Authors : Munaa Ibrahimi, Satyen Bhattacharya, Shahjad Anwar
DOI : 10.18231/j.jsas.2023.004
Volume : 5
Issue : 1
Year : 2023
Page No : 14-17
Background and Purpose: The purpose of this study was to compare the effectiveness of McKenzie's approach versus Mulligan's mobilization with the common use of interferential therapy in the management of Lumbar disc prolapse.
Materials and Methods: Thirty (30) individuals; aged between 20 to 45 years, presenting with prolapse inter vertebral disc with symptom duration within one month, were randomized into two groups. Group-A received the McKenzie approach with interferential therapy and Group B received Mulligan mobilization with interferential therapy. The treatment duration was four weeks.
Measures: Data was obtained on pain intensity levels i.e. visual analogue scale (VAS) and level of functional disability, Oswestry disability index (ODI).
Results: The mean score of ODI reduced from a mean of 37.8667 to 29.4667 in group-A (McKenzie approach with interferential therapy group) whereas in group B (Mulligan mobilization with interferential therapy) the mean score has been improved from 38.2667 to 16.8. The pain and disability score analysis within both group A (P= 5.9x10-07) and group B (P=1.7x10) shows significant improvement while inter-group comparison shows significant improvement in group-B subjects as compared to group-A (p=9.9x10-10).
The mean score of VAS had improved from a mean of 6.78667 to 4.44; mean in group-A (McKenzie approaches with interferential therapy group) whereas in group B (Mulligan mobilization with interferential therapy group) The mean score of VAS had improved from a mean of 6.98667 to 2.62; The score analysis for intergroup comparison showed the strength significantly improved in group-B subjects as compared to group-A subjects (p=5.17703 X 10-6).
Conclusion: The results of this study demonstrate that Mulligan SNAGs with interferential therapy is a superior treatment approach as compared to McKenzie's approach with interferential therapy in managing Lumbar disc prolapse.
Keywords: Lumbar PIVD, Mulligan mobilization, McKenzie Approach, IFT