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Vol. 13 No. 1 (2025): 2025 Volume -13 - Issue 1

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February 17, 2025
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February 17, 2025
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Effects of the McKenzie Method Versus Guideline-Based Advice in the Management of Chronic Sciatic Pain in Elderly

Jay Indravadan Patel
PhD Scholar, Garden City University, Bangalore, Karnataka, India
Prabhu Raja
PhD Scholar, Garden City University, Bangalore, Karnataka, India
Sivaranjani
PhD Scholar, Garden City University, Bangalore, Karnataka, India
S. Jeyakumar
Research supervisor, garden city university, Bangalore, Karnataka, India
Patchava Appa Rao
Professor, Swantara institute of physiotherapy and rehabilitation, Guntur, Andhra Pradesh, India

Corresponding Author(s) : Jay Indravadan Patel

jaypt786@gmail.com

International Journal of Allied Medical Sciences and Clinical Research, Vol. 13 No. 1 (2025): 2025 Volume -13 - Issue 1

Abstract

This study investigates the comparative effectiveness of the McKenzie Method versus guideline-based advice in the management of chronic sciatic pain among elderly patients. A total of 120 participants aged 65 years and older were enrolled in a randomized controlled trial to evaluate outcomes related to pain intensity, functional mobility, and quality of life. Pain was measured using the Visual Analog Scale (VAS), functional mobility was assessed with the Oswestry Disability Index (ODI), and quality of life was evaluated through the Short Form Health Survey (SF-36).Statistical analyses revealed that the McKenzie Method significantly reduced VAS scores (45% improvement) compared to guideline-based advice (25% improvement, p < 0.01). Similarly, ODI scores improved by 30% in the McKenzie group versus 15% in the guideline group (p < 0.05). Quality of life domains, particularly physical and mental health, demonstrated superior gains in the McKenzie group. These findings suggest that the McKenzie Method is a more effective, targeted, and non-invasive intervention for managing chronic sciatic pain in the elderly. The study underscores the importance of individualized, evidence-based approaches in geriatric care and provides actionable insights for clinicians aiming to optimize patient outcomes.This study explores the comparative effectiveness of the McKenzie Method versus guideline-based advice in managing chronic sciatic pain in elderly individuals. It evaluates pain intensity, functional mobility, and quality of life among 120 elderly patients. The findings highlight that the McKenzie Method provides significant improvements in pain centralization and mobility compared to guideline-based advice, suggesting its value as a preferred intervention in geriatric care.

Keywords

Chronic Sciatic Pain
1.
Jay Indravadan Patel, Prabhu Raja, Sivaranjani, S. Jeyakumar, Patchava Appa Rao. Effects of the McKenzie Method Versus Guideline-Based Advice in the Management of Chronic Sciatic Pain in Elderly. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2025 Feb. 17 [cited 2025 Mar. 18];13(1):51-5. Available from: https://ijamscr.com/ijamscr/article/view/1559
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