Tuesday, February 22, 2011

End-Range is Where the Magic Happens!

There are times when we meet obstructions to achieving end-range in that the patient may not be able to perform aggressive enough home exercises or perhaps their work or home duties require prolonged bending or sitting and the effectiveness of their exercise program is somewhat limited. It is imperative that we reach end-range in order to truly assess whether someone has a mechanical derangement that can respond appropriately.

As a certified McKenzie Clinic, we are required to have a REPEX Table on hand. While we certainly do not want to make patients depended on machines, the REPEX is a valuable tool to assess whether a person has achieved end-range as extension can be applied to the lumbar spine through both the lower back and hips which is not possible with standard exercises. During the past week, we have had a few patients who have significantly increased their range of motion following one or two sessions on the REPEX and one patient who has completely abolished all lower extremity pain and paresthesia simply by applying the importance of end-range principle.

If you would like to see the REPEX in action, you can visit:

Hill REPEX II Flexion Extension Therapy Table by Robin Mckenzie from Hill Laboratories on Vimeo.

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