Tag: McKenzie method

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

Management of Sciatic Scoliotic List in Lumbar Disc Herniation: Physical Therapy Approaches and Considerations

Sciatic scoliotic list (SSL) [Matsui H, et al. 1998; Krishnan KM, and Newey ML. 2001], also referred to as sciatic scoliosis [Krishnan KM, Newey ML. 2001; Kim R, et al. 2015; Zhang Y, et al. 2019], trunk list [Gillan MG, et al. 1998], or trunk shift [Wu W, et al. 2019], is observed in 13.2-17.7% of adults with lumbar disc herniation (LDH) [Kim R, et … Continue reading Management of Sciatic Scoliotic List in Lumbar Disc Herniation: Physical Therapy Approaches and Considerations

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Back, Diagnostic Accuracy, Diagnostic Efficiency, Diagnostic Skills, Evidence Based Practice, Home, Lower Back Pain, Lumbar, Pelvis, Research Summaries, Sacral

In-field note: a patient appeared with an extraspinal source of referred leg discomfort

Introduction Low back pain is not a disease, it is a symptom. It can be defined as pain between the bottom ribs and the buttock creases(Dionne et al., 2008). Chronic low back pain patients are always asking about the cause of their pain(McPhillips-Tangum et al., 1998; Cherkin et al., 1998). A lot of people can experience it during their life. For instance, 6.3%–14.4% of people … Continue reading In-field note: a patient appeared with an extraspinal source of referred leg discomfort

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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 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

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