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Intervertebral Disc Prolapse: Comparison between Two Manual Techniques

Monalisa Pattnaik, Tanushree Neral and Patitapaban Mohanty

Background: Low Back pain is one of the most common medical problems and lumbar disc prolapse is estimated to account for approximately 37% of cases of low back pain. Purpose: To compare McKenzie repeated extension and Cyriax concept in intervertebral disc prolapse. Method: 30 subjects with acute or subacute low back pain were recruited and randomly divided into two groups. Group I received McKenzie listing correction followed by repeated extension exercises and Extension Mobilization. Group II received Cyriax listing correction followed by Traction. Total duration of treatment was 2 weeks i.e., 5 days/ week. Results: Both the groups showed reduction in pain and improvement in ROM over time but there was no significant difference between the 2 groups. Conclusion: The study suggests that both McKenzie and Cyriax approaches are effective without significant difference between them in managing low back pain, function and range of motion of lumbar spine in patients with Prolapsed Intervertebral Disc.