Directional Preference: Difference between revisions

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== Definition ==
== Definition ==
The clinical phenomenon where using a specific direction of repeated movement or a sustained positions results in an improvement in either symptoms or mechanical presentation.  
The clinical phenomenon where using a specific direction of repeated movement or a sustained positions results in an improvement in either symptoms or mechanical presentation. It was originally hypothesized to occur due to a specific movement causing a reductive force on displaced disc material<ref>https://pubmed.ncbi.nlm.nih.gov/14589229/</ref>, however, this may not always be the case due to people experiencing a directional preference without disc displacement. 


It has commonly associated with Mechanical Diagnosis and Therapy (the McKenzie Approach) for the treatment of derangement classifications of the spine.  
It has commonly associated with Mechanical Diagnosis and Therapy (the McKenzie Approach) for the treatment of derangement classifications of the spine.  


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== Directional Preference vs. Centralization ==
Often, it is believed that the phenomenon of directional preference and centralization are the same. However, both are separate events that can occur. Centralization is the movement of distal symptoms proximally toward the spine through mechanical loading. Each even can occur separately at times. Some can have a directional preference without experiencing centralization, however, a patient cannot experience centralization without a directional preference.


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Revision as of 22:13, 31 May 2022

Original Editor - User Name

Top Contributors - Matt Huey, Lucinda hampton and Kim Jackson  

Definition[edit | edit source]

The clinical phenomenon where using a specific direction of repeated movement or a sustained positions results in an improvement in either symptoms or mechanical presentation. It was originally hypothesized to occur due to a specific movement causing a reductive force on displaced disc material[1], however, this may not always be the case due to people experiencing a directional preference without disc displacement.

It has commonly associated with Mechanical Diagnosis and Therapy (the McKenzie Approach) for the treatment of derangement classifications of the spine.

Directional Preference vs. Centralization[edit | edit source]

Often, it is believed that the phenomenon of directional preference and centralization are the same. However, both are separate events that can occur. Centralization is the movement of distal symptoms proximally toward the spine through mechanical loading. Each even can occur separately at times. Some can have a directional preference without experiencing centralization, however, a patient cannot experience centralization without a directional preference.

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Resources[edit | edit source]

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References[edit | edit source]