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Management of chronic myofascial pain: finding common ground
Published in Kirsti Malterud, Steinar Hunskaar, Chronic Myofascial Pain, 2018
Kirsti Malterud, Steinar Hunskaar
This can be defined as a series of specific movements for the purpose of training or developing the body through systematic practice, or as a bodily exertion for the promotion of physical health. The goal can be to prevent and reduce pain, to gain strength, flexibility and endurance, to restore injured tissues, and to promote activities of daily living. Therapeutic exercises are supervised and the tempo and load of the exercise can be controlled and adjusted by the therapist as well as by the patient. Some exercise techniques have specific regimes, e.g. the Kraus exercise program (Wyszynski, 1997), the McKenzie method (Simonsen, 1998), or medical exercise therapy (MET) (Torstensen et al., 1998). Exercises can also be more general and performed outside therapy rooms, in gymnasiums, in indoor or outdoor sports leisure centers, at the workplace, at home, etc.
Low Back Pain
Published in Andrew Stevens, James Raftery, Low Back Pain Health Care Needs Assessment, 2018
P Croft, A Papageorgious, R McNally
Back exercises These can be active (taught to the patient) or passive (aided by the therapist). Flexion, extension and physical strengthening exercises form three of the main group of exercises. Different ‘schools’ of physiotherapy place different emphasis on these: the McKenzie method for example stresses extension, the Williams school favours flexion.
The McKenzie Method and its association with psychosocial outcomes in low back pain: a systematic review
Published in Physiotherapy Theory and Practice, 2021
Alexi Kuhnow, Jason Kuhnow, David Ham, Richard Rosedale
Many different approaches and systems have been developed and are used by musculoskeletal clinicians in the management of LBP. The McKenzie Method (MDT) is one such approach and is proposed as a comprehensive system for the assessment, classification and treatment of musculoskeletal conditions that emphasizes self-management and patient education (McKenzie and May, 2003). MDT has been demonstrated to have acceptable reliability with trained clinicians (Clare, Adams, and Maher, 2004, 2005; Kilpikoski et al., 2002; May and Donelson, 2008) and has gained some degree of validity with the LBP population (Albert and Manniche, 2012; Long, Donelson, and Fung, 2004; Petersen et al., 2011). MDT has been shown in RCTs to improve pain and function, as well as increase RTW rates and decrease medication use (Albert and Manniche, 2012; Long, Donelson, and Fung, 2004; Petersen et al., 2011).
Association between changes in function among patients with lumbar impairments classified according to the STarT Back Screening Tool and managed by McKenzie credentialed physiotherapists
Published in Physiotherapy Theory and Practice, 2020
Mark W. Werneke, Susan Edmond, Michelle Young, David Grigsby, Brian McClenahan, Troy McGill
The McKenzie method is another approach used by clinicians to classify patients to prescribe targeted-treatments and enhance estimates of the likelihood of good or poor treatment outcomes (May and Aina, 2012; May and Donelson, 2008; McKenzie and May, 2003). Managing NSLBP patients using the McKenzie method was associated with reduced downstream health care utilization (Machado et al., 2010) and an improved cost-effectiveness ratio (Manca et al., 2007). In addition, evidence supports that screening patients with NSLBP for symptom pain pattern subcategories, such as directional preference or centralization (CEN) observed during McKenzie assessments was associated with improved patient outcomes (Brennan et al., 2006; Browder, Childs, Cleland, and Fritz, 2007; Long, Donelson, and Fung, 2004; Long, May, and Fung, 2008; Werneke et al, 2011a). Unlike the STarT system, the McKenzie classification method does not include psychosocial screening or a formal CBA-targeted treatment pathway as recommended by STarT developers (Hill et al., 2008). Of interest, despite the absence of psychosocial risk stratification and a CBA treatment pathway in the McKenzie system, recent reviews have reported positive effects with the McKenzie system for decreasing elevated psychosocial distress and fear, while simultaneously improving FS treatment outcomes for patients with NSLBP receiving physiotherapy services (Al-Obaidi, Al-Sayegh, Ben Nakhi, and Skaria, 2013; Werneke et al., 2009; Werneke et al, 2011b).
Clinical relevance of massage therapy and abdominal hypopressive gymnastics on chronic nonspecific low back pain: a randomized controlled trial
Published in Disability and Rehabilitation, 2022
Lorena Bellido-Fernández, José-Jesús Jiménez-Rejano, Raquel Chillón-Martínez, Almudena Lorenzo-Muñoz, Elena Pinero-Pinto, Manuel Rebollo-Salas
We have not found studies which have investigated the use of abdominal hypopressive gymnastics to treat chronic nonspecific low back pain; therefore, our results can also be compared to other active therapies. Da Luz [35] and Miyamoto et al. [36] used Pilates exercises as the main intervention while Halliday [37] and García et al. [30] used the McKenzie method. These studies obtained significant results in pain and disability levels. Magalhaes [38] combined aerobic exercises with strength training and found significant changes in pain, disability, and patient mobility without differences versus other conventional treatments.