We are an independently-owned physical therapy practice and the following is a partial list of some of our services. We accept most health insurance plans.
- McKenzie Method for the Spine
- McKenzie Method for Extremities
- Spine Rehabilitation
- Vestibular Rehabilitation
- Ergonomic Consultation
- Falls Prevention and Balance Rehabilitation Programs
- Orthopedic and Sports Injury
- Pre- and Post-operative Rehabilitation
- REPEX - Repeated End-Range Passive Exercise
What is REPEX?
The REPEX table, which is a required piece of equipment for certified McKenzie Clinics, takes the patient through repetitive end-range passive range of motion movement of flexion and/or extension. The exclusive design of the REPEX was created by Robin McKenzie to address mechanical disorders of the low back using the McKenzie technique. As we evaluate and treat patients with mechanical back disorders and have determined that extension is their direction preference, it is then important that we achieve a treatment plan that attains not only "end-range of motion" but also that the frequency of these exercises can be achieved within a short period of time.
I was recently referred a patient with complaints of constant sciatica which did not relieve with any change of position or at rest. She also exhibited a positive straight leg raise with weakness in the foot, which were all strong indicators for possible surgical intervention. The patient did however demonstrate "centralization", but she was unable to maintain "centralization" throughout her day which involved long periods of sitting. She also had difficulty due to arm strength in achieving full extension. It was then decided that her home exercise program and our treatment plan were not maintaining the correction of this complicated derangement.
We then introduced the REPEX and the patient was able to obtain further increase in range of motion with multiple repetitions as well as now including extension of the hips. This now maintained centralization and kept symptoms away for several days. She is now able to perform repetitive extension exercise with less difficulty and she can also keep her symptoms centralized and abolished, and her straight leg raising is now within normal limits with increase in lower extremity strength noted as well.
We do not use the REPEX on all patients, as the treatment philosophy for all certified McKenzie clinics is to have the patient become independent with their own treatment however, it is a valuable tool when there are obstacles to obtaining full range of motion. We also use the REPEX to rule out certain conditions as we can be assured that the patient is definitely achieving full extension range of motion.