1. Mechanical Diagnosis and Therapy of the Lumbar spine
Prepared by: Mrs. Jawaher Al-aqeel

2. Objective McKenzie technique History Centralization Phenomena
Classification
Assessment
Treatment

3. History
McKenzie concentrate on repetitive movement in order to centralise pain

4. Causes of LBP SIJ dysfunction Disc pathology Facet joint Inflammation
Disability
Other causes

5. Centralisation Phenomenon
As a result of performance of certain repeated movement or adapted certain position radiating pain, is made to move away from the periphery and towards the midline of the spine

6. McKenzie Classification

7. McKenzie Classification
Postural:
Prolonged end range stress on normal structure (e.g,sitting posture)

8. McKenzie Classification
Dysfunction
End range stress or over stretching of shortened structure.

9. McKenzie Classification
Derangement
Anatomical disruption and displacement within motion segments (I.V.D)

11. Derangement Syndrome Age Onset of pain Cause Location of pain Worse
Better

12. Derangement Syndrome Examination Acute deformity M.V.T loss
Repeated. Move= P.D.M
Pain changes
Better or worse
Rapid change

13. Assessment
History:
Occupation
Posture
Off work
Symptoms

14. Assessment Examination Posture Movement loss Test Movement Static test
Neurological
Conclusion

15. Treatment Reduction of derangement Maintain reduction
Restoration of function
Prophylaxis

16. Thanks
Question???