MONITORING THE McKENZIE CONCEPT OF EXERCISE IN REGARDS TO ACUTE LOWER BACK PAIN

Cilj. Glavna zadaća ovog rada bila je saznati ima li McKenzie koncept vježbanja pozitivan ili pak negativan ishod na suzbijanje bolnosti kod pacijenata koji boluju od akutne križobolje. Želja je naposljetku bila da se iznesu konkretne tvrdnje koje bi mogle sumirati i racionalizirati postojeće teze te ih učiniti primjenjivima na svakodnevnu sliku liječenja ovih pacijenata. Metode. Alati koji su korišteni za istraživanje su bili upitnik temeljen na jednostavnoj vizualno analognoj skali mjerenja bolnosti od 1 do 10 te određene metode specifične za tretiranje bolnosti u lumbalnom dijelu kralježnice po McKenzie konceptu vježbanja. Osim osobnog izvođenja mjerenja, za vjerodostojnost rezultata proučeno je nekoliko referencija te randomiziranih kontroliranih studija koje su se bavile istom ili sličnom problematikom. Rezultati. Prikazani su rezultati mjerenja pacijenata koji su pokazali tendenciju smanjenja bolnosti kod pacijenata oboljelih od akutne križobolje u periodu od tri tjedna na VAS skali za prosječnu vrijednost od 2,5 te su ti rezultati uspoređeni i u sličnoj podudarnosti sa rezultatima randomiziranih kontroliranih studija koje su brojale i do 150 sudionika. Zaključci. Sukladno rezultatima zaključuje se pozitivnost ishoda terapije, istraživanjem je dokazano intervalno smanjenje intenziteta boli prosječne vrijednosti 2,5 na VAS skali. Ovo istraživanje je potkrijepljeno nekolicinom randomiziranih kontroliranih studija.Objective. The main task of this study was to find out whether McKenzie concept has a positive or negative outcome on the suppression of pain in patients suffering from acute lower back pain. The desire was ultimately to present specific claims, which could sum up and rationalize the existing thesis and make them applicable to the everyday picture of treatment of these patients. Methods. Tools that have been used in these studies were based on a simple questionnaire called visual analogue scale which is measureing pain from 1 to 10. This method was fullfilled with specific ways of treating pain in the lumbar spine followed by rules end exercises originating from McKenzie therapy concept. In addition to personal measurements, for the credibility of results I studied several different yet similar references and randomized controlled trials that dealt with this type of issue. Results. The measurement results that were given from patients during three week period showed tendency of pain reduction by average 2,5 points on a visual analogue scale of pain. These results were compared and showed correspondency between results of randomized controlled trials that counted up to 150 participants with acute low back pain. Conclusions. According to the results it is concluded that positive outcome of therapy exists. Research has proven interval reduction in pain intensity by average value of 2.5 on the so called ˝VAS˝ scale. This research was supported by several randomized controlled trials that gave more credibitility to obtained results