McKenzie Method | Back School Method | |
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1 st week | -Presentation of the proposed methods, history, and general information about the Mckenzie method; -Completion of the exercises after initial evaluation results and indication of preference: flexion, extension, or lateral shift of the spine; -Educational component: basic information about the lower back and its structure; mechanical pain; how and why to do exercises; and types of responses that can occur in response to the exercise program; -Guidance on completing the exercises at home. | -Presentation of the proposed methods, history, and general information about the Back School method; -Anatomy and biomechanical concepts of the spine; -Epidemiology; -Muscle function and its influence on the spine; -Physiopathology of the main disorders that negatively affect the back; -Principal treatment modalities. |
2 nd week | -Progression of the exercises defined after the 1st session and progression towards other positions in line with the responses of the patient. -Educational component: basic information about the most common causes of low back pain, emphasising posture when seated for a prolonged time; practice on finding the correct seated position and maintenance of back lordosis in this position. -Guidance on continuing exercises at home. | -Variation of the mechanical forces in different movements of the back; -Relaxation posture; -Guidance on positions when seated or standing; -Instruction on breathing exercises, kinaesthetic training, stretching of the lower back, quadriceps, and hamstrings; -Guidance on completing exercises at home once a day. |
3 rd week | -Progression of the exercises defined after the 2nd session and progression towards other positions in line with the responses of the patient. -Educational component: basic information about the most common causes of low back pain; emphasising work on bending positions; standing up; relaxing after vigorous activity; remaining in standing position for prolonged periods; lying down; and resting, coughing, and sneezing. - Guidance on continuing the exercises at home. | -Observation of the exercises completed at home; -Instruction on exercises for abdominal muscular strength; -Practical application of techniques for joint protection; - Guidance on how to perform the exercises at home once a day. |
4 th week | -Progression of the exercises defined after the 3rd session and progression towards other positions in line with the responses of the patient. -Educational component: review of the most important points since the first week. | -Practical application of all the exercises and learned techniques. |