Terminology and identification of spine-related leg pain patients

There is no agreement on a definition or diagnostic criteria for “sciatica.” The term “sciatica” has been used to describe a variety of nerve-related disorders originating in the spine, including radicular discomfort and painful radiculopathy (Foster NE, et al., 2020; Lin CW, et al., 2014). Despite the linguistic connotation of neural involvement, the term “sciatica” has been used to refer to somatic-referred pain in some … Continue reading Terminology and identification of spine-related leg pain patients

What are movement system impairment syndromes? A detailed explanation.

For more than 15 years, researchers have focused on classifying patients with low back and neck pain (Ford JJ, Hahne AJ. 2013; Foster NE, et al. 2011; McKenzie R. 1981; O’Sullivan P. 2005; Van Dillen L, et al. 2003; Weiner B. 2008b; Delitto A, et al. 1995; Fritz J, et al. 2007; Kamper SJ, et al. 2010). However, as physical therapists, we do not have … Continue reading What are movement system impairment syndromes? A detailed explanation.

Part 5- Evidence behind McKenzie method of mechanical diagnosis and therapy

In this blog, which is part of a series dedicated to the McKenzie method, I discussed the scientific basis for mechanical diagnosis and therapy for the lumbar spine. The first section of these series dealt with the McKenzie overview approach, the second with evidence regarding evaluation and prognosis, the third with evidence addressing management, and the fourth with research on direction preference and centralization. In … Continue reading Part 5- Evidence behind McKenzie method of mechanical diagnosis and therapy

Part 4- Evidence behind McKenzie method of mechanical diagnosis and therapy

Directional preference research: Wernecke et al. (2011) define directional preference as either (1) a specific direction of trunk movement or posture observed during the physical examination or (2) a specific aggravating or easing factor reported by the patient during the subjective history that alleviates or decreases the patient’s pain, with or without the pain moving or increasing the patient’s lumbar ROM. It is possible for … Continue reading Part 4- Evidence behind McKenzie method of mechanical diagnosis and therapy

Part 3- Evidence behind McKenzie method of mechanical diagnosis and therapy

Evidence in Support of Management The randomised controlled trial is the optimal study design for evaluating therapy efficacy, with systematic reviews used to analytically summarise this evidence. Several systematic reviews have investigated the efficacy of exercise in general for back pain, with some including an analysis of McKenzie trials and others focusing particularly on the McKenzie technique. Belanger et al. (1991) discovered three scientifically admissible’ … Continue reading Part 3- Evidence behind McKenzie method of mechanical diagnosis and therapy