A Eficácia do Método Mckenzie (MDT) na dor lombar aguda: revisão da literatura

Abstract

Low back pain is a major health problem with significant implications in many western countries. Prevalence reports vary considerably, but it is estimated that 60% to 80% of people experience an episode of low back pain during their lives. Therefore, an alternative system based on the identification of a directional preference of movement has been suggested in the literature. The McKenzie method of diagnosis and mechanical therapy is a clinical approach using the directional preference system. In the McKenzie method, repeated movements in specific directions are used to determine the direction of movement that positivelyor negatively affects the symptoms presented by the patient.A review of literature was performed from June to August 2018. A research was conducted to identify studies investigating the efficacy of the McKenzie method in acute low back pain. The results presented studies comparing the McKenzie method with manual orthopedic therapy, counseling, paracetamol and possible outcomes that could influence acute low back pain.This review of literature study suggests that the use of the McKenzie method does not seem to be more effective than a therapy containing pain education and patient counseling to stay active during acute low back pain.However, the phenomenon of centralization and the directional preference of movement are clinical implications that can bringsome contribution to the recovery of individuals.