Centralization Directional Preference and McKenzie Method Flashcards
The McKenzie method uses repeated movements to assess and treat what of the spine and extremities?
Musculoskeletal disorders
Which McKenzie method classification is the following?
Loading strategies centralise or make symptoms better
Derangement
Which McKenzie method classification is the following?
Pain only produced at limited end range
Dysfunction
Which McKenzie method classification is the following?
Pain only on static loading, no effect of repeated movements
Postural
Which McKenzie method classification is the following?
Not consistent with the 3 Mckenzie syndromes
Other
What is the following a defintion of?
Phenomenon by which distal pain originiating from the spine is progressively abolished in a distal to proximal direction
Centralization
What is the following a defintion of?
pain is in the process of becoming centralized but this will only be confirmed once the distal pain remains abolished
Centralizing
What is the following a defintion of?
means that as a result of the application of appropriate loading stratigies the pt reports that ALL distal pain has abolished & now only has back pain
Centralized
Is centralization a positive or negative prognostic indicator?
Positive
What is the following a defintion of?
Proximal symptoms originating from the spine are progressively produced in a proximal to distal direction
Peripheralization
What is the following a defintion of?
during the application of loading strategies distal symptoms are being produced
Peripheralizing
What is the following a defintion of?
As a result of the application of the inappropriate loading strategies the pt reports that the distal symptoms that have been produced remain
Peripheralized
Is Peripheralization a positive or negative prognostic indicator?
Negative
Are the following contraindications of extension or flexion?
- no position or movement decreases or centralizes the described pain
- saddle anesthesia &/or bladder weakness is present
- pt is in extreme pain that they rigidly hold the body immobile
Extension
Are the following contraindications of extension or flexion?
- extension relieves symptoms
- flexion movements increase pain or peripherize the symptoms
Flexion
What the the following common indications of?
- pt with acute or chronic musculoskeletal pain, including headache
- pt with sciatica or brachalgia for which CT is being considered, MRI or surgery
- pt’s with mechanical back, neck, or extremity problems that have not responded well the other interventions
Indications for referral for MDT
MDT = Mechanial diagnosis therapy
Are the following contraindications or precautions for MDT?
- spinal fractures
- cauda equina syndrome
- fractures
- cord signs
- spinal infection
- recognition of serious spinal pathology
Contraindications
Are the following contraindications or precautions for MDT?
- ankylosing spondylitis
- osteoporosis
- cancer
Precautions
What is the following a defintion of?
- END RANGE stress on NORMAL tissue
- postural pain
- no motion loss
- no pain during movement
Postural syndrome
What is the following a defintion of?
- END RANGE stress on SHORTENED tissue
- pain at end range or upon strething of ‘contracted’ tissue
- loss of motion
- no midrange pain
Dysfunction syndrome
What is the following a defintion of?
- clinical presentation associated with a mechanical obstruction of an affected joint
- pain during movement & loss of motion
Derangement Syndrome
What is the following a defintion of?
Lasting improvement in symptoms and/or mechanics though not always a change in location of pain
Directional preference
What has directional preference?
Centralizers
