Department of Physiotherapy, University of Prešov, Prešov, Slovak Republic.
Osteocentrum s.r.o., Prešov, Slovak Republic.
J Back Musculoskelet Rehabil. 2022;35(3):641-647. doi: 10.3233/BMR-210055.
Low back pain (LBP) causes disability in daily life, and presents not only a health but also a socio-economic problem. New treatment options need to be tested and confirmed.
Compare the effect of the McKenzie method and spiral stabilization in patients with LBP.
Sixty patients with an average age of 47 years, which were included in our prospective, comparative study were randomly divided into two 30-member groups. One group exercised according to the McKenzie method (MDT), the other one according to the Spiral Stabilization Method (SPS). During the initial examination the Aberdeen Back Pain Scale was used to determine the degree of managing with daily activities and functionality, and the Roland-Morris Disability Questionnaire was used to determine the degree of disability. Check- up was performed after 2 and 6 weeks of treatment.
In both groups, there was a significant improvement in results after 2 and 6 weeks of treatment (p< 0.05). When comparing the effect of 2 and 6 weeks of treatment of both therapeutic procedures (MDT and SPS), the difference was insignificant (p> 0.05).
None of these two treatment methods achieved better results, as they both have a comparable effect on reducing disability and improving the management of daily activities and physical functions. Therefore, both are equally effective in patients with LBP.
下腰痛（LBP）导致日常生活障碍，不仅是一个健康问题，也是一个社会经济问题。需要测试和确认新的治疗选择。
比较麦肯基疗法和螺旋稳定化治疗下腰痛患者的效果。
60 名平均年龄为 47 岁的患者被纳入我们的前瞻性、对照研究中，并随机分为两组，每组 30 名。一组按照麦肯基疗法（MDT）进行锻炼，另一组按照螺旋稳定化方法（SPS）进行锻炼。在初始检查中，使用阿伯丁腰痛量表来确定日常活动和功能管理的程度，使用罗伦兹-莫里斯残疾问卷来确定残疾程度。在治疗 2 周和 6 周后进行检查。
两组患者在治疗 2 周和 6 周后结果均有显著改善（p<0.05）。比较两种治疗方法（MDT 和 SPS）治疗 2 周和 6 周的效果，差异无统计学意义（p>0.05）。
这两种治疗方法都没有取得更好的效果，因为它们在减轻残疾和改善日常活动和身体功能管理方面的效果相当。因此，它们对下腰痛患者同样有效。
