Mechanical Diagnosis and Therapy of an Adherent Lumbar Nerve Root

initiation of treatment and was referred to a physical therapist with an advanced certification in MDT. The diagnosis was confirmed, and a recommendation …

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Mechanical Diagnosis and Therapy of an Adherent Lumbar Nerve Root
MECHANICAL DIAGNOSIS and Therapy (MDT) of lumbar spine dysfunction, also known as the McKenzie method, has been the focus of extensive research in recent years. Traditional spinal evaluation methods have focused on identification of anatomic pathology through physical examination and imaging studies. Treatment selection has been based on the identified pathology. Mechanical Key Points Points diagnosis focuses on t he patient\’s symp Mechanical Diagnosis and Therapy (MDT) tomatic and mechanifocuses on symptomatic and mechanical cal responses to the response to movements. systematic application of repetitive end-range The majority of MDT patients initially m ovements. Evalua treated with extension maneuvers also require flexion prior to full recovery. tion of the patient\’s history, pain patterns, Pain classification systems are useful in and responses to moveidentifying treatment options and moniments provide the basis toring patient progress. for categorization of the condition into one Physical conditions evolving and focusing o f three mechanical on continual assessment, rather than treatsyndromes: derangement, is needed to ensure improvement. ment, dysfunction, or postural (Table 1).1 Exercise selection is based on the ability to improve the symptomatic and mechanical presentation. In general, a mechanical evaluation differentiates chemical pain from

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2 Responses to “Mechanical Diagnosis and Therapy of an Adherent Lumbar Nerve Root”

  1. Good description. I enjoy read it IMDB

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