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MCKENZIE'S APPROACH TO LOW BACK PAIN (TREATMENT (Indications…
MCKENZIE'S APPROACH TO LOW BACK PAIN
DIAGNOSIS
ASSESSMENT
Subjective
: Standard subjective msk questioning
Objective
Form
Repeated moves
Other
Mechanical Diagnosis and Treatment (MDT)
: Effective at diagnosing who will benefit and who will not
TREATMENT
Derangement
: Reduce, maintain, Recover, Educate
Dysfunction
- Remodel via exercise
Postural
: Educate
Principles/concepts
Force application
Client
:
Generation
Overpressure
Therapist
Overpressure
Mobilisation
Manipulations
Types
Indications
Mechanical in Nature
Nerve Root Issues
Region specific - low back/buttock/thigh
Contraindications
Serious spinal Pathology
DEFINITION
Types
Derangement - Internal displacement of articular tissues
Dysfunction - Mechanical deformation of soft tissue, exac with loading
Postural - Prolonged end range loading
Mechanical?
Principles
Centralisation
Peripheralisation
Directional preference
Extension
Lateral/Rotational
Flexion
EVIDENCE
: Greater reductions shown in low back pain for short term pain and disability than other standard therapies
Gaps in Knowledge
More detail re types
Application of therapy
Practical Skills
Commonly used?
Specific assessment types
Treatment - dosage