McKenzie Method

Question 1

Postural Syndrome

• what is it
• who is affected
• treatment

Answer 1

ABNORMAL stress on NORMAL tissue

• only feels pain w/ STATIC positioning
• females > males
• teens to early twenties
• no limited ROM & no pain w/ movement

Treatment: posture education and exercises
- usually self relieving, only 1-2 clinic visits

Question 2

Dysfunction Syndrome

• what is it
• treatment

Answer 2

NORMAL stress on ABNORMAL tissue
- i.e. an old injury has healed in a shortened position

• motion is limited in direction of the dysfunction but not into other directions
• pain is produced in END RANGE only and is NO WORSE after

Requres 8+ weeks to remodel a shortened, scarred or fibrosed tissue

Treatment = remodeling
- 4-6x/day for optimal outcomes

Question 3

Derangement Sydrome

• what is it
• treatment

Answer 3

MOST COMMON - obstruction to movement due to internal disturbance/displacement to the normal resting position of the affected joint surface or articular tissue that causes pain

• pain PERSISTS until disruption is corrected
• -> will have pain w/ one direction & relief w/ another

Treatment = reduce derangement, maintain reduction, recover function, and prevent it again
- pt must reach end ROM to fully reduce derangement

Question 4

Trauma/Post surgical

Answer 4

classifcation category

Question 5

Inconclusive

Answer 5

doesnt fit any other category
- SI joint, stenosis, hip issues, chronic pain state, mechanically inconclusive

no directional preference w/ movement sequencing

Not a candidate for McKenzie Method