Centeralisation phenomena: the complete guide to understanding the most popular finding during orthopaedic physical examination

Introduction The increasing reduction and elimination of distal pain in response to therapeutic loading procedures is referred to as centralization. During the decrease of a derangement, centralization occurs. This blog provides a full discussion of the phenomenon as well as an overview of its features. Definition Centralisation is the process by which the distal pain coming from the spine is gradually eliminated from distal to … Continue reading Centeralisation phenomena: the complete guide to understanding the most popular finding during orthopaedic physical examination

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 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