Mckenzie Method

THE MCKENZIE METHOD

EVIDENCE BASED CLINICAL ASSESSMENT AND TREATMENT MODEL OF THE SPINE

I. The McKenzie method is based on the concepts of: (applicable to cervical, thoracic, and lumbar)

A. Centralization

B. Mechanics of Disc Movement

C. Classification of spine pain: 3 mechanical syndromes

1. Postural

2. Dysfunction

3. Derrangement

a. classifications of derrangement

II. McKenzie mechanical assessment

A. Repeated spinal end range movements to bring about changes in pain pattern and intensity based on the the above concepts.

B. Historical pain patterns ( positions and activities)

C. Algorithm

III. McKenzie treatment

A. Based on an accurate mechanical assessment

B. Emphasizes education and active patient involvement with managing their back pain. This puts the patient in control to effectively treat themselves safely and effectively.

C. 3 progressions

1. Reduce derrangement

2. Restore function/strength

3. Prevention (studies overhead)

D. Each syndrome is treated individually according to the nature of the problem

E. Aside from Postural and Dysfunction, Derrangements are most common

1. centralization is the guiding principle

F. Therapist generated forces for more complex situations in which it is used as a means to allow patient to self manage their pain.

G. Reduction