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McKenzie Approach (V2) - Coggle Diagram

- - - - Changes in affected joint surface - displacement causes pain until resolved
      - Inconsistent presentations
      - Generally presents with directional preference - repeated or sustained positions improve symptoms - treatment with centralisation
    - - Pain from loading of mechanically deformed tissue
      - Treatment - Repeated movements in direction of dysfunction - remodel tissue
    - - mechanical deformation of normal soft tissue
      - Sustained positioning of spine
      - treatment includes: patient education, correction of the posture avoiding provocative postures and avoid prolonged tensile stress on normal structure
    - - No centralisation/peripheralisation/abolition
      - Characteristics of other pathologies
  - - - Reduce pain - directional preference repeated or sustained - centralisation
      - Maintain reduction
      - Recover function
      - Ongoing education + prophylaxis
    - - Treatment - Repeated movements in direction of dysfunction - remodel tissue with specific exercises
    - - patient education, correction of the posture avoiding provocative postures and avoid prolonged tensile stress on normal structure
    - - Application of patient and therapist forces
        
        Patient -> patient overpressure -> therapist overpressure -> mobilisation -> manipulation
      - Static or dynamic
      - Aim for increase into range
- - - - Realised largely not true
        
        lost of evidence-base
        
        wholistic approach
        
        self-mx
- - - - Treatment depending on classification