direction-specific exercises for low back pain | directional preference
direction-specific exercises can be a great option to relieve or decrease acute low back pain in patients with a directional preference
the mckenzie method
the mckenzie method of mechanical diagnosis and therapy is a biopsychosocial system of musculoskeletal care emphasizing patient empowerment & self-treatment
i prefer extension: back pain self-help exercise based on “directional preference,” but only “centralizers” need apply (member post)
how do you know which way to exercise your back? the way you prefer.
low back pain and sciatica: directional preference treatment | moyer total wellness
directional preference treatment is a type of exercise that targets the specific tissues responsible for a patient's symptoms.
shoulder directional preference - is this mckenzie magic?
this blog shares a video with a great demonstration of directional preference in a shoulder and the potential of self-treatment using mckenzie method.
directional preference sample progressions for low back pain with radiating pain – adult and pediatric printable resources for speech and occupational therapists
this resource is for clients wanting to take control of back pain that is radiating down the leg. directional preference exercise, or stretching in a direction that reduces or brings symptoms closer to your back, can be useful to help control symptoms early on during the rehabilitation process. this intervention outlines some strategies that can help move the pain out of the leg during recovery.
[pdf] efficacy of directional preference management for low back pain: a systematic review | semantic scholar
although this systematic review showed mixed results, some evidence was found supporting the effectiveness of dpm when applied to participants with a dp, particularly at short-term and intermediate-term follow-ups. background providing specific treatment based on symptom response for people with low back pain (lbp) and a directional preference (dp) is a widely used treatment approach. the efficacy of treatment using the principles of directional preference management (dpm) for lbp is unclear. objective the purpose of this study was to determine the efficacy of treatment using the principles of dpm for people with lbp and a dp. methods computer databases were searched for randomized controlled trials (rcts) published in english up to january 2010. only rcts investigating dpm for people with lbp and a dp were included. outcomes for pain, back specific function, and work participation were extracted. results six rcts were included in this review. five were considered high quality. clinical heterogeneity of the included trials prevented meta-analysis. grade quality assessment revealed mixed results; however, moderate evidence was identified that dpm was significantly more effective than a number of comparison treatments for pain, function, and work participation at short-term, intermediate-term, and long-term follow-ups. no trials found that dpm was significantly less effective than comparison treatments. conclusions although this systematic review showed mixed results, some evidence was found supporting the effectiveness of dpm when applied to participants with a dp, particularly at short-term and intermediate-term follow-ups. further high-quality rcts are warranted to evaluate the effect of dpm applied to people with lbp and a dp.
directional preference following epidural steroid injection in three patients with acute cervical radiculopathy
by mehul j. desai, girish padmanabhan, ajai simbasivan, et al., published on 09/01/13
repeated motions and directional preference
when most people think of mckenzie method, they think of extension based exercises and herniated disks. that is but the tip of the iceberg. a true understanding of the system that mckenzie offers can...
symptom characteristics in self-observation and directional preference in patients with low back pain undergoing mckenzie therapy
introduction: the mckenzie method, also known as mechanical diagnosis and therapy (mdt), is currently one of the most well-known methods for diagnosing and treating spinal and limb pain syndromes. the study aimed to analyze the self-observations of the symptom characteristics in comparison with...
directional preference constructs for patients’ low back pain in the absence of centralization
objectives: a detailed description of how directional preference (dp) constructs are measured could accelerate research to practice translation and improve research findings for mechanical diagnosis and therapy (mdt) stakeholders. a secondary ...
healthy back flexion program – knowing your back’s directional preference
we are excited to announce our healthy back on-line exercise program.
how flexion and extension bias help classify back pain
find out the difference between the flexion and extension bias and how a directional preference helps classify back pain.
directional preference for low back pain
find your directional preference for low back pain to identify your back's preferred movement direction for effective treatment.
extension bias and how to position your spine to manage low back pain
get information on extension bias and how you might position your spine to manage your back pain and other symptoms.
personalized steering of large language models: versatile steering vectors through bi-directional preference optimization
researchers have been studying approaches to steer the behavior of large language models (llms) and build personalized llms tailored for various applications. while fine-tuning seems to be a direct solution, it requires substantial computational resources and may significantly affect the utility of the original llm. recent endeavors have introduced more lightweight strategies, focusing on extracting "steering vectors" to guide the model's output toward desired behaviors by adjusting activations within specific layers of the llm's transformer architecture. however, such steering vectors are directly extracted from the activations of human preference data and thus often lead to suboptimal results and occasional failures, especially in alignment-related scenarios. this work proposes an innovative approach that could produce more effective steering vectors through bi-directional preference optimization. our method is designed to allow steering vectors to directly influence the generation probability of contrastive human preference data pairs, thereby offering a more precise representation of the target behavior. by carefully adjusting the direction and magnitude of the steering vector, we enabled personalized control over the desired behavior across a spectrum of intensities. extensive experimentation across various open-ended generation tasks, particularly focusing on steering ai personas, has validated the efficacy of our approach. moreover, we comprehensively investigate critical alignment-concerning scenarios, such as managing truthfulness, mitigating hallucination, and addressing jailbreaking attacks. remarkably, our method can still demonstrate outstanding steering effectiveness across these scenarios. furthermore, we showcase the transferability of our steering vectors across different models/loras and highlight the synergistic benefits of applying multiple vectors simultaneously.
arithmetic control of llms for diverse user preferences: directional preference alignment with multi-objective rewards
haoxiang wang, yong lin, wei xiong, rui yang, shizhe diao, shuang qiu, han zhao, tong zhang. proceedings of the 62nd annual meeting of the association for computational linguistics (volume 1: long papers). 2024.
directional preference in dogs: laterality and "pull of the north"
laterality is a well described phenomenon in domestic dogs. it was shown that dogs, under calm earth
a very cool study: directional preference in action - elevation physiotherapy & wellness
a very cool study: directional preference in action - elevation physiotherapy & wellness - feringsteve - in a previous blog, i was mentioning the mckenzie system of mechanical diagnosis and therapy (mdt) and outlined what a “directional preference” is: the
europe pmc
europe pmc is an archive of life sciences journal literature.
arithmetic control of llms for diverse user preferences: directional preference alignment with multi-objective rewards
fine-grained control over large language models (llms) remains a significant challenge, hindering their adaptability to diverse user needs. while reinforcement learning from human feedback (rlhf) shows promise in aligning llms, its reliance on scalar rewards often limits its ability to capture diverse user preferences in real-world applications. to address this limitation, we introduce the directional preference alignment (dpa) framework. unlike the scalar-reward rlhf, dpa incorporates multi-objective reward modeling to represent diverse preference profiles. additionally, dpa models user preferences as directions (i.e., unit vectors) in the reward space to achieve user-dependent preference control. our method involves training a multi-objective reward model and then fine-tuning the llm with a preference-conditioned variant of rejection sampling finetuning (rsf), an rlhf method adopted by llama 2. this method enjoys a better performance trade-off across various reward objectives. in comparison with the scalar-reward rlhf, dpa offers users intuitive control over llm generation: they can arithmetically specify their desired trade-offs (e.g., more helpfulness with less verbosity). we also validate the effectiveness of dpa with real-world alignment experiments on mistral-7b. our method provides straightforward arithmetic control over the trade-off between helpfulness and verbosity while maintaining competitive performance with strong baselines such as direct preference optimization (dpo).
the influence of centralization and directional preference on spinal control in patients with nonspecific neck pain
the prevalence of neck pain is estimated at 20-70% and represents the second leading musculoskeletal cause of disability in the united states. mechanical diagnosis and therapy (mdt) is a system of musculoskeletal examination and treatment which involves an analysis of the patient’s response to end range repeated movements. the testing of end range repeated movements may determine a direction of motion that improves the person’s symptoms and/or movement and is referred to as a directional preference (dp). the deep neck flexor test (dnft) assesses neuromuscular control of the cervical spine, which is often impaired in people with neck pain. a published case study of a person with neck pain found a relationship between directional preference and improved deep neck flexor strength. the purpose of this study is to determine the correlation between dp and neuromuscular control, as measured with the dnft, in patients referred for physical therapy at the catholic health system of buffalo, ny.
2025 integrating lumbar directional preference into an ompt model
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extension bias and directional preferences
if you are suffering from any musculoskeletal system disorder then you have feel at some point that some position make you feel better
what is the mckenzie method for back pain and neck pain?
the mckenzie method is a type of physical therapy and exercise that centralizes pain, and then focuses on self-healing techniques, including exercise.
the biggest source of information for doctors – prolékaře.cz
the biggest source of information for doctors – prolékaře.cz
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