Effect of Mckenzi Extension Exercises Along with PA Central Mobilization in Subjects of Acute Low Back Pain

ABSTRACT Background- Acute low back pain is one of the common conditions affecting daily functioning and quality of life of the patient. The aim of this study was to investigate whether McKenzie extension exercises in conjunction with PA central mobilization compared with interferential therapy and isometric exercises was more effective in treating acute low back pain. Objective: To compare the results of pain and disability in patients with acute LBP undergoing McKenzie exercises and PA mobilization against control interventions. Methods: Two groups were used: the experimental intervention in Group A consisted of McKenzie extension exercises and PA central mobilization, while Group B consisted of interferential therapy, hot packs, and spine isometric exercises. The outcomes were measured by using the Numeric Pain Rating Scale and the Oswestry Low Back Disability Index in both the beginning and after treatment. Results - Group A had a statistical reduction in mean NPRS score from 7.46 ± 1.54 pre-test to 2.0 ± 1.41 post-test (t = 9.92, p < 0.0001). OLBDI scores were shown to have decreased from 78.0 ± 12.19 pretest to 28.73 ± 9.70 post-test scores (t = 12.69, p < 0.001). Group B also improved dramatically, but the NPRS shifted from 8.06 ± 1.33 to 4.33 ± 0.59 (t = 16.36, p < 0.0001), and OLBDI from 77.4 ± 8.10 to 49.4 ± 6.09 (t = 10.73, p < 0.0001). Improvement was greater, however, for Group A for both outcomes. Conclusion: The results of this study suggest that combining McKenzie extension exercises with PA central mobilization is significantly more effective than traditional treatment modalities in reducing pain and disability in patients with acute LBP. Such findings point out the importance of using targeted therapeutic approaches in clinical practice to optimize recovery in individuals suffering from acute low back pain. Further research is warranted to explore long-term effects and patient-specific factors influencing treatment outcomes.