Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 08 Sept 2009

Centralization Phenomenon: Its Usefulness in Evaluating and Treating Referred Pain

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Page Range: 10 – 14
DOI: 10.17761/ijyt.6.1.b3587167251j5k14
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In patients with low-back and radiating leg pain, a clinical phenomenon has been described known as "centralization," which occurs during a mechanical evaluation protocol described by McKenzie. Relocation of the most distal pain in a proximal or central direction characterizes the pain behavior when patients are assessed in this fashion.

DiMaggio A, Mooney V. The McKenzie approach: Exercise effective against low-back pain. Journal of Musculoskeletal Medicine December 63-72, 1987.

Kopp JR. The use of lumbar extension in the evaluation and treatment of patients with acute herniated nucleus pulposus, a preliminary report. Clin Orthop 202:211, 1986.

McKenzie R.A. The lumbar spine: Mechanical diagnosis and therapy. Waikanae, New Zealand, Spinal Publications, 1981, pp 22-80.

McKenzie R.A. Prophylaxis in recurrent low back pain. N Z Med J 89:22-23, 1979.

McKenzie RA. A manual correction of sciatic scoliosis. N Z Med J 76:194-199, 1972.

Nwuga G., Nwuga V. Relative therapeutic efficacy of the Williams and McKenzie protocols in back Pam management. Physiothenw Practice 1: 99-105, 1985.

Ponte D.J., Jensen G.J., Kent B.E. A preliminary report on the use of the McKenzie protocol versus Williams protocol in the treatment of low back pain. J Orthop Sports Phys Ther 6:130-139, 1984.

VanhaRanta H. Videman T. Mooney V: McKenzie exercises, back trac and back school in lumbar syndrome. Presented at the annual meeting of the International Society for the Study of the Lumbar Spine, Dallas, Texas, June 1986.

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