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McKenzie
Instituttet
Danmark
Hensigten med dette nummer af
nyhedsbladet var at belyse MDT
og dets potientiale.
Én indgangsvinkel hertil har været
at spørge faculty medlemmer I
McKenzie Institut International ad
om deres mening.
I denne omgang kommer her et
bud fra Andrew Holdom, Faculty
UK, Grant Watson Faculty New
Zealand, Uffe Lindstrøm Faculty
Danmark og slutteligt Fra Robin
McKenzie.
Red.
Robin McKenzie
CNZM, OBE, FCSP (Hon),
FNZSP (Hon), Dip MT
What sparked your interest in
mechanical therapy and then
led to such a commitment?
First of all in 1956-7 there was
no such thing as MDT. The
chance event with Mr Smith led
to a sequence of experiments
Faculty perspectives
Faculty perspectives
of trial and error that exposed the
full spectrum of end range movements
and positions that could
lead to centralisation, reduction, or
abolition of symptoms. In the
early 1960’s I read Farfan’s text
called “Mechanical Disorders of
the Low Back” It was after reading
that, that I recognised I was diagnosing
and treating mechanical
disorders of the low back. Hence
Mechanical Diagnosis and Therapy.
The commitment came because
of the frustration that resulted
from the failure by the so
called experts to recognise the
importance of these phenomenon.
Hence my determination to “ram it
down their throats” It would appear
that this is a life long mission.
What do you feel is the biggest
problem(s) students on our
courses have assimilating MDT
principles?
Mainly because the approach is
so completely different from all of
their prior experiences and teachings.
These teachings commonly
require a diagnosis and evaluation
based solely on what the therapist
sees and feels and which
completely ignores what the patient
feels and reports in response
to end range movement
and positional loading.
Physical Therapists traditionally
do something to the patient. Usually
by hands on! The idea that
the patient himself can achieve a
better result without being given
the magic fingers treatment is
anathema. How embarrassing it
must be if you have been manipulating
and mobilising patients for
ten years only to find out that
much, if not most of it is totally
unnecessary. Students will be
convinced if they see it happening.
Hence the need for
large numbers of patients on
courses.
What do you see as the most
challenging aspect of mechanical
therapy’s future?
Without doubt it is the dissemination
of the knowledge of
MDT that is paramount. Publishing
and dissemination. Repeatedly
presenting the evidence
again and again. Ignorance
of our operation and
method is so widespread because
it challenges current
thinking. How many researchers
have ever sat through a
patient evaluation and witnessed
centralisation reduction
or abolition of symptoms?
None that matter, as far as I
am aware.
When you have to explain over
and over, wherever you go,
what centralisation is, what it
means in terms of prognosis,
and what you have to do to
achieve it, you eventually treat
the ignorant with contempt. At
least I do. The original book
was written in 1981 for god’s
sake. How long does it take?
Until the evidence is beyond
doubt we remain unnoticed in
the general sense.
What do you see as the most
promising aspect of mechanical
therapy’s future?
Mounting Evidence. Again
without doubt, the rapid rash of
studies giving a continuous
flow of support must eventually
Volume 17. nr. 3. December 2005 McKenzie Institut Danmark, Nyhedsbrev 12