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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.
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.
Irvin Korr, J. S. Denslow and colleagues did the original body of research on manual therapy. [2] Korr described it as the "Application of an accurately determined and specifically directed manual force to the body, in order to improve mobility in areas that are restricted; in joints, in connective tissues or in skeletal muscles."
Commonly applied regimens include the McKenzie exercise– [38] a self therapy exercise consisting of repetitive motions such as mobilization and manipulation to aid posture correction; and the Kendall exercise for strengthening the deep cervical flexor and pectoral muscle to correct neck alignment.
The Bad Ragaz Ring Method (BRRM) is a type of aquatic therapy used for physical rehabilitation based on proprioceptive neuromuscular facilitation (PNF).BRRM is a water-based technique in which therapist-assisted strengthening and mobilizing exercises are performed while the patient lies horizontally in the water, with support provided by rings or floats around the neck, arms, pelvis, and legs.
Each chart is composed of five exercises that are performed within eleven minutes. The first four exercises are calisthenics and the last is an aerobic exercise. As the individual progresses within the system, the number of each type of exercise that must be performed increases and the difficulty of each exercise increases.
This new study was actually a study of studies. It pooled the one study called “INT-41”—which had the largest number of participants and the worst results and had devoted what those who conducted it called “special attention to prolactin”—with four smaller, more general studies that had produced less troubling numbers.
When mechanical traction is combined with other physical therapy modalities such as passive mobilization, massage, stretching and active exercises, it is an effective treatment for pain reduction in cervical or lumbar spine disorders. [5]
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