McKenzie Ds Flashcards

1
Q

Derangement 1

A

CENTRAL / SYMMETRICAL pain across L4/L5

RARELY into buttock or thigh

NO DEFORMITY

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2
Q

Derangement 2

A

CENTRAL/SYMMETRICAL pain across L4/L5

with/without buttock /thigh pain

DEFORMITY of lumbar KYPHOSIS

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3
Q

Derangement 3

A

unilateral or asymmetrical pain across L4/L5

with/without buttock /thigh pain

NO deformity

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4
Q

Derangement 4

A

Unilateral or Asymmetrical pain across L4/L5

with/without buttock /thigh pain

DEFORMITY of relevant lateral shift

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5
Q

how is lateral shift named?

A

direction of shoulders relative to pelvis

primary or relevant shift must be corrected before further mechanical treatment initiated

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6
Q

Derangement 5

A

Unilateral or Asymmetrical pain across L4/L5

with/without buttock /thigh pain

PAIN EXTEND BELOW KNEE

NO deformity

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7
Q

Derangement 6

A

Unilateral or Asymmetrical pain across L4/L5

with/without buttock /thigh pain

PAIN EXTEND BELOW KNEE

DEFORMITY of relative lateral shift

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8
Q

Derangement 7

A

SYMMETRICAL OR ASSYMETRICAL pain accross L4/L5

with/without buttock /thigh pain

DEFORMITY of accentuated lumbar LORDOSIS

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9
Q

Postural syndrome

A

(mechanical deformation of soft tissues as a result of prolonged postural stresses-pain relief with change of position or postural correction )

pain is INTERMITTENT

pain is NOT referred

no change in ROM or pain provocation with test movements or repeated movements

pain is produced by prolonged loaded posture: TIME DEPENDENT

NO CHANGE in intensity/location, immediate available ROM, c/o pain with the same motion each time

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10
Q

Dysfunction

A

Named for direction of limitation (adaptive tissue shortening-loose ROM in certain predictable directions, pain before full ROM, secondary lateral shifts)

pain is INTERMITTENT

END RANGE PAIN at end of available ROM (**except for adherent NR)

NO CHANGE in ROM immediatly seen w repeated movement (**except entrapment)

Treatment results are slow!!!!

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11
Q

Derrangement

A

pain is INTERMITTENT

END RANGE PAIN at end of available ROM (**except for adherent NR)

NO CHANGE in ROM immediately seen w repeated movement (**except entrapment), intensity and/or location of sx, c/o pain w same motion every time, immediate available ROM

Treatment results are slow!!!!

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12
Q

Tx postural syndrome

A

pt education

postural correction challenges

instructions in prevention

cores strengthening

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13
Q

if referred pain, neuro signs, pain repeats at specific point in the range suspect

A

adherent nerve root

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14
Q

12 weeks post herniation

reduced ROM into flexion, ROM into extension PP, increase ROM with repeated flexion, ROM can reach full range in one session, sx return without repeated flexion

A

entrapment

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15
Q

Tx dysfunction

A

stretch short tissues in direction of dysfunction

produce local pain, and then it should subside in 10-20 miin

may also experience new higher up in the spine across the shoulder

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16
Q

tx ANR

A

progress forces of flexion

17
Q

tx entrapment

A

do the one most limited first and then add the others

ie flexion repeated daily followed by extension clearing

18
Q

Derangement

A

mechanical deformation
altered position of fluid nucleus cause internal derangement –causes pain in motion segment of disc and vertebrae above and below

anatomical disruption and/or displacement of structures (disc bulge anteriorly, posteriorly, and/or laterally)

numbered 1-7

Pain can CHANGE from constant to intermittent

Signs and symptoms may CHANGE intensity, character, and location with repeated movements and/or sustained postures

Spinal movements can show rapid change in gain or loss of ROM with repeated movement and/or sustained postures

sx can be REFERRED

Neurological signs and sx may be present

demonstrates directional preference (ie flexion sx)

Demonstrates CENTRALIZATION or PRELIPHERATION

19
Q

tx derangement 4 stages

A
  1. reduce derangement (start pt generated forces before PT)
  2. maintain reduction (sx not return for 72 hours)
  3. recovery of function
  4. prevent recurrence