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The Brandt–Daroff exercises are performed in a similar fashion to the Semont maneuver; however, as the person rolls onto the unaffected side, the head is rotated toward the affected side. The exercise is typically performed 3 times a day with 5–10 repetitions each time, until symptoms of vertigo have resolved for at least 2 days. [24]
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
The WFEs were for many years the standard for non-surgical low back pain treatment. [citation needed] These exercises were performed in the supine position on a floor or other flat surface. There were variations, but the primary maneuver is to grab the legs and pull the knees up to the chest and hold them there for several seconds.
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
A few low-quality studies have suggested that the activator may be as effective as manual adjustment in treatment of back pain. [20] A single high-quality study has suggested that activator-assisted manipulation directed by leg-length testing was significantly inferior to manual spinal manipulation guided by palpation and was more similar to ...
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Then the patient is quickly lowered into a supine position (on the back), with the head held approximately in a 30-degree neck extension (Dix-Hallpike position), with the head remaining rotated to the side. The clinician observes the patient's eyes for "primary stage" nystagmus. The patient remains in this position for approximately 1–2 minutes.
The Dix–Hallpike maneuver places a degree of stress on the patient's lower back; therefore, a cautious approach must be taken with patients who are suffering from back pain. [7] Severe respiratory or cardiac problems may not allow a patient to tolerate the maneuver.