alexa Modification of Classical Mckenzie Treatment for Grade I Lumbar Spondylolythesis with Posterior Lumbar Disc Protrusion
ISSN: 2155-9627

Journal of Clinical Research & Bioethics
Open Access

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Case Report

Modification of Classical Mckenzie Treatment for Grade I Lumbar Spondylolythesis with Posterior Lumbar Disc Protrusion

Hady Atef Labib Mohammed*

Demonstrator of Physical Therapy for Cardiopulmonary Conditions, Faculty of Physical Therapy, Cairo University, Egypt

*Corresponding Author:
Hady Atef Labib Mohammed
Demonstrator of Physical Therapy for Cardiopulmonary Conditions
Faculty of Physical Therapy
Cairo University, Egypt
Tel: 00201119699110
E-mail: [email protected]

Received date: Aprial 14, 2014; Accepted date: July 04, 2014; Published date: July 07, 2014

Citation: Mohammed HAL (2014) Modification of Classical Mckenzie Treatment for Grade I Lumbar Spondylolythesis with Posterior Lumbar Disc Protrusion. J Clinic Res Bioeth 5:185 doi: 10.4172/2155-9627.1000185

Copyright: © 2014 Mohammed HAL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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.


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