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McKenzie Approach to LBP in NDIS setting - Coggle Diagram
McKenzie Approach to LBP in NDIS setting
DIFFICULTIES
extra training required- hard to get to
lower presentation of mechanical low back pain in younger population compared to working in a outpatient or private practise
lower levels of understanding can lead to a reduction in efficacy of the exercises and education given
postural changes more frequent cause of LBP in children with severe disability making MDT a less effective approach to decrease symptoms
BENEFITS
more effective treatment for LBP compared to other treatment modalities to decrease pain and disability
time efficient as less client contact required, less GP or specialist appointments
money efficient, potentially no surgery required, less appointments
FACTS
Assessment of LBP has extra test movements which include repeated end range movements and static testing
Based on the assessment finding, LBP is classified in 4 groups: derangement syndrome, Dysfunction syndrome, postural syndrome and other spinal syndromes.
Treatment is based on the which syndrome the LBP belongs to and it confirmed by symptom reduction through centralisation or increased ROM.
Exercises are based on the directional preference
exercises at home to treat symptoms
patient education to stop aggrevating movements, sustain no symptoms and prevent further episodes
Forces used are gradually build up based on symptoms
OPPORTUNITIES
know physiotherapists in the area that have undergone further training so I can refer clients to them
in my current work situation, MDT training would not suit my clientele
?database available to look up physios with MDT training?
FEELINGS
Glad to have undertaking this module as now I have an overview of MDT
less shame in not practising MDT as it requires further training and not all physiotherapist offer this
acknowledge my limitation and being OK to refer to MDT trained physiotherapist
slight disappointment that this module did not offer more specific details on MDT but it is understandable as MDT training levels are closely linked to efficacy, it is best not to treat without proper training.
OVERVIEW
Mechanical diagnosis and therapy (MDT) which provides a comprehensive framework to screen, categorise, apply treatment and prevention program tailored to each client
utilsed by physiotherapist trained in MDT as level of training is closely linked with the reliability of MDT
For low back pain, MDT is well supported by evidence for the classifaction, centralisation and direction preference parts of the treatment and MDT has a good level of reliability in LBP (low back pain)