Effect of Posteroanterior Lumber Spine Mobilization Versus McKenzie Prone Push Ups on Pain and Functional Disability in Subjects with Non-Specific Low Back Pain

Posteroanterior Lumber Spine Mobilization Versus McKenzie


  • Saman Ali Mayo Hospital, Lahore, Pakistan
  • Idrees Ahmed Zahoor Central Park Medical College, Lahore, Pakistan
  • Noman Ghaffar Central Park Medical College, Lahore, Pakistan
  • Arif Ali Rana Central Park Medical College, Lahore, Pakistan
  • Irfan Ahmad Central Park Medical College, Lahore, Pakistan
  • Qasim Idrees Central Park Medical College, Lahore, Pakistan




Non-specific Low Back Pain, Posteroanterior, Spinal Mobilizations, Prone Push-up


85% of the population has non-specific back pain. Posteroanterior (PA) lumbar mobilization and Push-up exercises are primarily used in physical therapy for back pain. Objective: To know the outcomes of posteroanterior spinal mobilization and prone push-ups on nonspecific lower back pain. Methods: The randomized clinical trial was done with 30 subjects meeting inclusion criteria and were randomly selected by non-probability/purposive sampling technique from the Department of Physical Therapy, Mayo Hospital Lahore. The 4 weeks study was conducted in which 2 groups with 15 in each group were formed. Group I was treated with PA lumbar glide while group II was treated with prone Push-ups. VAS and functional disability index were used to evaluate pre-treatment and post-treatment. Results: A significant decrease in mean pain score was noted in both groups. Results did not show any statistically significant differences between groups for any parameter. The study has given evidence that supports the use of posteroanterior mobilization and prone push-ups to reduce pain, improve range of movement, and disability reduction in patients with nonspecific low back pain. It also showed that posteroanterior mobilization was more beneficial than prone Push-ups. Conclusion: Both PA mobilization and Push-ups can be used as effective maneuvers for the treant of non-specific low back pain


Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017 Feb; 389(10070): 736-47. doi: 10.1016/S0140-6736(16)30970-9

Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun; 391(10137): 2356-67. doi: 10.1016/S0140-6736(18)30480-X

Ikram A, Farooq N, Khan U, Muhammad A, Niaz M, Mehmood A. Effect of Postero-Anterior Lumber Spine Mobilization versus McKenzie Press-Ups in Non-Specific Low Back Pain. Pakistan Journal of Medical Health Sciences. 2021 Sep; 15(9): 1-3. doi: 10.53350/pjmhs211592554

Buchbinder R, van Tulder M, Öberg B, Costa LM, Woolf A, Schoene M, et al. Low back pain: a call for action. The Lancet. 2018 Jun; 391(10137): 2384-8. doi: 10.1016/S0140-6736(18)30488-4

Balagué F MA, Pellisé F, Cedraschi C. Non-specific low back pain. The Lancet. 2012 Feb; 379(9814): 482-91. doi: 10.1016/S0140-6736(11)60610-7

Kumar S and Maurya S. Innovative Diagnostic Tools for Plant Pathogenic Virus. Innovative Approaches in Diagnosis and Management of Crop Diseases. 2021 Jun; 1st ed: 101–65. doi: 10.1201/9781003187608-5

Clare HA, Adams R, Maher CG. Construct validity of lumbar extension measures in McKenzie's derangement syndrome. Manual Therapy. 2007 Nov; 12(4): 328-34. doi: 10.1016/j.math.2006.07.006

Meadows J and Magee DJ. Lumbar Spine. Pathology and Intervention in Musculoskeletal Rehabilitation. 2016; 2nd ed. 502–19. doi: 10.1016/b978-0-323-31072-7.00013-0

Mehta A, Mhatre B, Mote N. Effects of Maitland's joint mobilization versus Shacklock's neurodynamic mobilization techniques in low back pain. Indian Journal of Physiotherapy and Occupational Therapy. 2014 Apr; 8(2): 248-255. doi: 10.5958/j.0973-5674.8.2.094

Beattie P. The use of an eclectic approach for the treatment of low back pain: a case study. Physical Therapy. 1992 Dec; 72(12): 923-8. doi: 10.1093/ptj/72.12.923

Dunsford A, Kumar S, Clarke S. Integrating evidence into practice: use of McKenzie-based treatment for mechanical low back pain. Journal of Multidisciplinary Healthcare. 2011 Nov; 4(2011): 393-402. doi: 10.2147/JMDH.S24733

Powers CM, Beneck GJ, Kulig K, Landel RF, Fredericson M. Effects of a single session of posterior-to-anterior spinal mobilization and press-up exercise on pain response and lumbar spine extension in people with nonspecific low back pain. Physical Therapy. 2008 Apr; 88(4): 485-93. doi: 10.2522/ptj.20070069

Shah SG and Kage V. Effect of seven sessions of posterior-to-anterior spinal mobilisation versus prone press-ups in non-specific low back pain–randomized clinical trial. Journal of Clinical and Diagnostic Research: JCDR. 2016 Mar; 10(3): YC10-13. doi: 10.7860/JCDR/2016/15898.7485

Hefford C. McKenzie classification of mechanical spinal pain: profile of syndromes and directions of preference. Manual Therapy. 2008 Feb; 13(1): 75-81. doi: 10.1016/j.math.2006.08.005

Preuss CV, Kalava A, King KC. Prescription of controlled substances: Benefits and Risks. 2022 Sep. In: StatPearls. Treasure Island (FL): StatPearls Publishing.

Mangelsdorf J, Scheurmann K, Weiss FH. River morphology: a guide for geoscientists and engineers. Springer Science & Business Media; 2013 Jun.

Schaefer PS and Dyer JL. Defining tailored training approaches for Army institutional training. Army Research Inst for The Behavioral and Social Sciences Fort Belvoir Va; 2013 Mar. doi: 10.21236/ADA578565

Young JL, Walker D, Snyder S, Daly K. Thoracic manipulation versus mobilization in patients with mechanical neck pain: a systematic review. Journal of Manual & Manipulative Therapy. 2014 Aug; 22(3): 141-53. doi: 10.1179/2042618613Y.0000000043

Mow VC and Hung CT. Articular Cartilage. Basic biomechanics of the musculoskeletal system. 2001: 60-100.

Goodsell M, Lee M, Latimer J. Short-term effects of lumbar posteroanterior mobilization in individuals with low-back pain. Journal of Manipulative and Physiological Therapeutics. 2000 Jun; 23(5): 332-42. doi: 10.1067/mmt.2000.106867

Bronfort G, Haas M, Evans RL, Bouter LM. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis. The Spine Journal. 2004 May; 4(3): 335-56. doi: 10.1016/j.spinee.2003.06.002



DOI: 10.54393/tt.v4i1.40
Published: 2023-03-31

How to Cite

Ali , S. ., Ahmed Zahoor , I. ., Ghaffar, N. ., Ali Rana , A. ., Ahmad, I. ., & Idrees , Q. . (2023). Effect of Posteroanterior Lumber Spine Mobilization Versus McKenzie Prone Push Ups on Pain and Functional Disability in Subjects with Non-Specific Low Back Pain: Posteroanterior Lumber Spine Mobilization Versus McKenzie. THE THERAPIST (Journal of Therapies &Amp; Rehabilitation Sciences), 4(1), 07–10. https://doi.org/10.54393/tt.v4i1.40



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