An adherent nerve root--classification and exercise therapy in a patient diagnosed with lumbar disc prolapse.

摘要

In Denmark the McKenzie method is one approach frequently used by physical therapists treating back pain patients, including those with lumbar disc prolapse. Previous studies indicated that 83-88% of low back patients can be classified into one of the McKenzie syndromes and thereafter managed successfully with conservative care (May, 2004; Hefford, 2008).The most common classification was Derangement syndrome (80%), whereas Dysfunction syndrome was found in only 3-6% of patients (May, 2004; Hefford, 2008). A subgroup of the Dysfunction category is adherent nerve root (ANR) (McKenzie and May, 2003). Thus, the ANR subgroup is a relatively rare finding in low back patients and therefore difficult to conduct randomized clinical trials on (Ellis and Hing, 2008). No previous case reports have described McKenzie assessment and management of patients classified as ANR.