552 Exam 1: Mckenzie

Front 1

what are McKenzies 3 syndromes

Back 1

1) postural syndrome
2) dysfunction syndrome
3) derangement syndrome

Front 2

what is postural syndrome

Back 2

pain caused by sustained mechanical deformation of soft tussies from sustained posture

Front 3

what is dysfunction syndrome

Back 3

pain froma daptively shortened or adherent tissues that are mechanically deformed by movements at teh end of available ranges

Front 4

what is derangement syndrome

Back 4

pain from alteration of the position of the nucleus within the disc (mckenzie claimes 95% of patients!)

Front 5

prognosis if pain started in back and peripheralized

Back 5

good prognosis

Front 6

prognosis if pain started in leg without back pain

Back 6

poor prognosis

Front 7

prognosis if pain in WB reduced with extension in prone, but pain returns immediately to baseline as soon as pateitn returns to WB

Back 7

poor prognosis

Front 8

what is McKenzies sequence for AROM

Back 8

- flexion in standing x10
- extension in standing x10
- R and L side glide in standing x10
- flexion in supine x 10
- extension in prone x 10

Front 9

when do you not have to do 10 reps

Back 9

if pain increases

Front 10

what does mckenzie suggest for tx of a mild case

Back 10

(mild = no deformity and minimal peripheral pain)
- prone lying: 5 min
- prone lying in extension: 5 min
- press- ups 5x10 hold for few secs, 2 min between sets

Front 11

if patient has kyphosis what must you do after correcting the lateral shift

Back 11

reduce the kyphosis
- startg in prone with pullows under stomach
- may take up to 45 min to reduce
- remove pillows slowly and proceed with normal progression

Front 12

when is mechanical therapy unlikely to help

Back 12

if all movements increase pain and none decrease pain

Front 13

what is the technique of first aid for back pain

Back 13

extension in lying

Front 14

what are williams flexion exercises

Back 14

1) posterior pelvic tilt
2) single knee to chest
3) double knee to chest
4) hamstring stretch
5) partial sit-ups

Front 15

what is the key to williams flexion exercises

Back 15

posterior pelvic tilt

Front 16

what is the goal to williams flexion exercises

Back 16

strengthen abs, stretch hams, and stretch low back

Front 17

what patients do you want to do williams flexion exercises

Back 17

those who you are NOT CONCERNED about increasing intradiscal pressure with DO NOT DO WITH DISC PATHOLOGY

Front 18

when do you want to do mckenzie extension exercises

Back 18

with disc pathologies

Front 19

whats the difference between williams flexion exercises and williams stabilization exercises

Back 19

flexion ex are for patients who need to strengthen abs, stretch hams, and stretch back - NOT approp for disc pathology

Stabilization ex: strengthen abs but more import. provide static and dynamic stability to spine ... can be used on anyone with back pathology

Front 20

what is the key to williams stabilization exercises

Back 20

maintaining a neutral pelvic position

Front 21

what is the goal to williams stabilization exercises

Back 21

strengthen abs but most import. provide static and dynamic support to spine