In McKenzie classification, what is indicated when a patient has pain at end-range cervical retraction?

• A. Dysfunction
• B. Derangement
• C. Postural
• D. Stabilization

Answer: (A)

In the McKenzie classification, when a patient experiences pain at end-range cervical retraction, this typically indicates a dysfunction. The dysfunction category is characterized by pain resulting from mechanical stresses placed on structures that are restricted or impaired in their movement capacity. Specifically, this can occur when the intervertebral joints or surrounding soft tissues have a reduced ability to tolerate movement, leading to pain at the limits of the available range.

This pain at end-range suggests that the tissues may not be functioning properly due to a previous injury or an accumulation of small, repetitive strains that has led to adaptive shortening or contracture. This understanding aligns with the treatment approach in the McKenzie method, which aims to restore full movement and alleviate pain through specific exercises that target the impaired areas.