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The McKenzie method for treating low back pain

The latest update on the available evidence of its efficacy

Altogether, this review shows McKenzie’s Mechanical Diagnosis and Therapy (MDT) method is not superior to a combined exercise and manual therapy approach for pain and disability in acute (

On the other hand, MDT showed greater effectiveness for the management of pain and disability in chronic (>12 weeks) LBP.

However, effect sizes were small to moderate and depending on the treatment being compared to MDT. Thus, a definite conclusion on the clinical significance of these diferences is still not possible.

MDT was not found to be superior to any of the isolated or combined approaches in acute LBP.

In chronic LBP, MDT was found superior to isolated but not to combined interventions.

These differences may be related to the distinct psychosocial and physiological factors of acute and chronic LBP.

> From: Lam et al., J Orthop Sports Phys Ther 48 (2018) 476-490 (Epub ahead of print). All rights reserved to Journal of Orthopedic & Sports Physical Therapy. Click here for the online summary.

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