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The McKenzie protocol also now includes flexion protocols and stresses the importance of differentiating whether flexion or extension improves patient's symptoms. As a result, McKenzie principles are used by many physical therapists in the treatment of low back pain, whereas Williams Exercises are no longer taught as a physical therapy protocol.
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.
Spinal fusion, also called spondylodesis or spondylosyndesis, is a surgery performed by orthopaedic surgeons or neurosurgeons that joins two or more vertebrae. [1] This procedure can be performed at any level in the spine (cervical, thoracic, lumbar, or sacral) and prevents any movement between the fused vertebrae.
The key fusion points, diagonals, and movement patterns were then addressed in the 2002 book, Fascial Manipulation for Musculoskeletal Pain. [6] Later on, he formulated a practical manual of the Stecco Method with Carla Stecco, and wrote the practical manual for internal organs that focused on internal dysfunction, which was published in 2007.
Exercise therapy is effective in decreasing pain and improving physical function, trunk muscle strength and the mental health for those with chronic low back pain. [76] It also improves long-term function [ 70 ] and appears to reduce recurrence rates for as long as six months after the completion of the program. [ 77 ]
CAPOS syndrome is a rare genetic neurological disorder which is characterized by abnormalities of the feet, eyes and brain which affect their normal function. These symptoms occur episodically when a fever-related infection is present within the body.
critics of manipulative therapy emphasize the possibility of serious injury, especially at the brain stem, due to arterial trauma after cervical manipulation. It has required only the very rare reporting of these accidents to malign a therapeutic procedure that, in experienced hands, gives beneficial results with few adverse side effects.
Instrumented posterior lumbar interbody fusion (iPLIF) is a common spinal fusion surgical technique for addressing low back pain resulting from degenerative lumbar spine disorders. [1] It involves fusion of two or more levels utilizing screws, rods, and an interbody graft.