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McKenzie Approach LBP (Centralization (Useful as a prognostic indicator,…
McKenzie Approach LBP
Centralization
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Study suggests 83% patients directions preference for extension, 7% flexion, 10% lateral preference
Systematic review for efficacy of McKenzie LBP greater decrease in pain in short term compared to other standard treatments
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Observed with end range movements - mostly with extension, includes lateral flexion and flexion sometimes multiple movements
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Common Misconceptions
McKenzie Approach is only extension (Some patients may improve from extension but is not only prescribed exercise)
That approach is hands off - method premotes self managment but method promotes therapist generated forces through therapist generation.
Approach is only to treat discs - discal symptoms model approach was developed my McKenzie - treatment is based on a case by case basis
Directional preference
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Patient prefers one particular movement for pain, if this is the case than treatment will be aimed towards that movement
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Background
System of assessing, treating, and modifying all musculosketeal presentations
The Mckenzie Institute develop 1982 - Education of healthcare of Professionals - promoting concepts around world.
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Mechanical Forces
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If patient forces are not effective in removing symptoms - external force from therapist can be applied
Patient Education
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Part of treatment process to help patient understand treatment and symptoms. How to prevent further recurrences of back pain
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