21&22-Feb McKenzie Approach

 

The McKenzie Approach:

• Developed in 1958 by Robin McKenzie, a physiotherapist from New Zealand.
• A classification-based treatment for patients with low back pain.
• Involves repetitive movements and sustained positions.

Three Steps of the McKenzie Method:

1. Evaluation:
   • Assessment and special tests are used for evaluation.
2. Treatment:
   • Exercise choice is based on the direction, such as flexion and extension.
3. Prevention:
   • Educating and encouraging patients to exercise regularly and practice self-care.

Classification of Syndromes:

• Postural Syndrome:
  • Mechanical deformation of soft tissue due to postural stress, causing intermediate pain.
• Dysfunction Syndrome:
  • Mechanical deformation of the soft tissue due to adaptive shortening from lack of movement, causing intermediate pain.
• Degenerative Syndrome:
  • Mechanical deformation of the soft tissue due to alteration of the fluid nucleus within the disc, leading to constant pain.

Maximize Approach:

• Based on two principles:
1. Extension Principle
2. Flexion Principle

McKenzie Approach Principles:

1. Extension Principle:
   • For Dysfunction Syndrome: The extension Principle is applied when extension reduces mechanical deformation.
     • Technique: Treatment directed to movements that produce pain during examination.
   • For De-Arrangement Syndrome or De-Generative Syndrome: Extension is applied when it reduces mechanical deformation.
     • Technique: Treatment is directed according to movements that centralize, decrease, and stop pain during examination.
2. Flexion Principle:
   • For Dysfunction Syndrome: The Flexion Principle is applied when flexion reduces mechanical deformation.
   • For De-Arrangement Syndrome: The Flexion Principle is applied when flexion reduces mechanical deformation.

Extension Principle Exercises:

• Prone Lying
• Prone on Elbow
• Prone on Hand
• Standing Prone

Flexion Principle Exercises:

• Crook lying
• Double Knee to Chest
• Single Knee to Chest