Effects of Extension Biased External Limb Loading in Addition to McKenzie Extension Protocol in Lumbar Derangement Syndrome

"Begin in the quadruped position and progress the intensity by~1. Flexing one upper extremity~2. Extending one lower extremity with a leg slide~3. Extending one lower extremity by lifting it off the mat~4. Flexing one upper extremity while extending contralateral lower extremity and then alternate to opposite extremities.~ Progress to prone position:~5. Extending one lower extremity~6. Extending both lower extremity"

"Static:~1. Lying Prone~2. Lying prone in extension~3. Sustained extension~4. Posture correction~ Dynamic:~5. Extension in lying~6. Extension in lying with clinician overpressure~7. Extension mobilization~8. Extension in standing"

Moist Heating for 10 minutes at lumbar spine in prone position using moist heat packs, heated via hydro-collator.