McKenzie And Williams Flashcards
William’s flexion exercises
Posterior pelvic tilt, SKTC and DKTC, HS stx
What are the benefits of William’s flexion exercises
Pelvic tilt - strengthen abs
SKTC/DKTC - opens posterior elements
HS stx - keeps post long lig taught
3 dx categories for McKenzie Method
Postural, dysfunction and derangement
Postural syndrome subjective
-younger
-insidious onset
-no acute episodes or trauma
-delayed onset pain w/ extended static positions
-localized ache
Postural syndrome physical exam
-abnormal sagittal plane postural (no lateral shift)
-fully correctable
-no movement limitations
-negative neuro scan
How to improve postural syndrome?
Education (proper biomechanics and ergonomics) and self management
Dysfunction syndrome: into flexion vs into extension
-into flexion (posterior element tightness)
-into extension (anterior element tightness)
Dysfunction syndrome subjective
-older and/or episodes of acute dysfunction
-localized pain (w/ exception of an adherent nerve root)
Dysfunction syndrome objective
-loss of normal posture
-negative neuroscan
-unidirectional stiffness
-movement into stiffness aggravates end range pain w/ repeated movements
Difference between postural syndrome and dysfunction syndrome
-dysfunction syndrome = loss of ROM w/ dysfunction
-postural syndrome = abnormal posture but full ROM
Flexion dysfunction syndrome signs
-increased lordosis
-limited forward bending
-loss of lumbar curve reversal
-HS tightness
Flexion dysfunction management
Posterior pelvic tilt, SKTC/DKTC, cat/cow, child’s pose
Extension dysfunction syndrome signs
-loss of lordosis
-limited backward bending
-BB x1
-BB x10
Extension dysfunction management
Cobra, ball extension
What is another name for derangement syndrome? What are some causes?
Disc lesion
-flexion and compression OR flexion and rotation
