Mckenzie

Question 1

What are the 3 syndromes identified by McKenzie ?

Answer 1

Postural, dysfunctional, derangement

Question 2

Postural syndrome =?

Answer 2

End range stress of normal structures

Question 3

Dysfunction syndrome =?

Answer 3

End rage stress of shortened structures

Question 4

Derangement syndrome =?

Answer 4

Anatomical disruption or displacement within the motion segment

Question 5

In postural syndrome when is pain seen?

Answer 5

Only at end range (end range loading)

Question 6

Where is postural syndrome MC?

Answer 6

Lower clerical and lumbar flexion

Question 7

What do you see in dysfunction syndrome?

Answer 7

Decreased ROM, pain at end of ROM, normal load on shortened tissues leads to symptoms

Question 8

What is centralization ?

Answer 8

PROCESS- distal symptoms abolished in distal to prox

Question 9

What is centralizing ?

Answer 9

DURING the application of the loading strategy dismal symptoms are being abolished!

Question 10

What is centralized ?

Answer 10

AFTER the application of the loading all the distal systems have been abolished and only back pain remains

Question 11

When do you see centralization ?

Answer 11

Only in derangement syndrome

Question 12

What are some characteristics of centralization ?

Answer 12

Only in derangement, usually rapid and always lasting change, reliably assess, occurs in response to loading strategies

Question 13

What is the treatment for derangement syndrome ?

Answer 13

Loading

Question 14

What is seen in posterior derangement ?

Answer 14

Kyphotic lean (antalgia)

Question 15

What is seen in anterior derangement ?

Answer 15

Lordotic lean

Question 16

What is even in relevant posterolateral derangement?

Answer 16

Extreme coronal antalgia (a true tort or lumbar scoliosis)

Question 17

In what type of derangement do you push it back where it belongs by compressing discal material ?

Answer 17

Posterior

Question 18

How often should you do the extension exercises ?

Answer 18

10x every 2-3 hours

Question 19

How do you treat posterior derangement ?

Answer 19

Extension

Question 20

How do you treat anterior derangement?

Answer 20

Flexion loading (increased lordosis)

Question 21

T or F most posteriorolateral derangements respond to sagittal plane loading (flex or extend) and dont require plane movements?

Answer 21

True

Question 22

Posterolateral deraments that dont respond and called________because lateral motion is_______?

Answer 22

Relevant, required.

Question 23

What is the treatment for relevant posterolateral derangement ?

Answer 23

Lateral glide loading of the disc then extension loading