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The Mckenzie Method
The Mckenzie Method
An Overview
Mechanical Diagnosis & Therapy of the
Spine:
A Dynamic System of Examination,
Diagnosis, Intervention and Prevention
PART II
Objectives
Evaluation of Clinical Exam
Prognosis
Interventions
Treatment Principles
Force progression
ReEval/Intervention Progression
Characteristics of Three
Syndromes
See handout
Derangement Syndromes
Derangement Clinical Presentation
FISitting
FIS
Intervention Principles
Cervical
Extension principle
Lateral principle
Flexion principle
Dynamic
Ret Ret-Ext
Ret w/ self OP Ret-Ext w/ rotation
Ret w/ therapist OP
Ret Mobilization Ext mobilization prone
Lateral Principle
Lat Flex
Lat Flex w/ pt OP
Lat Flex Mobilization sitting/lying
Lat Flex Manipulation
Rot
Rot w/ pt OP
Rot Mobilization
Rot Manipulation
Flexion Principle
Flex w/ pt OP
Flex mobilization
Flex w/ rotation mobilization
Exercise Prescription
Once a provisional mechanical diagnosis
has been established and directional
preference, the patient will continue on an
independent basis until follow up.
Typically bouts of 10 reps 4-5x /day is a
minimum to produce change
Dependent upon patients mechanical
diagnosis, severity of problem, capabilities
of the patient.
Long A, Donelson R, Fung T. Does it matter which exercise? A
randomized control trial of exercises for low back pain. Spine; Dec
1;29(23):2593-2602, 2004.