Donelson R
Department of Orthopedic Surgery, State University of New York, Health Science Center, Syracuse.
Orthop Rev. 1990 Aug;19(8):681-6.
The McKenzie approach to evaluating and treating low back and neck pain is an exciting development in clinical medicine. A thorough mechanical assessment as described by McKenzie is informative and appropriate for all such patients and identifies an individualized self-treatment program that is often dramatically successful. Despite its world-wide use, this comprehensive discipline of evaluation and treatment is misunderstood or unappreciated by most medical practitioners. The assessment process and McKenzie's classification of low back pain syndromes--postural, dysfunctional, and derangement--are described. Therapeutic regimens emphasizing patient self-treatment for the current episode are presented, with the long-range goal of preventing recurrences.
麦肯齐评估和治疗腰颈疼痛的方法是临床医学领域一项令人振奋的进展。麦肯齐所描述的全面力学评估对所有这类患者都具有指导意义且适用，能确定一个往往极为成功的个体化自我治疗方案。尽管该方法在全球广泛应用，但大多数医学从业者对这一全面的评估和治疗学科存在误解或认识不足。文中描述了评估过程以及麦肯齐对腰背痛综合征的分类——姿势性、功能障碍性和紊乱性。还介绍了针对当前发作强调患者自我治疗的治疗方案，其长期目标是预防复发。
