McKenzie - Posture

Question 1

Age

Answer 1

<30 y/o

Question 2

Pain

Answer 2

Intermittent, local
Located in low back
No pain when patient is in neutral posture
Pain only commences with sustained positioning into flex/ext

Question 3

History

Answer 3

Onset is insidious and gradual

Question 4

Cause

Answer 4

Due to intermittent mechanical deformation 2* to poor posture

Question 5

Change in pain

Answer 5

Worse with static loading at end range position

Better with change of position, activity, movement, and good posture

Question 6

Examination

Answer 6

Test movements don’t produce pain
WNL
Sustained end range position eventually produces pain

Question 7

Intervention

Answer 7

Educate on correct posture

Question 8

Shift

Answer 8

None
OR
If shift is present, not accompanied by pain or decrease in ROM with SGIS

Question 9

ROM into Flex & Ext

Answer 9

No limitations

Question 10

Pain with ROM into Flex & Ext

Answer 10

No pain into either

Question 11

ROM into SG (side gliding)

Answer 11

No limitations in ROM

Question 12

Pain with ROM into SG (side gliding)

Answer 12

No pain

Question 13

Pain with repeated SG (side glide)

Answer 13

No pain

Question 14

Deviation with ROM into Flex

Answer 14

No deviation

Question 15

Pain with repeated Flex & Ext

Answer 15

No pain into either