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Redaction section Effectiveness of the article McKenzie method

A 2004 systematic review into the clinical evidence of the McKenzie method's ability to treat spinal pain concluded that the McKenzie method decreased short-term (<3 months) to a higher degree than other standard treatments including nonsteroidal anti-inflammatory drugs, educational booklet, back massage with back care advice, strength training with therapist supervision, and spinal mobilization. At the intermediate term there was no statistical differences among therapies.^[1]

A 2006 systematic literature review evaluated whether the McKenzie method treated back pain more effectively than passive therapy, activity tips, flexion exercises, and others. The assessment concluded that there is some evidence that the Mackenzie method is more effective than passive therapy and recommendations to remain active in patients with acute low back pain, but the magnitude of the effect was clinically insignificant. In him says that there is limited evidence for using the McKenzie method in chronic low back pain.^[2]

A 2012 systematic review of the study of centralization agreed with this, finding that centralization occurred more often in acute patients (74%) compared with subacute and chronic (42%). The authors concluded that findings of centralization at baseline would appear to be useful indicators of management strategies and prognosis.^[3]

The 2018 literature review states that MDT is not superior to other rehabilitation interventions to reduce pain and disability in patients with acute low back pain and superior to other rehabilitation interventions in patients with chronic low back pain, although the size of the effect was small or moderate. He says that the received of standardized education of the McKenzie method positively affected the results of those who used it to treat patients.^[4]

^ Busanich, B. M., & Verscheure, S. D. (2006). Does McKenzie Therapy Improve Outcomes for Back Pain? Journal of Athletic Training, 41(1), 117–119.
^ Carneiro Machado L A, von Sperling de Souza M, Ferreira P H, Ferreira M L. The McKenzie method for low back pain: a systematic review of the literature with a meta-analysis approach. Spine 2006; 31(9): E254-E262. [PubMed]
^ May, S; Aina, A (2012). "Centralization and directional preference: A systematic review" (PDF). Manual Therapy. 17 (6): 497–506. doi:10.1016/j.math.2012.05.003. PMID 22695365.
^ Lam OT., Strenger DM., Chan-Fee M., Pham PT., Preuss RA., Robbins SM. (2018). “Effectiveness of the McKenzie Method of Mechanical Diagnosis and Therapy for Treating Low Back Pain: Literature Review With Meta-analysis.” J Orthop Sports Phys Ther. Jun;48(6):476-490. doi: 10.2519/jospt.2018.7562.

[1] Busanich, B. M., & Verscheure, S. D. (2006). Does McKenzie Therapy Improve Outcomes for Back Pain? Journal of Athletic Training, 41(1), 117–119.

[2] Carneiro Machado L A, von Sperling de Souza M, Ferreira P H, Ferreira M L. The McKenzie method for low back pain: a systematic review of the literature with a meta-analysis approach. Spine 2006; 31(9): E254-E262. [PubMed]

[ReferenceA-3] May, S; Aina, A (2012). "Centralization and directional preference: A systematic review" (PDF). Manual Therapy. 17 (6): 497–506. doi:10.1016/j.math.2012.05.003. PMID 22695365.

[4] Lam OT., Strenger DM., Chan-Fee M., Pham PT., Preuss RA., Robbins SM. (2018). “Effectiveness of the McKenzie Method of Mechanical Diagnosis and Therapy for Treating Low Back Pain: Literature Review With Meta-analysis.” J Orthop Sports Phys Ther. Jun;48(6):476-490. doi: 10.2519/jospt.2018.7562.

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