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Mckenzie Vs William Flexion Exercise

The document compares the McKenzie extension exercise method and the Williams flexion exercise method for treating low back pain. The McKenzie method focuses on extension exercises to reduce disc pressure, while the Williams method uses flexion exercises to improve flexibility and restore function. Both methods aim to reduce pain and restore normal activities through a series of individualized low-impact exercises.

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Iftinan Amalia
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348 views38 pages

Mckenzie Vs William Flexion Exercise

The document compares the McKenzie extension exercise method and the Williams flexion exercise method for treating low back pain. The McKenzie method focuses on extension exercises to reduce disc pressure, while the Williams method uses flexion exercises to improve flexibility and restore function. Both methods aim to reduce pain and restore normal activities through a series of individualized low-impact exercises.

Uploaded by

Iftinan Amalia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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MCKENZIE EXERCISE VS

WILLIAM FLEXION EXERCISE


Iftinan Amalia
Low back pain exercise

extension

Williams Flexion
Mckenzie exercise
exercise

flexion
epidemiology

LBP

10% chronic progressive acute


1%

89%
McKenzie Method
The Lordosis (Extension) Theory
What is the McKenzie Method ?
The McKenzie Method was developed in the 1960’s by
Robin McKenzie, a physical therapist in New Zealand. In his
practice, he noted that extending the spine could provide
significant pain relief to certain patients and allow them to
return to their normal daily activities.

A central tenet of the McKenzie Method is that self-healing


and self-treatment are important for the patient’s pain relief
and rehabilitation.

No passive modalities—such as heat, cold, ultrasound,


medicine or needles—are used in the treatment.
The McKenzie Method: THREE Steps to Success
STEP 1: Assessment STEP 2: Treatment
• Unique to the McKenzie Method is a • McKenzie treatment prescribes a
comprehensive and logical step-by- series of individualized exercises.
step process to evaluate the The emphasis is on active patient
patient's problem quickly. This involvement, which minimizes the
mechanical examination can number of visits to the clinic.
"classify" most patient conditions by
the level of pain or limitation that
results from certain movements or
positions.

STEP 3: Prevention
• By learning how to self-treat the
current problem, patients gain
hands-on knowledge on how to
minimize the risk of recurrence and
to rapidly deal with recurrence if it
occurs. The likelihood of problems
persisting can more likely be
prevented through self-maintenance.
Goals

Correcting any lateral movement and passive extension exercise

• To encourage the movement of the nucleus pulposus towards the central region
• The key of the protocol is to reduce the protrusion of the intervertebral disc in order to form a
scar that would protect it against injuries

to retain lumbar lordosis


Indications

When back pain is


Forward bending is
diminished with lying
limited and increase the
down and increased
pain
with sitting
Contraindication

Numbness on
Inflammation at the Unilateral/ bilateral
different muscle
roots of the sciatic contraction of the
groups of the affected
nerve paravertebral muscles
limb
General Guidelines and Precautions :

The McKenzie back extension program consists of


SEVEN exercises, it is unlikely that in any one exercise
sessions you will need to do more than TWO. So the
exercise program is neither hard nor time-consuming.

The first FOUR back exercises are Extension exrcise,


and the last THREE are Flexion exercise.

The purpose of the exercises is to eliminate pain, and


where possible, to restore normal function.
Back Exercise (1)

1.Prone lying :
• Lie on your stomach with arms along your
sides and head turned to one side.
 Maintain this position for 5 to 10 minutes.
Back Exercise (2)

2.  Prone lying on elbows :


Lie on your stomach with your weight on your
elbows and forearms and your hips touching the
floor or mat.  Relax your lower back.  Remain in
this position 5 to 10 minutes.  If this causes pain,
repeat exercise 1, then try again.
Back Exercise (3)

3.  Prone press-ups :
Lie on your stomach with palms near your
shoulders, as if to do a standard push-up. Slowly
push your shoulders up, keeping your hips on the
surface and letting your back and stomach sag.
 Slowly lower your shoulders.  Repeat 10 times.
Progressive extension with
pillows :

• Lie on your stomach and place a


pillow under your chest.  After
several minutes, add a second
pillow.  If this does not hurt, add a
third pillow after a few more
minutes.  Stay in this position up to
10 minutes.  Remove pillows one at
a time over several minutes.
Back Exercise (4)

 
4.  Standing extension:
• While standing, place your
hands in the small of your back
and lean backward.  Hold for 20
seconds and repeat. Use this
exercise after normal activities
during the day that place your
back in a flexed position: lifting,
forward bending, sitting, etc.
Back Exercise (5)

5. Flexion in Lying:
Lie on your back with your knees bent and your
feet flat on the floor of bed. Bring both knees up
toward your chest. Place your hands around your
knees and gently but firmly pull your knees as
close to your chest as pain permits.
Back Exercise
(6,7)

6,7. Flexion in Standing and Sitting :


Bend forward and run your fingers down your
legs as far as you can comfortably reach or bend
your back while seated in a chair.
Why use extension exercises?

• Reduction in the neutral tension


• decreases disk pressure
• Increases in the strength of extensor
muscles
NOTE :
Exercises 5,6,7 should always be followed
immediately by exercise 3, Extension in Lying. In
this way, you can rectify any distortion that could
develop from exercise 5,6,7.
Williams flexion exercise
The Flexion Theory
What is the Williams
Method ?
• Dr. Paul Williams first published his
exercise program in 1937 for
patients with chronic low back pain
in response to his clinical
observation that the majority of
patients who experienced low back
pain had degenerative vertebrae
secondary to degenerative disk
disease.
Goals:

• help improve lumbar flexion of the


lumbar vertebra while limiting
lumbar extension to reduce pain and
restore function
• increase in the flexibility of the
hamstring muscles, hip flexors,
lumbar extensor muscles, and
abdominal muscle 
Indications

When back pain is


Forward bending is
diminished with sitting Abdominal tone and
limited and increase the
and increased with strength are poor
pain
lying down or standing
Contraindication

Numbness on
Inflammation at the Unilateral/ bilateral
different muscle
roots of the sciatic contraction of the
groups of the affected
nerve paravertebral muscles
limb
Stage of williams

1st stage 2nd stage 3rd stage


• Treated from kinetic point of • Prepare the backbone to • Aims at the retrification of
view only in supine position support a heavier weight the pelvis, restore body
when in a vertical position symmetry, fighting bad attire
• The verticalization will be standing and walking
performed gradually • Toning the abdominal
muscles and back extensors
to achieve a neutral position
of the pelvis and to create an
abdominal pressure placed on
the lower lumbar
intervertebral discs
1. Pelvic tilt :

• Lie on your back with knees bent, feet flat on floor.


 Flatten the small of your back against the floor,
without pushing down with the legs.  Hold for 5 to 10
seconds.
2. Single Knee to chest :

• Lie on your back with knees bent and feet


flat on the floor.  Slowly pull your right
knee toward your shoulder and hold 5 to
10 seconds.  Lower the knee and repeat
with the other knee.
3. Double knee to chest :

• Begin as in the previous exercise.  After


pulling right knee to chest, pull left knee to
chest and hold both knees for 5 to 10
seconds.  Slowly lower one leg at a time.
4. Partial sit-up :

• Do the pelvic tilt (exercise 1) and, while


holding this position, slowly curl your head
and shoulders off the floor.  Hold briefly.
 Return slowly to the starting position.
5. Hamstring stretch :

• Start in long sitting with toes directed toward the


ceiling and knees fully extended.  Slowly lower the
trunk forward over the legs, keeping knees extended,
arms outstretched over the legs, and eyes focus
ahead.
6. Hip Flexor stretch
(Lunges):

• Place one foot in front of the other with the


left (front) knee flexed and the right (back)
knee held rigidly straight.  Flex forward
through the trunk until the left knee contacts
the axillary fold (arm pit region).  Repeat with
right leg forward and left leg back.
7. Squat :

• Stand with both feet parallel, about


shoulder’s width apart.  Attempting
to maintain the trunk as
perpendicular as possible to the
floor, eyes focused ahead, and feet
flat on the floor, the subject slowly
lowers his body by flexing his
knees.  
8. Seated Flexion :

• This exercise is performed by having the


patient sit in a chair and flex fully forward in a
slumped position.
Why use flexion exercises?

• Reduction in the articular stresses


• Opening of the intravertebral foramen to
provide additional lumbar stability
THANK YOU

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