Centralization Directional Preference and McKenzie Method

Question 1

The McKenzie method uses repeated movements to assess and treat what of the spine and extremities?

Answer 1

Musculoskeletal disorders

Question 2

Which McKenzie method classification is the following?

Loading strategies centralise or make symptoms better

Answer 2

Derangement

Question 3

Which McKenzie method classification is the following?

Pain only produced at limited end range

Answer 3

Dysfunction

Question 4

Which McKenzie method classification is the following?

Pain only on static loading, no effect of repeated movements

Answer 4

Postural

Question 5

Which McKenzie method classification is the following?

Not consistent with the 3 Mckenzie syndromes

Answer 5

Other

Question 6

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

Answer 6

Centralization

Question 7

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

Answer 7

Centralizing

Question 8

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

Answer 8

Centralized

Question 9

Is centralization a positive or negative prognostic indicator?

Answer 9

Positive

Question 10

What is the following a defintion of?

Proximal symptoms originating from the spine are progressively produced in a proximal to distal direction

Answer 10

Peripheralization

Question 11

What is the following a defintion of?

during the application of loading strategies distal symptoms are being produced

Answer 11

Peripheralizing

Question 12

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

Answer 12

Peripheralized

Question 13

Is Peripheralization a positive or negative prognostic indicator?

Answer 13

Negative

Question 14

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

Answer 14

Extension

Question 15

Are the following contraindications of extension or flexion?

• extension relieves symptoms
• flexion movements increase pain or peripherize the symptoms

Answer 15

Flexion

Question 16

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

Answer 16

Indications for referral for MDT

MDT = Mechanial diagnosis therapy

Question 18

Are the following contraindications or precautions for MDT?

• spinal fractures
• cauda equina syndrome
• fractures
• cord signs
• spinal infection
• recognition of serious spinal pathology

Answer 18

Contraindications

Question 19

Are the following contraindications or precautions for MDT?

• ankylosing spondylitis
• osteoporosis
• cancer

Answer 19

Precautions

Question 20

What is the following a defintion of?

• END RANGE stress on NORMAL tissue
• postural pain
• no motion loss
• no pain during movement

Answer 20

Postural syndrome

Question 21

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

Answer 21

Dysfunction syndrome

Question 22

What is the following a defintion of?

• clinical presentation associated with a mechanical obstruction of an affected joint
• pain during movement & loss of motion

Answer 22

Derangement Syndrome

Question 23

What is the following a defintion of?

Lasting improvement in symptoms and/or mechanics though not always a change in location of pain

Answer 23

Directional preference

Question 24

What has directional preference?

Answer 24

Centralizers