A contractile dysfunction of the shoulder

Littlewood, Chris; May, Stephen

Abstract

The McKenzie method of mechanical diagnosis and therapy (McKenzie, 1981, 1990; McKenzie and May, 2000, 2003), is commonly used in the management of spinal disorders (Foster et al., 1999; Gracey et al., 2002; Jackson, 2001). The method involves a mechanical evaluation, in which end-range repeated movements are performed and symptom and mechanical responses are monitored. According to the response patients are then classified in one of three mechanical syndromes: derangement, dysfunction, and postural syndrome. The mechanical evaluation when used with spinal patients has demonstrated reliability amongst trained clinicians (Razmjou et al., 2000; Fritz et al., 2000; Kilpikoski et al., 2002), and prognostic validity (Long, 1995; Sufka et al., 1998; Werneke et al., 1999; Werneke and Hart, 2001). The classification is used to determine management, as the different mechanical syndromes are treated in different ways.

• Journal Article Type: Article
• Acceptance Date: Nov 16, 2005
• Publication Date: 2007
• Deposit Date: Dec 20, 2024
• Journal: Manual Therapy
• Print ISSN: 1356-689X
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 12
• Issue: 1
• Pages: 80-83
• DOI: https://doi.org/10.1016/j.math.2005.11.002