Nucleus pulposus deformation following application of mechanical diagnosis and therapy: A single case report with magnetic resonance imaging

Takasaki, Hiroshi, May, Stephen, Fazey, Peter J. and Hall, Toby (2010) Nucleus pulposus deformation following application of mechanical diagnosis and therapy: A single case report with magnetic resonance imaging. Journal of Manual and Manipulative Therapy, 18 3: 153-158. doi:10.1179/106698110X12640740712455


Author Takasaki, Hiroshi
May, Stephen
Fazey, Peter J.
Hall, Toby
Title Nucleus pulposus deformation following application of mechanical diagnosis and therapy: A single case report with magnetic resonance imaging
Journal name Journal of Manual and Manipulative Therapy   Check publisher's open access policy
ISSN 1066-9817
2042-6186
Publication date 2010-09-01
Sub-type Article (original research)
DOI 10.1179/106698110X12640740712455
Volume 18
Issue 3
Start page 153
End page 158
Total pages 6
Editor Chad Cook
Place of publication Hanover Walk, Leeds, West Yorkshire, U.K.
Publisher Maney Publishing
Collection year 2011
Language eng
Formatted abstract
Background: The McKenzie management strategy of mechanical diagnosis and therapy (MDT) is commonly used for the assessment and management of spinal problems. Within this system, 'derangement syndrome' is the most common classification, for which the conceptual model is an intra-discal displacement. However, the reduction of an intra-discal displacement by MDT has never been documented. The purpose of this study was to compare, using magnetic resonance imaging (MRI), the nucleus pulposus (NP) profiles before and after the use of this approach.

Patient characteristics: The patient was a 34-year-old female with a long history of right sided low back and buttock pain classified with 'derangement syndrome'.

Examination: T2-weighted images of the L4-5 disc at initial assessment were compared with that at final assessment 1 month later. Initially, the MRI showed a portion of the NP displaced right and posteriorly towards the side of pain, and an overall NP position in the coronal plane shifted to the left.

Intervention: The patient was managed with a 1-month course of the McKenzie management strategy treatment.

Outcomes: One month later, the displaced portion of the NP was no longer present and the left-shifted NP was centrally located.

Discussion: These intervertebral disc changes coincided with centralization and abolition of symptoms. This case may support the conceptual model of MDT.
© W. S. Maney & Son Ltd 2010
Keyword Intervertebral disc
Low back pain
Magnetic resonance imaging
Manual therapies
McKenzie
Nucleus pulposus
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 3 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 01 Mar 2011, 21:00:04 EST by Dr. Hiroshi Takasaki on behalf of School of Health & Rehabilitation Sciences