طـبيـعي للعلاج الطبيعي والتأهـيل الطبي

طـبيـعي للعلاج الطبيعي والتأهـيل الطبي (http://tabeae.org/vb/index.php)
-   المنتدى العام للعلاج الطبيعي General Physiotherapy Discussion (http://tabeae.org/vb/forumdisplay.php?f=2)
-   -   McKenzie Method (http://tabeae.org/vb/showthread.php?t=169)

Sultan AlEnad PT 10-15-2007 10:06 PM

McKenzie Method
 
[align=left]The McKenzie Method

The McKenzie Method was developed by New Zealand based physiotherapist, Robin McKenzie. It consists of a comprehensive mechanical evaluation which assesses the effect of repetitive movements and/or static positioning on the patient's symptoms.

This mechanical diagnosis enables the physiotherapist to develop a mechanical treatment strategy aimed not only at resolving the patient's current symptoms, but also at long term prevention of recurrence.

Accurate diagnosis
Recent research has shown the McKenzie assessment process to reliably differentiate discogenic from non discogenic pain. Furthermore, the McKenzie assessment process was more accurate than MRI in distinguishing painful from non painful discs (Domelson, 1997).

This allows the medical practitioner the option to refer to a McKenzie trained physiotherapist for a reliable and accurate opinion regarding discogenic diagnosis.

Effective treatment
Recent meta-analyses (systematic reviews) of the literature have found the McKenzie Method to be efficacious in the management of acute low back pain (Waddell et al 1996).

Two randomised trials found that McKenzie therapy provides better results than a back school, with the McKenzie group demonstrating less sick leave, fewer recurrences and medical consults, less pain and increased ROM (Nwuga et al 1985). Improvements were maintained at a five year follow-up.

Role of physiotherapy
Patient self-management skills are integral to the McKenzie Method. Physiotherapists teach patients how to perform the specific exercise, positions, and static/dynamic posture corrections shown in the mechanical evaluation to have a direct therapeutic benefit. Patients are also taught to avoid specific movements, postures and activities that clearly increase and worsen their condition. Manual therapy techniques, such as mobilisation and manipulation, are introduced if the self-treatment strategies fail to fully resolve the problem.

Physiotherapists with expertise in the McKenzie Method have completed postgraduate studies to achieve a Credential (base level) or Diploma (advanced level) qualification. These practitioners apply assessment and treatment methods of the McKenzie system to a variety of mechanical conditions affecting the cervical, thoracic or lumbar spine and the peripheral joints.

Benefits of physiotherapy
The McKenzie Method provides:

Safe, efficacious and cost-effective treatment
Reliable, differential diagnosis for discogenic and non discogenic pain
Reliable differential diagnosis for symptomatic and non symptomatic discs
Self-management skills to encourage and empower patients to use control and resolve their current symptoms and reduce the recurrence and severity of future attacks
Example

Many patients suffering from back or neck pain, with or without referred pain, will clearly exhibit a "direction preference" when repeated movement and/or static positioning are applied to the spine. This means there will be a particular movement or position which will cause the symptoms to shift to a more central (proximal) location. Often there will be other movements or positions which will cause the symptoms to shift to a more peripheral (distal) location.

The Centralisation Sign was discovered by Robin McKenzie. Recently published scientific papers have established that the presence of this sign is a strong indicator of discogenic pathology and a highly accurate and reliable predictor of treatment outcome. Movement, activities and postures that cause the symptoms to "centralise" indicate the "preferred direction(s)" for the physiotherapist to use in developing a self-treatment strategy. Simultaneously, the physiotherapist must teach the patient how to avoid those positions, activities and movements that cause the symptoms to move peripherally.

A common example seen in the clinical practice occurs when the patient sits with a relaxed, slouched posture and experiences symptoms in the neck, head or arm. When the patient is asked to sit and restore lumbar and cervical lordosis, the patient reports that the symptoms are less or abolished in the arm or head and are much more pronounced in the neck region. Similarly, with the patient who has low back and leg symptoms, the symptoms reduce or abolish in the leg and become more prominent in the low back area.

The absence of the Centralisation Sign is equally significant and introduces a different range of specific tests, other mechanical diagnoses and treatment options. One option may be that the patient is not suitable for mechanical therapy. This can be determined in one or two visits.

These assessment and treatment methods developed by Robin McKenzie are now used by physiotherapists, doctors and spine surgeons worldwide. [/align]

* * big star * * 10-15-2007 10:46 PM

[i]
..... الموضوع أكثر من رائع ....
.... وياليت يأخي الكريم أذا عندك صور تفيدنا فيها...
.... وجزاك الله خيرا...
[/I]

طارق الكفراوي 10-15-2007 10:52 PM

مشكوووووووووووووووووووور أخ طبيعي .... بارك الله فيك

خيال 10-16-2007 05:59 AM

سلمت يداك أخ طبيعي
موضوع رائع

new PT 10-16-2007 03:02 PM

http://www.winnockphysio.com/Winnock...ist%20copy.jpg

http://www.winnockphysio.com/Winnock...ized/arch3.jpg

http://www.winnockphysio.com/Winnock...tch%20copy.jpg

http://www.spine-health.com/images/o047.jpg

http://www.ptsconline.com/request_info/McKtablepic.jpg

اخي تلك بعض الصور التوضيحية

rainy 10-16-2007 06:44 PM

اخي طبيعي الشكر الجزيل لك وللاخ نيو باشنت على الصور التوضيحيه

Sultan AlEnad PT 10-16-2007 09:21 PM

[align=center]شكرا لكم على المرور الكريم
واشكر الاخ newPT على ادراج الصور التوضيحية
[/align]

* * big star * * 10-16-2007 10:11 PM

ألف ألف ألف شكر على الموضوع الرائع ...

ومشكور ألف شكر new PT على الصور الرائعة وننتظر المزيد منك ....

new PT 10-17-2007 04:40 PM

اخواني لا شكر على واجب ولكن اريد ادراج هذه الملاحظة::::::::::::::::

وهي ان العلاج الطبيعي يبقى مجال الابداع


ما معنى ذلك؟؟؟؟؟؟؟

المعنى اخواني كل فرد منا يمكن ان يأتي بتمارين اخرى ولكن لنفس الهدف وهدفنا هنا تمارين ال extension مثلا فالصور التي ادرجتها سابقا لا تعني انها هذه هي التمارين فقط وانما استطيع ان اضيف لكم تمرين كهذا مثلا::::

تكون وضعية المريض prone ويعمل على رفع يده ورجله بشكل diagonal يعني يرفع ايده اليمين مع رجله اليسار والعكس

تمرين اخر:::::::

وضعية المريض supine ويعمل تمرين الجسر يعني يعمل flexion في hip و knee ويحاول يرفع ظهره عن السرير

تمرين ثالث::::::::

وضعية المريض prone وقف امامه وامسكه من يديه ويداه ممدودتان واطلب منه محاولة عمل extention back يعني يرفع الجذع عن السرير مع ثبات الhip على السرير

وتمرين رابع::::::::
:::::::::
:::::::
اتركه لكم اخواني لابداعاتكم

* * big star * * 10-17-2007 04:49 PM

<<<<< انت مبدع ... ننتظر منك المزيد ...>>>>


الساعة الآن 10:22 AM

Powered by vBulletin® Copyright ©2000 - 2021, Jelsoft Enterprises Ltd.