McKenzie

Question 1

What is a clinical presentation associated with a mechanical obstruction of an affected joint and most commonly seen in the clinic?

Answer 1

Derangement syndrome

Question 2

What is an essential feature of Derangement syndrome?

Answer 2

Directional Preference

Question 3

What is an important phenomenon observed in the spine with derangement syndrome?

Answer 3

Centralization

Question 4

T/F: patients with Derangement syndrome mostly have LBP and require extension

Answer 4

True

Question 5

How would you treat a patient with Derangement syndrome?

Answer 5

Repeated movement into direction of centralization

Question 6

What describes the phenomenon by which distal pain originating from the spine is progressively abolished in a distal to proximal direction with repeated movements or postures?

Answer 6

Centralization

Question 7

T/F: as the pain centralizes, there is a significant increase in central back pain

Answer 7

True

Question 8

With what syndrome does centralization only occur in?

Answer 8

Derangement Syndrome

Question 9

What describes the phenomenon by which proximal symptoms originating from the spine are progressively produced in a proximal to distal direction?

Answer 9

Peripheralization

Question 10

What describes the clinical phenomenon where a specific direction of repeated movement and/or sustained position results in a clinically relevant improvement in either symptoms and/or mechanics though not always the centralization of the symptoms and is an essential feature of derangement syndrome?

Answer 10

Directional preference

Question 11

What type of Derangement is used to describe spinal derangements that have a directional preference for extension procedures/positions?

Answer 11

Posterior Derangements

Question 12

What type of derangement is used to describe spinal derangements that have a directional preference for flexion procedures/positions?

Answer 12

Anterior Derangements

Question 13

What kind of shift exists when the vertebra above has laterally flexed to the right in relation to the vertebra below, carrying the trunk with it; the upper trunk and shoulders are shifted to the right?

Answer 13

Right lateral shift

Question 14

What kind of shift exists when the vertebra above has laterally flexed to the Left in relation to the vertebra below, carrying the trunk with it; the upper trunk and shoulders are shifted to the Left?

Answer 14

Left lateral shift

Question 15

What kind of shift exists when a patient’s symptoms are on one leg and the shift is in the opposite direction. For instance: right leg pain with upper trunk and shoulders shifted laterally to the left?

Answer 15

Contralateral shift

Question 16

What kind of shift exists when a patient’s symptoms are on one leg and the shift is in the same side. For instance: right leg pain with upper trunk and shoulders shifted laterally to the right?

Answer 16

Ipsilateral shift

Question 17

What type of syndrome is caused by mechanical deformation of soft tissues causing contraction, scarring, adherence, adaptive shortening, or imperfect repair, pain stays for 8-12 weeks, pain is always local and pain is always intermittent and produced only when loading structurally impaired tissue?

Answer 17

Dysfunction Syndrome

Question 18

What is the characteristic feature of dysfunction syndrome?

Answer 18

Painful restriction of end range movement

Question 19

What type of syndrome is caused by mechanical deformation of soft tissues or vascular insufficiency arising from prolonged positional or postural stresses affecting the articular structures or the contractile muscles, their tendons, or the periosteal insertions?

Answer 19

Postural syndrome

Question 20

Are there any pathological changes in postural syndrome?

Answer 20

No

Question 21

What is the most common syndrome of the 3?

Answer 21

Derangement Syndrome