The Effectiveness of McKenzie Approach in Treating Radicular Low Back Pain
Rastin, Lenny (2024)
2024
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2024121235263
https://urn.fi/URN:NBN:fi:amk-2024121235263
Tiivistelmä
The objective of this study was to evaluate the effectiveness of the McKenzie Approach in treating radicular low back pain. This method, also known as Mechanical Diagnosis and Therapy (MDT), focuses on patient education and self-treatment through specific exercises aimed at centralizing pain and improving function. The study involved a comprehensive literature review and analysis of clinical trials, systematic reviews, and case studies to assess the short-term and long-term outcomes of the McKenzie Approach.
The methodology included a narrative literature review, examining the principles of the McKenzie Method, its application in clinical practice, and its effectiveness in reducing pain and disability in patients with radicular low back pain.
Results indicated that the McKenzie Approach reduces pain and improves functional outcomes in the short term, with some studies showing sustained benefits for up to 12 months. However, there is not strong evidence about superiority of McKenzie Method when it comes to investigating long-term outcomes. Some studies indicate that MDT is as effective as other LBP treatment methods in the long run, while others cannot completely confirm this finding. The best results are achieved when MDT is combined with other treatment methods such as therapeutic exercises.
The centralization phenomenon, a key principle of the McKenzie Method, was found to be a reliable indicator of positive treatment outcomes. Additionally, the method's emphasis on patient education and self-management contributed to its efficacy and reduced recurrence of symptoms.
In conclusion, the McKenzie Approach is an effective treatment for radicular low back pain, offering significant short-term relief and functional improvement. However, further research is needed to fully understand its long-term benefits and compare its effectiveness with other treatment modalities. The study highlights the importance of patient education and active involvement in the treatment process, which are central to the success of the McKenzie Method.
The methodology included a narrative literature review, examining the principles of the McKenzie Method, its application in clinical practice, and its effectiveness in reducing pain and disability in patients with radicular low back pain.
Results indicated that the McKenzie Approach reduces pain and improves functional outcomes in the short term, with some studies showing sustained benefits for up to 12 months. However, there is not strong evidence about superiority of McKenzie Method when it comes to investigating long-term outcomes. Some studies indicate that MDT is as effective as other LBP treatment methods in the long run, while others cannot completely confirm this finding. The best results are achieved when MDT is combined with other treatment methods such as therapeutic exercises.
The centralization phenomenon, a key principle of the McKenzie Method, was found to be a reliable indicator of positive treatment outcomes. Additionally, the method's emphasis on patient education and self-management contributed to its efficacy and reduced recurrence of symptoms.
In conclusion, the McKenzie Approach is an effective treatment for radicular low back pain, offering significant short-term relief and functional improvement. However, further research is needed to fully understand its long-term benefits and compare its effectiveness with other treatment modalities. The study highlights the importance of patient education and active involvement in the treatment process, which are central to the success of the McKenzie Method.