Flexion Directional Preference in lower back pain | Dr. Brian Greer | PT Pro Talk Podcast

✨💭 ”After the patient was sustained (sustained midrange flexion in supine), all of a sudden he started to respond well to flexion in supine.” - Dr. Brian Greer

👉🏻 Our guest is Dr. Brian Greer, PT, DPT, Dip MDT. Brian Greer is a McKenzie Diplomat practicing in Glastonbury, Connecticut. He participated in McKenzie Parts A and B during his clinical rotation at Maccio Physical Therapy in Troy, NY, and graduated from Springfield College in 2016. He went on to become Mckenzie Certified in 2017 and became a McKenzie Diplomat in 2019 after completing his Diploma training in Austin, TX. He opened his McKenzie Certified clinic in Connecticut in April 2021. He went on to publish this case report in February of 2022.


📚What will you learn:
▪️ Brian's story and career
▪️ Presentation of his JOSPT case report
▪️ Differential diagnosis
▪️ Flexion directional preference loading strategies
▪️ Important signs on patient history
▪️ Recovery of function

🔎Brian's favorite resource of information:
2-Maccio, R. J.; Tranquillo, J.; Greer, B. Flexion Directional Preference in a Patient With Low Back Pain, Utilizing Mechanical Diagnosis and Therapy: A Case Report. JOSPT. 2022

📲Brian’s contact information:

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[tahaabdelrahman]

Good morning, I've some questions about :Flexion direction preference.

First of all, a lot of papers are published about flexion movement as it creates neural compromise [ like: premature demyelination, based on H-reflex response ] even if patients initially respond well to flexion motion at discogenic L4-5 disc.

1st question: To what extent is this statement true [ based on objective measures like EMG studies that give a chance to watch decompression positions like H-reflex ] ?

2nd question: Does the difference in level of disc degeneration affect the response to mechanical diagnosis and to what extent it may affect?