THE SCIENTIFIC BASIS OF THE MCKENZIE METHOD

McKenzie koncept je dobio ime po njegovom utemeljitelju, Robinu McKenzieju fizioterapeutu sa Novog Zelanda. On je razvio sustav vježbi koji služi za prevenciju i liječenje križobolje. To je koncept koji se sastoji od dijagnostičkog i terapijskog pristupa. Simptomi su podijeljeni u 3 podskupine u spinalnoj patologiji: posturalni sindrom, disfunkcijski sindrom i sindrom strukturalnog poremećaja koji je najčešći u kliničkoj praksi. Postoje i ostali koji ne mogu biti svrstani u mehaničke sindrome. Svaka podskupina ima svoje principe liječenja. Cilj je otklanjanje simptoma te povećanje mobilnosti kralježnice i jačanje muskulature. Metoda se može koristiti i kod bolesnika s poremećajima ekstremiteta. Oni se mogu klasificirati u sljedećih 6 sindroma: sindrom strukturalnog poremećaja, artikularna disfunkcija, kontraktilna disfukcija, posturalni sindrom, spinalni i ostali sindromi. Veliku ulogu u rješavanju problema predstavljaju što ranija intervencija i aktivno sudjelovanje pacijenta. Otklanjanje simptoma se postiže kroz individualizirane programe liječenja. U literaturi se navodi da postoje dokazi kako je ova metoda učinkovitija od drugih vrsta terapija kod križobolje i smatra se da je ovo vrlo učinkovita metoda općenito.The McKenzie method was named after its developer, Robin McKenzie, a New Zeland physical therapist. He developed a set of exercises for the prevention and treatment of back pain. This system encompasses assessment, diagnosis and treatment. The symptoms are divided into 3 subgruops of spinal pathology: Postural Syndrome, Dysfunction Syndrome and Dearangment Syndrome which is the most common treatment classification. There are also other symptoms which do not fall into mechanical syndromes. Each subgruop corresponds to a specific mechanical procedure, the aim of which is the elimination of symptoms and increase in spinal mobility and musculature strenghtening. The method can also be used with the patients experiencing extremity pain, which are divided into 6 syndroms: Dearangment Syndrome, Articular Disorder, Contractile Dysfunction, Postural Syndrome, Spinal and other syndromes. Early intervention and active patient involment are a vital part of problem elimination. Symptom elimination is achieved through individualised treatment programs. Literature on this topic mentions the existence of evidence that prove this method to be more efficient than other back pain treatment methods and it is generaly considered to be very efficient