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The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
Spinal decompression is the relief of pressure on the spinal cord or on one or more compressed nerve roots passing through or exiting the spinal column. [1] Decompression of the spinal neural elements is a key component in treating spinal radiculopathy , myelopathy and claudication .
For example, an occupational therapist can recommend that a swimmer take breaks between laps to conserve energy. Adapting or modifying the exercise or sport is another way a person with scoliosis can do it. [26] Adapting the activity may change the difficulty of the sport or exercise. For example, it might mean taking breaks throughout an exercise.
Treatment is usually for neck or low back pain and related disorders. [ 45 ] For acute low back pain, low quality evidence has suggested no difference between real and sham spine manipulation, [ 46 ] and moderate quality evidence has suggested no difference between spine manipulation and other commonly used treatments, such as medication and ...
Traction procedures have largely been replaced by more modern techniques, [example needed] but certain approaches are still used today: Milwaukee brace; Bryant's traction; Buck's traction, involving skin traction. It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. [2]
A chiropractic adjustment intends to affect or correct a vertebral joint's alignment, motion, and/or function. Specifically, adjustments are intended to correct "vertebral subluxations", a non-scientific term given to the signs and symptoms that are said by chiropractors to result from abnormal alignment of vertebrae. [3]
If symptoms do not improve after 4–6 weeks of conservative treatment, or the person is more than 50 years old, further tests are recommended. [3] The American College of Radiology recommends that projectional radiography is the most appropriate initial study in all patients with chronic neck pain. [13]
The McKenzie protocol also now includes flexion protocols and stresses the importance of differentiating whether flexion or extension improves patient's symptoms. As a result, McKenzie principles are used by many physical therapists in the treatment of low back pain, whereas Williams Exercises are no longer taught as a physical therapy protocol.