Diagnostic Approaches to Low Back Pain - Comparing Maitland, McKenzie and Movement Impairment Syndromes
Original Editor - Katherine Portas, Lea Cobham and Anj Leung as part of the Nottingham University Spinal Rehabilitation Project
Top Contributors - Kathryn Priest, Katherine Portas, Angela Hiu-Wai Leung, Kim Jackson, Lea Cobham, Lucinda hampton, Admin, 127.0.0.1, Evan Thomas and Candace Goh
Introduction
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Physiotherapists use a range of techniques to assess and diagnose low back pain. The most commonly used in the UK are those of Geoffrey Maitland (mobilisations), Robin McKenzie (derangement, dysfunction) and Shirley Sahrmann (movement impairment). (For extensive details on each approach, please see the links above for the relevant Physio-pedia pages. A short summary will be provided for each below).
Determining which approach is best to use, in what circumstances and with which patients, can be confusing, especially for students and newly qualified clinicians. Furthermore, clinicians rarely use just one approach, and can often use these in combination with other modalities such as acupuncture or massage (Gross et al, 2010)[1].
This page aims to clarify each of the systems, to suggest their benefits and contraindications (? pros and cons - what's the long-hand of this?), and compare them using a generic case study. This will hopefully enable the reader to begin to make up their own mind, based on the evidence and the experiences of practising professionals.
Basic Concepts and Summary of Techniques[edit | edit source]
Maitland's Mobilisations
Suggested sections (please comment on):
- Any controversy
- Relevance, the usual patient that this suits?
- Anatomy - diagrams, pics etc to illustrate the concept?
- Pros
- Cons
- Any discussions you've found online / elsewhere that have a good debate going!
- Further resources:
- Further reading:
- References
Suggested things to include (please add to):
- Case Study to suit all approaches
- interviews with proponents of each style- to gain pros and cons and interesting viewing
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Gross A, Miller J, D’Sylva J, Burnie SJ, Goldsmith CH, Graham N, Haines T, Brønfort G, Hoving JL. ManipulationfckLRor Mobilisation for Neck Pain. Cochrane Database of Systematic Reviews 2010, Issue 1.
