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Message From McKenzie

To the Editor:

I would like to take this opportunity to draw the attention of your readers to concerns that I have about the use of concepts and methods of spinal mechanical therapy that I have developed.

Controversial methods that I first presented in the United States in 1976 have now become commonplace in clinics and hospitals. At that time, the most common forms of movement applied to the spine involved various forms of flexion. Avoiding lumbar extension was part of the routine treatment for low back problems.

As a result of my courses over the past eight years, physical therapists throughout the United States have educated physicians and surgeons to the fact that extension performed in a specific manner under specific circumstances has very beneficial effects. A majority of patients with recurring episodic low back pain and referred pain respond dramatically to various extension maneuvers....

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Physical Therapy 1985 65: 1728-1729. [Abstract] [PDF]