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McKenzie Method

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Diana Simon

on 6 February 2014

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Transcript of McKenzie Method

1. Assessment:
where repeated movements and sustained postures where evaluated to see what effect they have on one's symptoms

2. Treatment:
based on the direction of preference; emphasizes education; patient involvement
decrease pain quickly, restore function and independence, and minimize the number of visits to the clinic

3. Prevention:
educating patients for self-management to decrease risk of recurrence
Mechanical Syndromes
1. Postural:
end-range stress of normal structures
2. Dysfunction:
end-range stress of shortened structures (scarring, fibrosis, nerve root adherence)
3. Derangement:
anatomical disruption or displacement within the motion segment
Reducible -
able to centralize and maintain the centralization
must complete at least 3-5 sessions
Journal Studies (JS)
“A comprehensive approach to the spine based on sound principles and fundamentals that when understood and followed accordingly are very successful.”
(The McKenzie Institute International, 2014

aka Mechanical Diagnosis and Therapy (MDT)
- Lordosis:
a natural inward curve, or hollow, in the spine
+ Cervical Lordosis
- in the neck
+ Lumbar Lordosis - in the lower back
- Maintaining Lordosis = Healthy & Pain-free back
- Losing Lordosis = Back problems
Robin McKenzie, a PT from New Zealand, discovered the McKenzie Method
"Mr. Smith" Story
Importance of extension was born
McKenzie Method
Mechanical Pain
How to Form Lordosis?
1. Sit in a stool of chair height or at the edge of a chair. Once seated, slouch and relax for few seconds.
2. Draw yourself up, accentuate the lordosis as far as possible, and hold it for few seconds.
3. Return to the fully relaxed position.
4. Repeats steps two and three 10-15 times.
JS #1:
Thirty therapists with diploma in MDT was able to classify all of 388 patients with extremity problems: 64% MDT mechanical syndrome & 37% derangement
(May & Rosedale, 2012)

JS #2:
Thirty participants of both genders from the ages of 30-70 years old who are diagnosed with spondylsis were randomly selected to be in Group A and Group B. Group A were given cervical retraction exercises (McKenzie) and Group B were instructed to use a pressure biofeedback unit during these exercises. Pre- and post- outcomes were recorded an test results showed that there was a signification reduction in neck pain and disability in both the groups. But using the pressure biofeedback is better than without.
(Wani et al., 2013)
By: Diana Simon
Health 280

An Accidental Discovery

It occurs when the joint between two bones has been placed in a position that is overstretches the surrounding ligaments and other soft tissues
Components of
McKenzie Method
(McKenzie & Kubley,
(The McKenzie Institute International, 2014)
Full transcript