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21 Cards in this Set
- Front
- Back
what are McKenzies 3 syndromes
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1) postural syndrome
2) dysfunction syndrome 3) derangement syndrome |
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what is postural syndrome
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pain caused by sustained mechanical deformation of soft tussies from sustained posture
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what is dysfunction syndrome
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pain froma daptively shortened or adherent tissues that are mechanically deformed by movements at teh end of available ranges
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what is derangement syndrome
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pain from alteration of the position of the nucleus within the disc (mckenzie claimes 95% of patients!)
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prognosis if pain started in back and peripheralized
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good prognosis
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prognosis if pain started in leg without back pain
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poor prognosis
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prognosis if pain in WB reduced with extension in prone, but pain returns immediately to baseline as soon as pateitn returns to WB
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poor prognosis
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what is McKenzies sequence for AROM
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- 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 |
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when do you not have to do 10 reps
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if pain increases
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what does mckenzie suggest for tx of a mild case
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(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 |
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if patient has kyphosis what must you do after correcting the lateral shift
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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 |
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when is mechanical therapy unlikely to help
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if all movements increase pain and none decrease pain
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what is the technique of first aid for back pain
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extension in lying
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what are williams flexion exercises
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1) posterior pelvic tilt
2) single knee to chest 3) double knee to chest 4) hamstring stretch 5) partial sit-ups |
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what is the key to williams flexion exercises
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posterior pelvic tilt
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what is the goal to williams flexion exercises
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strengthen abs, stretch hams, and stretch low back
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what patients do you want to do williams flexion exercises
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those who you are NOT CONCERNED about increasing intradiscal pressure with DO NOT DO WITH DISC PATHOLOGY
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when do you want to do mckenzie extension exercises
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with disc pathologies
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whats the difference between williams flexion exercises and williams stabilization exercises
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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 |
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what is the key to williams stabilization exercises
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maintaining a neutral pelvic position
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what is the goal to williams stabilization exercises
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strengthen abs but most import. provide static and dynamic support to spine
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