ArticleArchives of medical science : AMS2025
Symptom characteristics in self-observation and directional preference in patients with low back pain undergoing McKenzie therapy.
Article in Archives of medical science : AMS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
- A double-blind randomized controlled trial comparing the effects of the Mézières method and Isostretching postures in sagittal stand position evaluated through the Spinal MouseArchives of medical science : AMS · 2025Article
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3 authors.
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Abstract
Introduction: The McKenzie Method, also known as Mechanical Diagnosis and Therapy (MDT), is currently one of the most well-known methods for diagnosing and treating spinal and limb pain syndromes. The study aimed to analyze the self-observations of the symptom characteristics in comparison with directional preference (DP) in the therapeutic procedures. Material and methods: A study was conducted based on the therapeutic records of patients treated by MDT. The study was carried out on a group of 302 patients. The analysis of the symptoms in self-observations of the patient was conducted. The data were compared using various schemes: gender, age range, type of work, classification, positional preferences, and applied directional procedures. Results: Patients more commonly indicate the movements that increase symptoms. The individuals treated with the extension DP reported an increase in pain symptoms during sitting, bending, and standing. The majority of patients were classified into the D3 group and treated with an extension-based approach. With increasing age, the number of individuals classified as D1 decreased, while those classified as D5 increased. In the oldest age group, the number of other than extensional therapeutic DP increased. Conclusions: Patients are not able to indicate the movements that decrease the symptoms while the movements that increase the symptoms are better recognized. Certified physiotherapists should educate about the centralization phenomenon and directional preference. While extension movements generally lead to a reduction in reported pain symptoms, they are not the only movements that can centralize symptoms and should not be applied without a thorough examination of the patient.
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