Tag: McKenzie mechanical diagnosis and therapy

Evidence Based Practice, Home, Research Summaries

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

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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

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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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Diagnostic Accuracy, Diagnostic Agreement, Diagnostic Efficiency, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Predictive Values, Research Summaries

The Painful Sacroiliac Joint

A classification method based on symptom behaviour sub-grouping improves treatment outcomes, according to recent research (Fritz and George, 2000; Long et al., 2004). The association between the sacroiliac joint (SIJ) and low back pain has been a source of contention, with some researchers seeing SIJ pain as a key contribution to the problem and others dismissing it as inconsequential or irrelevant. The clinical reasoning technique … Continue reading The Painful Sacroiliac Joint

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Home, Research Summaries

Extremity Pain of Spinal Origin: Understanding Diagnosis and Treatment

In order to distinguish between an extremity source and a spinal source of symptoms, clinicians analyze the patient’s medical history and physical exam. When spinal pain is misdiagnosed as an issue with an extremity, it can lead to a series of bad decisions and ineffective treatment (Gunn C and Milbrandt WE 1976, Hashimoto S et al. 2019, Pheasant S 2016, Walker T et al. 2018). … Continue reading Extremity Pain of Spinal Origin: Understanding Diagnosis and Treatment

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