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

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

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

The issue with neck pain: prevelance and natural history

The history of neck pain is explained in this blog. The distribution, natural history, and clinical course of a disease are all factors that contemporary clinical epidemiology considers. We present a quick summary of these dimensions in relation to neck pain. Let’s discuss prevalence: Compared to lumbar back pain, the epidemiology of neck pain in the adult population has received less attention, although there is … Continue reading The issue with neck pain: prevelance and natural history

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