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LITERATURE REVIEW:
Slade M Manip ther, S.C et al (2006) determined the effect of lumber spine-
strengthening exercises combined with Mckenzie therapy on outcomes for
people with chronic low back pain. Thirteen high-quality randomized controlled
trials were included. The effect of trunk strengthening exercises, intensive trunk
strengthening exercises any Mckenzie therapy were compared in patients with
chronic low back pain. The result showed that the Mckenzie therapy is more
effective than trunk strengthening exercises and intensive trunk strengthening
exercises in reducing low back pain and disability.

Busanich B.M, Verscheure S.D (2006) investigated the efficacy of Mckenzie

therapy in comparison with no treatment, sham treatment, or another treatment
by using a computer-based literature search of 7 databases; MEDLINE,
EMBASE, DARE, CINAHL, PEDro, the Cochrane Register of Clinical trials
(CENTRAL), and the Cochrane database of systematic reviews. The study was
randomized controlled trial, the subject primary complaint was nonspecific low
back pain without radiation to the extremities, patient treatments were specified
according to Mckenzie principles and the researchers reported atleast one of the
outcome measures of pain, disability, quality of life, work status, global perceived
effect and recurrence. There was an evidence that Mckenzie therapy results in
decrease in short-term (less than 3 months) pain and disability for chronic low
back pain patients compared with other standard treatments such as educational
booklets, back massage with back care advice, strength training with therapist
supervision, and spinal mobilization.

Machado L.A et al (2006) evaluated the effectiveness of Mckenzie therapy for

chronic low back pain by Meta analysis of randomized controlled trials by using
MEDLINE, EMBASE, PEDro, and LILACS databases up to august 2003. There is
some evidence that the Mckenzie method is more effective than passive therapy
for acute low back pain while limited evidence for the use of Mckenzie therapy in
chronic low back pain.

Clare H.A et al (2004) investigated the efficacy of Mckenzie therapy in the

treatment of patients with chronic spinal pain by a conducting a systematic
review of randomized clinical trials by searching databases such as DARE,
CINAHL, CENTRAL, EMBASE, MEDLINE and PEDro. The eligibility for inclusion
trials had to provide treatment according to Mckenzie principles and report on
one of the following outcomes: pain, disability, quality of life, work status, global
perceived effect, medication use, health care contacts, and recurrence. Six trials
were found to be eligible and all comparing Mckenzie therapy to a comparison
treatment. There is evidence that Mckenzie therapy does result in a greater
decrease in pain and disability in the short term effects than other standard
therapy in treating chronic low back pain. It is difficult to make a firm conclusion
on effectiveness of Mckenzie therapy in chronic low back pain due to insufficient
data on long term effects on outcomes other than pain and disability.
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Petersen T et al (2002) compared the effect of Mckenzie therapy with that of

intensive dynamic strengthening training in patients with chronic low back pain by
using a randomized controlled comparative trial with an 8-month follow up period.
260 patients with atleast 8 weeks symptoms (85% of the patients had more than
3 month’s duration of symptoms) were randomized in two groups. The first group
(n = 132) and the second group (n = 128) was treated with intensive dynamic
strengthening training for 8 weeks at an out patient clinic, followed by two months
of self training at home. Out come measures were identified for pain and
disability. There is evidence that Mckenzie therapy and intensive dynamic
strengthening training r equally effective in the treatment of patients with chronic
low back pain.