10
Patient Selection
IMPORTANT NOTE:
This manual explains the features and functions of the
Hill REPEX table along with certain important safety precautions.
IT IS NOT INTENDED AS A FULL TREATMENT REFERENCE.
For authoritative clinical direction for using the REPEX table and the
McKenzie Technique, please consult the book included with this manual,
‘The Lumbar Spine, Mechanical Diagnosis and Therapy’ by R.A. McKenzie,
Second Edition, Spinal Publications, New Zealand, 2003). You may also
contact the McKenzie Institute at www.mckenziemdt.org.
6.1 Indications
All patients considered for treatment by REPEX™ must be evaluated
according to the McKenzie assessment system of mechanical diagnosis
and therapy prior to commencing REPEX™ treatment (see ‘The Lumbar
Spine, Mechanical Diagnosis and Therapy’ by R.A. McKenzie, Second
Edition, included with this manual).
6.2 Contra-Indications in Use of the Repex™
All patients considered for treatment by REPEX™ must undergo a
complete assessment as described in ‘The Lumbar Spine, Mechanical
Diagnosis and Therapy’ (included with this manual).
The following conditions are contra-indicated in treatment by REPEX
™
:
1. Malignancies, primary and secondary
2. Infections of all sorts.
3. Active inflammatory diseases: rheumatoid arthritis, ankylosing spondylitis.
4. Central nervous system involvement: cauda equina lesions, cord signs and
symptoms, neurological diseases such as transverse myelitis.
5. Severe bone weakening diseases: osteoporosis, advanced osteomalacia,
Paget’s disease.
6. Fractures, dislocations and ligamentous ruptures.
7. Instability.
8. Last two months of pregnancy.
9. Vascular abnormalities: Vertebro Basilar artery involvement, visceral arterial
disease, hemophilia.
10. Advanced diabetes- low tissue vitality.
11. Increasing and peripheralization signs and symptoms.
12. Grade three or four spondylolistheis.
