McKenzie Side Glide Test
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Purpose
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The McKenzie side slide is a provocation test for patients with back pain and more specific low back pain. The purpose of this test is to see whether the patient has pain while doing this pain provocation test, and on which moment during the test this pain is present. By doing this and other movements, like flexion and extension, the patient can be classified into one of the 3 major classifications of McKenzie.1 If the patient experiences increased symptoms as he or she bends towards the painful side, the problem may be caused by an intra-articular dysfunction or a disc protrusion lateral to the nerve root. If the patient experiences increased symptoms as he or she bends away of from the painful side, the problem may be caused by a muscular or ligamentous lesion, which will cause tightening of the muscle or ligament. The patient may also have a disc protrusion medial to the nerve root. A detailed neurological examination will help differentiate between the diagnoses. 2
According to McKenzie, the shift is considered to be clinically relevant when a sideglide test (a frontal-plane ROM test of the trunk) alters the location or intensity of the pain reported by the patient. McKenzie therefore recommended the use of a two-step procedure to determine when clinically relevant lateral shifts are present. The first step requires the therapist to observe the patient's standing posture to determine whether a lateral shift is present. The second step requires the therapist to test for the clinical relevance of a lateral shift by using side-glide tests to determine whether the site or the intensity of the pain reported by the patient can be altered.3
Technique
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Evidence[edit | edit source]
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