(Mechanical Diagnosis and Therapy)
The McKenzie method is one of the most used treatments for back pain and recommended for physiotherapist and doctors all over the world.
The McKenzie method of Mechanical Diagnosis and Therapy was developed by New Zealand physical therapist Robin McKenzie, in 1956. What he called Mechanical Diagnosis and Therapy (MDT) is a method based on a clinical history and examination based on repeated movements from which according to the response obtained we indicate which mechanical forces will help us to reduce the problem.
It is based on the patient's clinical response to the application of mechanical methods to determine its classification into subgroups or syndromes established by Robin McKenzie such as:
- Derangement Syndrome
- Dysfunction Syndrome
- Postural Syndrome
The McConnell Concept, developed by Australian physiotherapist Jenny McConnell is based on an understanding of the influence of posture on dynamic activities as a causative factor for
THE MULLIGAN CONCEPT
The Mulligan Concept is a Manual Therapy method created in the 80s by New Zealand physiotherapist Brian Mulligan.
It is currently used in the assessment and treatment of neuro - musculoskeletal disorders worldwide, and has recently been introduced in Spain.
The physiotherapy treatment of musculoskeletal injuries has progressed from active exercise and gymnastics recovery in its origins, to the application by physiotherapist of physiological passive movements and passive movement accessories. Brian Mulligan´s concept of mobilization with movement ( MWMS ) in the extremities and natural apophyseal landslides sustained (SNAGs ) in the column are the logical continuation of this trend , with the simultaneous application of a passive accessory movement by the Physiotherapist and active physiological movement generated by the patient.
The treatment techniques are very functional and have immediate effect on the range of motion and / or pain. Manual techniques, self –treatment and bandages are applied. In the last years, more than 100 scientific articles about this concept have been published in important Physiotherapy international magazines (JOSPT,Manual Therapy, Physical Therapy, JMPT, JMMT, etc.)
The immediate effects of these techniques are explained by the joint correcting positional errors and / or production of neurophysiological effects.