McKenzie Mobilisation on Acute Lumbar Lateral Shift in Patients with Low Back Pain: A Narrative Review

2021 ◽  
Author(s):  
Shellette D Almeida ◽  
Vivek Vijayan Menon ◽  
Swathi Makam Vijay ◽  
Spoorthi Shetty
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Literature Review ◽  
Range Of Motion ◽  
Lateral Shift ◽  
Low Back ◽  
Rapid Reversal ◽  
Mckenzie Method ◽  
Pain Improvement

Low back pain is often associated with a lateral shift in the lumbar spine. McKenzie mobilisation produces a rapid reversal of the deformity and reduction in pain. The purpose of this review is to present an overview of the effects of McKenzie exercises in reducing pain and disability in individuals with an acute lumbar shift. A literature review was performed using four databases. All studies comprising the McKenzie method of treatment in the lateral lumbar shift were included. In total 18 articles were retrieved from the databases, of which six articles were finally selected to be included in this review. Six studies reported a reduction in pain, improvement in range of motion and reduction in disability. The present review identified supportive research for McKenzie treatment in individuals with an acute lumbar shift. However, more robust interventional trials are required to conclude the effectiveness of the McKenzie method in the acute lumbar list.

scholarly journals Reliability of a Measure of Total Lumbar Spine Range of Motion in Individuals with Low Back Pain

2013 ◽  
Vol 29 (6) ◽  
pp. 670-677 ◽  
Author(s):  
Fadi M. Al Zoubi ◽  
Richard A. Preuss
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Range Of Motion ◽  
Generalizability Theory ◽  
Minimal Detectable Change ◽  
Low Back ◽  
Single Measure ◽  
Spline Fitting ◽  
Center Position

Measuring lumbar spine range of motion (ROM) using multiple movements is impractical for clinical research, because finding statistically significant effects requires a large proportion of subjects to present with the same impairment. The purpose of this study was to develop a single measure representing the total available lumbar ROM. Twenty participants with low back pain performed three series of eight lumbar spine movements, in each of two sessions. For each series, an ellipse and a cubic spline were fit to the end-range positions, measured based on the position of the twelfth thoracic vertebra in the transverse plane of the sacrum. The area of each shape provides a measure of the total available ROM, whereas their center reflects the movements’ symmetry. Using generalizability theory, the index of dependability for the area and anterior-posterior center position was found to be 0.90, but was slightly lower for the mediolateral center position. Slightly better values were achieved using the spline-fitting approach. Further analysis also indicated that excellent reliability, and acceptable minimal detectable change values, would be achieved with a single testing session. These data indicate that the proposed measure provides a reliable and easily interpretable measure of total lumbar spine ROM.

scholarly journals The effectiveness of McKenzie Method in diagnosis and treatment of low back pain – a literature review

2018 ◽  
Vol 32 (1) ◽  
pp. 5-11
Author(s):  
Maciej Czajka ◽  
Aleksandra Truszczyńska-Baszak ◽  
Małgorzata Kowalczyk
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Literature Review ◽  
Diagnosis And Treatment ◽  
Low Back ◽  
Mckenzie Method

scholarly journals Association between kinesiologic dysfunctions, lumbar disability and lumbopelvic pain in pregnancy

2017 ◽  
Vol 30 (3) ◽  
pp. 473-484
Author(s):  
Letícia Fujimaki de Paula ◽  
Raíssa Gabriela Cabral Silva ◽  
Letícia Fernandes Andres ◽  
Raciele Ivandra Guarda Korelo
Keyword(s):  
Clinical Trials ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Range Of Motion ◽  
Gestational Age ◽  
Lumbar Region ◽  
Low Back ◽  
General Mobility ◽  
In Pregnancy

Abstract Introduction: Low back pain in pregnancy is highly prevalent and multifactorial. However, it is still nuclear if the back pain is associated with functional kinetic changes that occur during pregnancy. Objective: To evaluate the occurrence of low back pain in pregnancy and to investigate the association of low back pain disability with intensity, pain origin and kinesilogic dysfunction (range of motion of the lumbar spine, lumbar flexibility and trunk mobility). Methods: Women (n = 32) with gestational age equal or less than 20 weeks, assisted in one health centers on the coast of Paraná. Obstetric and historical lumbopelvic of pain, musculoskeletal discomfort, intensity lumbopelvic pain, low back disability, the source of pain through specific clinical trials, joint range of motion of the lumbar spine, the lumbar flexibility and general mobility of the trunk were evaluated. Results: The lumbar region was the most reported and higher frequency (p = 0.000) for the occurrence of musculoskeletal discomforts. The prevalence of lumbopelvic pain was 93.8%. Most reported the first episode after the 14th week of pregnancy (90%), on a daily frequency (63.3%), high intensity (50%), limiting the activities of daily living (50%) and generating low back disability (moderate to severe in 56.9%). Lumbar disability levels were significantly correlated to gestational age (r = 0.353), pain intensity (r = 0.402), positive results in clinical trials (except for the Lasègue test), range of motion for flexion (r = -0.280) and lumbar extension (r = -0.301), lumbar flexibility (r = -0.371) and general mobility trunk (r = 0.503). Conclusion: The greater gestational age, the greater intensity of pain, positivity in clinical trials, decreased range of motion, flexibility and lumbar trunk mobility constitute major lumbar disability.

Correlation between Hip Rotation Range-of-Motion Impairment and Low Back Pain. A Literature Review

2015 ◽  
Vol 17 (5) ◽  
pp. 455-462 ◽  
Author(s):  
Meissam Sadeghisani ◽  
Farideh Dehghan Manshadi ◽  
Khosro Khademi Kalantari ◽  
Abbas Rahimi ◽  
Neda Namnik ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Literature Review ◽  
Range Of Motion ◽  
Low Back ◽  
Hip Rotation

scholarly journals Effectiveness of the McKenzie Method of Mechanical Diagnosis and Therapy for Treating Low Back Pain: Literature Review With Meta-analysis

2018 ◽  
Vol 48 (6) ◽  
pp. 476-490 ◽  
Author(s):  
Olivier T. Lam ◽  
David M. Strenger ◽  
Matthew Chan-Fee ◽  
Paul Thuong Pham ◽  
Richard A. Preuss ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Literature Review ◽  
Meta Analysis ◽  
Low Back ◽  
Diagnosis And Therapy ◽  
Mckenzie Method

scholarly journals Bariatric Surgery and Low Back Pain: A Systematic Literature Review

2019 ◽  
Vol 10 (1) ◽  
pp. 102-110
Author(s):  
Andrei Fernandes Joaquim ◽  
Peter Helvie ◽  
Alpesh A. Patel
Keyword(s):  
Bariatric Surgery ◽  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Low Back ◽  
Obese Patients ◽  
Severely Obese

Study Design: Systematic literature review. Objective: It is estimated that one third of the world population is overweight and 20% of adults have some low back symptoms at some point of their lives. The association of obesity and low back pain and physical deterioration has been well established. We designed this study to evaluate the role of bariatric surgery (BS) for lumbar spine symptoms in obese patients. Methods: A systematic literature review was performed using the PubMed database identifying lumbar spine symptoms (pain, functional status, disability index) and/or complications of lumbar spine surgery before and after BS. Study quality was assessed according to the Oxford Centre for Evidence-Based Medicine. Results: Ten studies were identified. Nine evaluated the role of BS in low back pain and/or functional status before and after surgery: all reported that bariatric surgery had a positive impact in improving low back pain symptoms and decreasing disability in severely obese patients. One study evaluated the role of posterior lumbar surgery in patients who were obese at the time of surgery and those who had a previous bariatric procedure: bariatric surgery decreased postoperative surgical complications. The level of the evidence was low (III and IV). Conclusions: Bariatric surgery in severely obese patients decreases the intensity of low back symptoms and also decreases disability secondary to back problems. Additionally, bariatric surgery may be advantageous for patients who need a posterior lumbar surgery and are severely obese. Prospective studies with longer follow-up are necessary to confirm this conclusion.

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