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The rehabilitation process following a spinal cord injury typically begins in the acute care setting. Occupational therapy plays an important role in the management of SCI. [2] Recent studies emphasize the importance of early occupational therapy, started immediately after the client is stable.
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.
Within manual therapy, Strain-Counterstrain is a type of "passive positional release" [1] created in 1955 by Lawrence Jones, D.O. It is a hands-on treatment that attempts to alleviate muscle and connective tissue tightness by the use of very specific treatment positions held for 90 seconds (can be held for up to 3 minutes in neurological patients).
Strains and sprains to the back muscles can be caused by improper movements while lifting heavy loads, overuse of a muscle, sudden forceful movements, or direct trauma. [8] Herniated discs are associated with age-related degeneration, trauma such as a fall or car accident, and bending or twisting while lifting heavy weights. [ 9 ]
In fact, many components of the protocol have since been shown to impair or delay healing by inhibiting inflammation. [2] [3] [7] Early rehabilitation is now the recommendation to promote healing. [3] [8] Ice, compression, and elevation may have roles in decreasing swelling and pain, but have not shown to help with healing an injury. [2] [7] [9]
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.
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Mechanical traction can be used for patients with cervical and lumbar spinal disorders such as cervical radiculopathy or lumbar spinal stenosis. Lumbar traction has been widely used in the clinic, previous meta-analyses have confirmed that mechanical traction in the supine position can relieve short-term pain in patients with radiculopathy. [4]
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