Abordagem da cervicalgia com o método Mckenzie: uma revisão da literatura

Abstract

Neck pain is a common complaint. Around thirty to fifty per cent of the adult population will have a neck pain. The McKenzie Method, also known as Mechanical Diagnosis and Therapy consists of a comprehensive approach to their spine and peripheral joints. Studies suggest that McKenzie therapy provides good results in the reduction of disability and short-term pain and is more effective in patients with low back pain when compared with other therapies. However, there is little evidence to determine the effectiveness of the method in the treatment of patients with neck pain. For this reason, this study has aimed to review the literature on the management of neck pain with the McKenzie Method. We used a narrative review of seven articles from Medline, Pedro, Lilacs, published since 2000. The reviewed studies show that when compared with other treatments, including exercise, the method proves to be more favorable in the first three weeks, with a rapid improvement in pain intensity. However, when compared with cognitive-behavioral approaches, results in greater patient satisfaction, health perception, and despite the need for an extra query, has a better cost-effectiveness. When evaluating clinical and psychosocial characteristics that distinguish patients who respond well to treatment of those who do not have the same benefits can be seen that removal of paid work, the location, intensity and centralization of pain can interfere with successful treatment with approach. Among the syndromes classified by assessment method, the reducible derangement was found most frequently in the neck, with symptoms mostly asymmetrical. Treatment with the principle of extension was the most widely used technique.