McKenzie Method and Williams Flexion Exercises Flashcards
Who created the McKenzie Method?
Robin McKenzie
Is the McKenzie Method only extension exercises?
No, it’s a comprehensive approach to the spine.
What does the Assessment include?
- ) History and Symptom presentation
2. ) Identify patterns of movement
What is included in identifying patterns of movement?
- ) Applied mechanical forces
- ) Pain response to monitor changes in motion/function
- ) Identify the underlying cause and sub-group patients into syndromes
- ) Syndrome dictates the appropriate treatment
Loading strategies centralize or make the symptoms better
Derangement
Pain only produced at limited end range
Dysfunction
Pain only on static loading, no effect of repeated movements
Postural
What are the other causes of MDT not consistent with the 3 mckenzie syndromes (NOT derangement, dysfunction and postural)?
Chronic Pain Syndrome
Inflammatory
Mechanically inconclusive
Mechanically unresponsive radiculopathy
post surgery
SIJ
Spinal Stenosis
Trauma
Which syndrome is: end-range stress of normal structures?
Postural Syndrome
Which syndrome is end-range stress of shortened structures?
Dysfunction Syndrome
Which syndrome is anatomical disruption or displacement within the motion segment?
Derangement Syndrome
What is it called when end range loading takes time to produce symptoms in postural syndrome?
“End Range Loathing”
Healthy tissues with an abnormal amount of _________ or ________ = PAIN?
LOAD or DURATION
What is the most common postural syndrome?
lower cervical and lumbar flexion
What is the treatment for postural syndrome?
Patient Education, avoid the posture, overcorrect the posture with extreme lordosis and head retraction
Normal load on shortened tissues leads to symptoms is an example of what syndrome?
Dysfuntion Syndrome
What is the treatment for dysfunction syndrome?
Stretch the shortened tissue, load tissue at the shortened end range (no pain, no gain)
PROCESS in which the distal symptoms that began in the spine are abolished in a distal to proximal direction and remain better over time until all pain is abolished.
Centralization
DURING the application of the loading strategy distal symptoms are being abolished.
Centralizing
AFTER the application of the loading strategy all of the distal symptoms have been abolished and only back pain remains.
Centralized
Only used in derangement syndrome
Centralization
Used rapid and ALWAYS LASTING change
Centralization
Occurs in response to loading strategies
Centralization
Symptoms retreat toward the center of the body
Centralization
Symptoms move away from the center of the body into the extremities.
Peripheralization
What is the treatment for derangement syndrome?
Pursue centralization
What type of antalgia occurs with posterior derangement?
Kyphotic
What type of antalgia occurs with anterior derangement?
Lordotic
What type of antalgia occurs with Relevant Posterolateral Derangement?
Extreme Coronal
With this type of derangement there is good flexion and poor extension of the lumbar spine.
Posterior
How is posterior derangement treated?
Extension (10x every 2-3 hours) to increase ROM, compress discal material and push it back where it belongs
How is anterior derangement treated?
Flexion loading to increase ROM, compress discal material and push it back where it belongs
How do most posterolateral derangements respond to sagittal plane loading?
Respond well and don’t require coronal plane movements.
The posterolateral derangements that dont respond to sagittal plane loading need what movement?
lateral motion
This derangement may present with acute torticollis, acute scoliosis, flexion ROM normal, and extension impeded
Relevant Posterolateral
What is the treatment of relevant posterolateral derangement?
Lateral glide loading of the disc followed by extension loading
When were the Williams exercises created?
1937 by Dr. Williams
What is the theory with the Williams exercises?
Lumbar Lordosis causes back pain so encourage lumbar flexion and discourage lumbar lordosis (This method is rarely used)
Which way should the pelvic tilt to reduce lordosis?
Posterior
What other exercises can be performed to help with lordosis?
- ) Single and Double knee to chest
- ) Partial sit-up (with pelvic tilt)
- ) Hamstring and hip flexor stretch
- ) Squat
* ALL done with back straight or flexed
