MCKENZIE APPROACH AS A TREATMENT FOR CHRONIC PAIN IN INDIVIDUALS WITH CERVICAL SYNDROME – A CASE STUDY

Petkovska, Daniela and Zivkovic, Vujica (2025) MCKENZIE APPROACH AS A TREATMENT FOR CHRONIC PAIN IN INDIVIDUALS WITH CERVICAL SYNDROME – A CASE STUDY. Knowledge – International Journal, 72 (4). pp. 407-414. ISSN 1857-923X

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Abstract

Abstract: The aim of this case study is to examine the effectiveness of the McKenzie approach in treating a female
patient diagnosed with chronic neck pain due to cervical syndrome. The subject is a 40-year-old woman with a
sedentary lifestyle and a body mass index of 28.3, diagnosed with a dysfunction-type cervical syndrome. The
intervention comprised a total of 30 sessions, including 10 sessions of active McKenzie exercises, 10 sessions of
manual mobilization based on the McKenzie concept, and 10 sessions focused on home exercises and education
aimed at promoting functional daily habits and a healthier lifestyle.
The effectiveness of the intervention was evaluated at three time points: pre-treatment, mid-treatment, and post
treatment. The assessment tools used included Manual Muscle Testing (MMT) for muscle strength evaluation,
Range of Motion (ROM) measurements for cervical spine mobility, and the Visual Analog Scale (VAS) for
assessing pain during movement. Additionally, the Spurling test was administered to assess for possible radicular
irritation. Questionnaires were also employed to assess functional disability and quality of life: the Neck Disability
Index (NDI), the SF-36 Health Survey, and a sedentary behavior questionnaire, administered both at the beginning
and end of the intervention.
The results demonstrated a marked reduction in pain, improvement in muscle strength, increased range of motion,
and enhancement of both physical and psychological functioning, as well as healthier lifestyle behaviors. This case
study supports the potential benefits of the McKenzie approach in managing chronic cervical syndrome.

Item Type:	Article
Subjects:	Scientific Fields (Frascati) > Medical and Health Sciences > Health sciences Scientific Fields (Frascati) > Medical and Health Sciences > Other medical sciences
Divisions:	Higher Medical School
Depositing User:	MSc Daniela Petkovska
Date Deposited:	31 Oct 2025 12:00
Last Modified:	31 Oct 2025 12:00
URI:	https://eprints.uklo.edu.mk/id/eprint/11160

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