Tag: Centralization

Back, Diagnostic Skills, Home, Lower Back Pain, Lumbar, Research Summaries

Centralization: a brief overview

The increasing reduction and elimination of distal pain in response to therapeutic loading procedures is referred to as centralization. This page provides a quick overview of the phenomenon as well as a discussion of its characteristics. Let’s get started!. The centralization phenomenon of pain is a critical evaluative finding during the physical examination. Pain is progressively abolished in a distal-to-proximal direction in response to therapeutic … Continue reading Centralization: a brief overview

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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

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Back, Home, Lower Back Pain, Lumbar, Neurologic, Research Summaries

Spinal manipulation and mobilization in the right direction: part 2

Finding the best way to manipulate or mobilize the spine in patients with severe radiculopathies can be difficult for many physiotherapists. There are two ways to determine the right direction. The first is the H-reflex approach, which Mohamed Sabahhi described (Abdulwahab and Sabbahi, 2000; Ali Ashraf and Sabbahi, 2001; Ali and Sabbahi, 2000), Another one is the Robin McKenzie-described pre-manipulative testing (McKenzie R 1981). Both … Continue reading Spinal manipulation and mobilization in the right direction: part 2

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