Author: Abd El-Rahman Taha

Passionate and highly motivated Egyptian physical therapist, interested in the spine management. Always Looking Forward to More Knowledge, and Experience.
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Part 2- Evidence behind McKenzie method of mechanical diagnosis and therapy

Evidence Regarding the Evaluation Process A systematic assessment of 48 reliability studies on non-specific low back pain physical examination procedures conducted on patient populations found that the majority of procedures had weak reliability (May S. 2006). With a kappa/intra-class correlation coefficient of 0.85 as the maximum criterion, most procedures exhibited either conflicting evidence or moderate to strong evidence of low reliability. Only the technique of … Continue reading Part 2- Evidence behind McKenzie method of mechanical diagnosis and therapy

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Part 1 of an overview of The McKenzie method as an assessment and management tool

The McKenzie technique of mechanical diagnosis and therapy is a one-of-a-kind diagnostic and management approach. Robin McKenzie described the procedure first for lumbar spine disorders [McKenzie RA. 1981] and later for cervical and thoracic problems [McKenzie RA. 1990]. The approach uses repetitive motions while monitoring symptomatic and mechanical reactions as the primary source of information in the physical examination and then uses these responses to … Continue reading Part 1 of an overview of The McKenzie method as an assessment and management tool

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Neurodynamics management

Neurodynamic techniques are widely used as part of a multimodal strategy for treating patients with compression neuropathies. In this blog, I will cover various neurodynamic treatment choices as well as some clinical rationale considerations for their use, as well as what pathophysiological processes may be altered by treatment. Neurodynamic procedures are approaches that try to mobilise either the nervous system itself or the tissues that … Continue reading Neurodynamics management

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Neurodynamic assessment

Neurodynamic techniques are widely used as part of a multimodal strategy for treating patients with compression neuropathies. This blog will go through the use of neurodynamic testing as a diagnostic tool. Neurodynamic tests use particular combinations of spine and limb motions that impart mechanical stresses to a region of the nervous system to establish whether a patient’s symptoms are attributable to enhanced nerve mechanosensitivity (Elvey … Continue reading Neurodynamic assessment

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Home, Neurologic, Research Summaries

Pathophysiology of entrapment neuropathies

This blog summarises the available evidence on the influence of entrapment neuropathies on the anatomical and physiological features of the peripheral nervous system that have previously been discussed. Let’s get started! Entrapment Neuropathies and Ischaemia Entrapment neuropathies are hypothesised to disrupt intraneural blood flow by reversing the pressure gradient required for optimal blood supply. Extraneural pressures as low as 20–30 mmHg interrupt intraneural venous circulation, … Continue reading Pathophysiology of entrapment neuropathies

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