Centralisation and peripheralisation of symptoms according to McKenzie Method among patients with chronic low back pain
Journal Title: Fizjoterapia Polska - Year 2011, Vol 11, Issue 4
Abstract
[b]Background.[/b] Diagnosis of lumbar sciatica is based on classical neurological examination and radiographic imaging. In literature, McKenzie described detailed functional tests concerning pain response during mechanical procedures. Centralisation of pain confirmed during examination informs the examiner that conservative treatment is indicated. Contrary to that peripheralisation of symptoms, it confirms that derangement is irreducible. The aim of the study was to show that the method of functional examination enables diagnosis of centralisation or peripheralisation of pain among chronic patients with sciatica. The additional aim was to determine the factors identified from objective evaluation which determine further treatment of these patients. [b]Material and methods. [/b]200 patients with low back pain and sciatica were precisely analysed. There were 84 men (42%) and 116 women (58%), age between 13-79 years (43.0±13,65). Peripheralisation of pain was found in 65 patients (group A), and centralisation – in 135 persons (67.5%). Statistical analysis showed that significant differences between groups included: lateral shift, SLR test, sensory and motor deficits.[b]Conclusions.[/b] 1. Precise analysis showed that among chronic patients with disc disease clinical tests lead to centralisation or peripheralisation of pain. 2. Peripheralisation was statistically more often accompanied with lateral shift, neurological deficits and low results of straight leg raise (SLR) test.
Authors and Affiliations
Aleksandra Truszczyńska
Keywords
Related Articles
- EP ID EP65812
- DOI -
- Views 95
- Downloads 0
A CONCEPT OF ASYMMETRIC EXERCISES FOR THE CORRECTION OF SCOLIOSIS BY RYSZARD HARĘŻLAK
[b]Background.[/b] Rational correction of scoliosis should be characterised by a detailed analysis of every patient and individualized selection of initial, corrected, hypercorrected and isolated positions, involving all...
Kinesio Taping and its effect on weight distribution on feet after hallux valgus corrective surgery, assessed with the use of pedobaroscope
Introduction. Our foot, one of the most important elements of the human musculoskeletal system, is particularly vulnerable to a wide range of strains and injuries. One of the common foot health problems is hallux valgus....
Restytucja funkcji ręki w następstwie zastosowanej fizjoterapii u pacjentów z chorobą de Quervaina leczonych zachowawczo lub operacyjnie
Choroba de Quervaina polega na zaciskającym zapaleniu pochewek ścięgien mięśni odwodziciela długiego kciuka (APL) i prostownika krótkiego kciuka (EPB), które razem wypełniają pierwszy z sześciu przedziałów prostowników....
Strength and kinesthetic differentiation of deep muscles stabilizing lumbar spine in low back subclinical pain complaints
Background. Lumbar spine pain is one of the most frequent malfunctioning of the locomotor system. The aim of this article was to examine whether there is a co-relationship between the preliminary, subclinical symptoms of...
NEW POSSIBILITIES IN PHYSIOTHERAPY - MAGNETOLASEROTHERAPY
The characteristic progress in science and technology of the 21st century is being accompanied by significant research developments in the field physical medicine. Before our very eyes physics is entering more and more c...