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

Authors

  • Chidozie E. Mbada Department of Medical Rehabilitation College of Health Sciences obafemi Awolowo University, Ile-Ife, Nigeria
  • Mistura I. Olaoye Department of Medical Rehabilitation College of Health Sciences obafemi Awolowo University, Ile-Ife, Nigeria
  • Olumide O. Dada Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria.
  • Olusola Ayanniyi Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria.
  • Olubusola E. Johnson Department of Medical Rehabilitation College of Health Sciences Obafemi Awolowo University, Ile-Ife, Nigeria
  • Adesola C. Odole Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria.
  • Gambo P. Ishaya Department of Computer Science and Engineering, Faculty of Technology, Obafemi Awolowo University, Ile-Ife, Nigeria
  • Oluwatosin J. Omole Department of Medical Rehabilitation Obafemi Awolowo University Teaching Hospital Complex Ile-Ife, Nigeria
  • Moses O. Makinde Department of Medical Rehabilitation College of Health Sciences obafemi Awolowo University, Ile-Ife, Nigeria

DOI:

https://doi.org/10.5195/ijt.2019.6260

Keywords:

Low-Back Pain, McKenzie Therapy, Mobile-App, Nigeria, Telerehabilitation

Abstract

Studies on validation of telerehabilitation as an effective platform to help manage as well as reduce burden of care for Low-Back 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.

  

Author Biographies

Chidozie E. Mbada, Department of Medical Rehabilitation College of Health Sciences obafemi Awolowo University, Ile-Ife, Nigeria

Dr. Chidozie E. Mbada is a Senior Lecturer and Researcher in the Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. He is an Adjunct and Acting Head, Department of Physiotherapy, University of Medical Sciences, Ondo, Ondo State, Nigeria.

Mistura I. Olaoye, Department of Medical Rehabilitation College of Health Sciences obafemi Awolowo University, Ile-Ife, Nigeria

Mrs. Mistura Olaoye is a Deputy Director and Head,Department of Physiotherapy, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Nigeria.

Olumide O. Dada, Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria.

Dr. Olumide Dada is the Head, Department of Physiotherapy, University Health Services of the University of Ibadan, and an adjunct lecturer in the Department of Physiotherapy, College of Medicine, University of Ibadan, Nigeria

Olusola Ayanniyi, Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria.

Dr. Olusola Ayanniyi is an Associate Professor in the Department of Physiotherapy, College of Medicine, University of Ibadan, and a consultant orthopaedic physiotherapist to the University College Hospital, Ibadan. He is the certified co-ordinator of the Mckenzie Faculty, Nigeria.

Olubusola E. Johnson, Department of Medical Rehabilitation College of Health Sciences Obafemi Awolowo University, Ile-Ife, Nigeria

Dr. Mrs. Olubusola E. Johnson is a Senior Lecturer and Researcher in the Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria. She is a specialist orthopaedic physiotherapist.

Adesola C. Odole, Department of Physiotherapy, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Nigeria.

Dr. Mrs. Adesola C. Odole is a Senior Lecturer and Researcher in the Department of Physiotherapy, College of Mediciine, University of Ibadan. She is a consultant orthopaedic Physiotherapist to the University College Hospital, Ibadan.

Gambo P. Ishaya, Department of Computer Science and Engineering, Faculty of Technology, Obafemi Awolowo University, Ile-Ife, Nigeria

Dr. Ishaya Peni Gambo is a Senior Lecturer and researcher in the Department of Computer Science and Engineering. He has proclivity for research in health.

Oluwatosin J. Omole, Department of Medical Rehabilitation Obafemi Awolowo University Teaching Hospital Complex Ile-Ife, Nigeria

Oluwatosin J. Omole is a Physiotherapist at the Obafemi Awolowo University Teaching Hospital Complex Ile-Ife, Nigeria. He holds an MSc in Orthopedic Physical Therapy from the Obafemi Awolowo University Ile-Ife, Nigeria. He has proclivity for research in Orthopedic.Padiatrics and Outcome tools development.

 

Moses O. Makinde, Department of Medical Rehabilitation College of Health Sciences obafemi Awolowo University, Ile-Ife, Nigeria

Mr. Moses O. Makinde is a physiotherapist and research assistant in the Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria

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Published

2019-06-12

How to Cite

Mbada, C. E., Olaoye, M. I., Dada, O. O., Ayanniyi, O., Johnson, O. E., Odole, A. C., Ishaya, G. P., Omole, O. J., & Makinde, M. O. (2019). Comparative Efficacy of Clinic-Based and Telerehabilitation Application of McKenzie Therapy in Chronic Low-Back Pain. International Journal of Telerehabilitation, 11(1), 41–58. https://doi.org/10.5195/ijt.2019.6260

Issue

Vol. 11 No. 1 (2019)

Section

Clinical Research

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