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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. This is supported by evidence which demonstrates improved functional outcomes for the McKenzie approach in comparison to the Williams exercises.
Low back pain or lumbago is a common disorder involving the muscles, nerves, and bones of the back, in between the lower edge of the ribs and the lower fold of the buttocks. Pain can vary from a dull constant ache to a sudden sharp feeling. [ 4 ]
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 ...
All techniques claim effects similar to other manual therapies, ranging from decreased muscle tension to reduced stress. Studies show that most patients go to chiropractors for musculoskeletal problems: [15] 60% with low back pain, and the rest with head, neck and extremity symptoms. (p.
[1] [2] Waddell's signs may indicate non-organic or psychological component to chronic low back pain. Historically they have also been used to detect malingering in patients with back pain. While testing takes less than one minute, [ 2 ] it has been described as time-consuming and alternatives have been proposed.
The US Centers for Disease Control recommended that physical therapy and exercise be prescribed as first-line treatments (rather than opioids) for multiple causes of chronic pain in 2016 guidelines. [10] Applicable disorders include chronic low back pain, osteoarthritis of the hip and knee, and fibromyalgia. [10]
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