| Nucleus pulposus deformation following application of mechanical diagnosis and therapy: a single case report with magnetic resonance imaging. | |
| | |
MedLine Citation:
|
PMID: 21886426 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: The McKenzie management strategy of mechanical diagnosis and therapy (MDT) is commonly used for the assessment and management of spinal problems. Within this system, 'derangement syndrome' is the most common classification, for which the conceptual model is an intra-discal displacement. However, the reduction of an intra-discal displacement by MDT has never been documented. The purpose of this study was to compare, using magnetic resonance imaging (MRI), the nucleus pulposus (NP) profiles before and after the use of this approach. PATIENT CHARACTERISTICS: The patient was a 34-year-old female with a long history of right sided low back and buttock pain classified with 'derangement syndrome'. EXAMINATION: T2-weighted images of the L4-5 disc at initial assessment were compared with that at final assessment 1 month later. Initially, the MRI showed a portion of the NP displaced right and posteriorly towards the side of pain, and an overall NP position in the coronal plane shifted to the left. INTERVENTION: The patient was managed with a 1-month course of the McKenzie management strategy treatment. OUTCOMES: One month later, the displaced portion of the NP was no longer present and the left-shifted NP was centrally located. DISCUSSION: These intervertebral disc changes coincided with centralization and abolition of symptoms. This case may support the conceptual model of MDT. |
| | |
Authors:
|
Hiroshi Takasaki; Stephen May; Peter J Fazey; Toby Hall |
Related Documents
:
|
6393526 - Ct findings in acute renal infarction. 17101406 - Standard-protocol moving-table magnetic resonance angiography for planning of intervent... 8029396 - Peripheral vascular occlusive disease: accuracy and reliability of time-of-flight mr an... 21195016 - A magnetic resonance spectroscopy driven initialization scheme for active shape model b... 6521756 - Magnetic field of the earth as additional zeitgeber for endogenous rhythms? 9432176 - Mr of parenchymal spinal cord signal change as a sign of active advancement in clinical... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of manual & manipulative therapy Volume: 18 ISSN: 2042-6186 ISO Abbreviation: J Man Manip Ther Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2011-09-02 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9433812 Medline TA: J Man Manip Ther Country: England |
Other Details:
|
Languages: eng Pagination: 153-8 Citation Subset: - |
Affiliation:
|
Division of Physiotherapy, School of Health and Rehabilitation Science, The University of Queensland, Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Clinimetrics corner: choosing appropriate study designs for particular questions about treatment sub...
Next Document: Differential diagnosis and management of a patient with peripheral vestibular and central nervous sy...