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Table 1 Summarised description of the treatment programs

From: Effectiveness of the back school and mckenzie techniques in patients with chronic non-specific low back pain: a protocol of a randomised controlled trial

  McKenzie Method Back School Method
1 st week -Presentation of the proposed methods, history, and general information about the Mckenzie method;
-Completion of the exercises after initial evaluation results and indication of preference: flexion, extension, or lateral shift of the spine;
-Educational component: basic information about the lower back and its structure; mechanical pain; how and why to do exercises; and types of responses that can occur in response to the exercise program;
-Guidance on completing the exercises at home.
-Presentation of the proposed methods, history, and general information about the Back School method;
-Anatomy and biomechanical concepts of the spine;
-Epidemiology;
-Muscle function and its influence on the spine;
-Physiopathology of the main disorders that negatively affect the back;
-Principal treatment modalities.
2 nd week -Progression of the exercises defined after the 1st session and progression towards other positions in line with the responses of the patient.
-Educational component: basic information about the most common causes of low back pain, emphasising posture when seated for a prolonged time; practice on finding the correct seated position and maintenance of back lordosis in this position.
-Guidance on continuing exercises at home.
-Variation of the mechanical forces in different movements of the back;
-Relaxation posture;
-Guidance on positions when seated or standing;
-Instruction on breathing exercises, kinaesthetic training, stretching of the lower back, quadriceps, and hamstrings;
-Guidance on completing exercises at home once a day.
3 rd week -Progression of the exercises defined after the 2nd session and progression towards other positions in line with the responses of the patient.
-Educational component: basic information about the most common causes of low back pain; emphasising work on bending positions; standing up; relaxing after vigorous activity; remaining in standing position for prolonged periods; lying down; and resting, coughing, and sneezing.
- Guidance on continuing the exercises at home.
-Observation of the exercises completed at home;
-Instruction on exercises for abdominal muscular strength;
-Practical application of techniques for joint protection;
- Guidance on how to perform the exercises at home once a day.
4 th week -Progression of the exercises defined after the 3rd session and progression towards other positions in line with the responses of the patient.
-Educational component: review of the most important points since the first week.
-Practical application of all the exercises and learned techniques.