![]() These may affect the joint surfaces, muscles, or tendons, and can occur in sitting, standing or lying. The postural syndrome is pain which is caused by mechanical deformation of soft tissue or vasculature arising from prolonged postural stresses. According to the McKenzie method, if there is no restoration of normal function, tissue healing will not occur, and the problem will persist. Through an individualized treatment program, the patient will perform specific exercises at home approximately ten times per day, as opposed to 1 or 2 physical therapy visits per week. The clinician will then use the information obtained from this assessment to prescribe specific exercises and advise on which postures to adopt or avoid. The McKenzie method emphasizes the centralization phenomenon in the assessment and treatment of spinal pain, in which pain originating from the spine refers distally, and through targeted repetitive movements the pain migrates back toward the spine. ![]() The subgroups include postural syndrome, dysfunction syndrome, derangement syndrome, or “other,” with treatment plans directed to each subgroup. These subgroups are based on the similar responses of a patient's symptoms when subjected to mechanical forces. ![]() The hallmark of the McKenzie method for back pain involves the identification and classification of nonspecific spinal pain into homogenous subgroups. It stresses self-treatment through posture correction and repeated exercise movements at end-range performed with high frequency. The McKenzie method has wide acceptance as an effective program for back pain. Williams) which have become synonymous with lumbar flexion exercises. Over time the McKenzie exercises have become synonymous with spinal extension exercises, as opposed to Williams exercises (named after Dr. The McKenzie method, also known as Mechanical Diagnosis and Therapy (MDT), is widely used as a classification system for the diagnosis and treatment of a variety of musculoskeletal conditions, including lower back, neck, and extremity pain. The McKenzie back exercises belong to an exercise protocol pioneered by physiotherapist Robin Anthony McKenzie in the 1950s and popularized around 1985.
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