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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.
Another study suggested that Mulligan's mobilisation (i.e. NAGS and SNAGS), Maitland's mobilisation and the McKenzie approach were all effective in relieving pain and improving range of motion in cases of chronic cervical spondylosis with unilateral radiculopathy.
In the lumbar spine it is commonly used to treat spinal claudication caused by spinal stenosis, and is considered the most effective treatment for this condition based on current evidence. [3] In the cervical and thoracic spine it is used to treat myelopathy caused by compression of the spinal cord itself.
Lower-back workout: 17 exercises to strengthen the low back Incorporating these exercises into your routine can lead to better overall spinal health and a more active, comfortable lifestyle.
For acute low back pain, low quality evidence has suggested no difference between real and sham spine manipulation, [46] and moderate quality evidence has suggested no difference between spine manipulation and other commonly used treatments, such as medication and physical therapy. [46] [47] [48]
A 2011 systematic review and meta-analysis concluded that the addition of manual mobilizations to an exercise program for the treatment of knee osteoarthritis resulted in better pain relief than a supervised exercise program alone and suggested that manual therapists consider adding manual mobilization to optimize supervised active exercise ...
As treatment, McKenzie recommended exercises and postural instructions which restore or maintain the lumbar lordosis. Although exercises involving lumbar spine extension are emphasized in this treatment protocol, particularly in the early stages, lumbar flexion exercises are usually added at a later time in order that the patient has full range ...
An exercise regimen should be modified according to the abilities and weaknesses of the patient. [20] Stabilization of the cervicothoracic region is helpful in limiting pain and preventing re-injury. Cervical and lumbar support braces typically are not indicated for radiculopathy, and may lead to weakness of support musculature. [21]