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Abstract
Modification of Classical Mckenzie Treatment for Grade I Lumbar Spondylolythesis with Posterior Lumbar Disc Protrusion
A suggested modification to the classical (Mechanical Diagnosis & Therapy (MDT) protocols of McKenzie) by substituting the flexion protocol with extension exercises treatment to be applied on grade (I) lumbar spondylolisthesis cases associated with posterior lumbar disc protrusion at level L4/5. This conclusion is supported by a proof case who was treated by extension exercises in 36 sessions of physiotherapy (in addition to the classical rehabilitation), and it was found that all her mechanical symptoms were improved, pain was decreased significantly, dynamic stability of the spine was increased, and signs of upper motor neuron lesion (UMNL) disappeared.