Conservative Management of Low Back Pain

4/13/2024 1 Conservative Management of Low Back Pain Physical Therapy Utilizing the McKenzie Method Richard H. [...] Haglen, MSPT, faculty for this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that the presentations or discussions will not include off-label or unapproved product usage. [...] 1 24/13/2024 2 Objectives • Cardinal Features of the method • Evaluation Process • Exercise Prescription Robin McKenzie • Physical Therapist from New Zealand in the 1950’s • The McKenzie Method is utilized in over 30 countries • Over 1,700 therapists certified in the US • The Method started with “Mr. Smith” McKenzie R, May S. The Lumbar Spine.; 2003. [...] 3 44/13/2024 3 Cardinal Features • Classification of subgroups • Directional Preference and Centralization • Utilizes a Progression of Force • Patient Education Subgroups Classify clinical presentations versus specific anatomical structures • Derangement- the clinical presentation associated with a mechanical obstruction of a joint • Presentation is variable. [...] • Named for the location of mechanical obstruction. [...] • Posterior, Lateral, Posterolateral, Anterior • Principle Treatment= movement in 1 direction, which brings lasting improvements in symptoms and/or mechanics. • Dysfunction- pain caused by load on an abnormal or impaired tissue • Presentation is consistent • Principle Treatment= repeatedly stressing impaired tissue for the purpose of tissue remodeling. [...] The Lumbar Spine.; 2003.1 7 84/13/2024 5 Directional Preference & Centralization • Directional Preference • The phenomenon where a specific direction of repeated movement and/or static positioning results in clinically significant improvements in symptoms and/or mechanics. • Centralization • The phenomenon by which distal pain originating from the spine is progressively abolished in a d [...] Measurement of the number of lumbar spinal movements in the sagittal plane in a 24-hour period. European Spine Journal. 2014;23(11):2375-2384. [...] Measurement of the number of lumbar spinal movements in the sagittal plane in a 24-hour period. European Spine Journal. 2014;23(11):2375-2384. [...] The effectiveness of McKenzie method compared to manual therapy for treating chronic low pain: a systematic review.