 | |
Reliability and validity of diagnosing pain syndrome, relevance of lateral shift, centralization and directional preference according to McKenzie Method
| Razmjou [12] | Kilpikoski [13] | Morko [14] | Werneke course A+B [15] | Werneke course C [15] | Werneke course D [15] | Donahue [16] | |
|---|---|---|---|---|---|---|---|
| Study participants (n) | - | 39 | 30 | 1587 | 49 | ||
| Number of therapists/years of experience | 2 (12 and 24 years) | 2 (mean - 5 years) | 47 (mean - 14 years) | - | |||
| Syndrome diagnosis | 93% | 95% | 75% | 87% | 91% | 86% | - |
| The occurrence of lateral shift | 78% | 77% | - | 91% | 91% | 90% | 43% |
| Clinical relevance of lateral shift | 98% | 85% | - | - | - | - | - |
| Centralization | - | 95% | - | 81% | 79% | 72% | - |
| Directional preference | - | 90% | 100% | 82% | 77% | 77% | - |