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🦵 McKenzie Extension Exercise Centralization Simulator

A simulator demonstrating the phenomenon of pain centralization (pain shifting from terminal to axial) during repeated extension exercises according to the McKenzie method.

Sciatica & Lumbar Radiculopathy2DModerate60 FPS
mckenzie-extension-centralization-simulator ↗ Open standalone

Baseline Distal Leg Pain

Placeholder: initial presentation of leg-dominant radicular pain pattern.

  • Distal: Pain origin (Placeholder short caption)
  • Disc bulge: Typical cause (Placeholder short caption)
  • Pain map: Assessment tool (Placeholder short caption)
  • 7/10: Baseline VAS (Placeholder short caption)

Placeholder section heading one

Placeholder: short paragraph describing baseline leg pain assessment.

Placeholder: baseline pain mapping guides exercise selection.

Prone Extension Exercise Setup

Placeholder: patient lies prone, hands under shoulders, ready to extend.

  • Prone: Position (Placeholder short caption)
  • Firm mat: Support (Placeholder short caption)
  • Extension: Target motion (Placeholder short caption)
  • 2 sec: Hold time (Placeholder short caption)

Placeholder section heading two

Placeholder: short paragraph describing exercise setup mechanics.

Placeholder: correct setup maximizes extension bias.

Repeated Extension Repetitions

Placeholder: multiple press-up reps performed to end range.

  • 10 reps: Typical set (Placeholder short caption)
  • Hourly: Frequency (Placeholder short caption)
  • End range: Range goal (Placeholder short caption)
  • Pain shift: Monitoring (Placeholder short caption)

Placeholder section heading three

Placeholder: short paragraph describing repeated movement testing.

Placeholder: repetition reveals directional preference pattern.

Pain Centralization Shift

Placeholder: pain retreats from leg toward the spine midline.

  • Centralization: Phenomenon (Placeholder short caption)
  • Favorable: Prognosis (Placeholder short caption)
  • Distal→Central: Direction (Placeholder short caption)
  • Minutes: Response time (Placeholder short caption)

Placeholder section heading four

Placeholder: short paragraph describing the centralization phenomenon.

Placeholder: centralization predicts good treatment outcome.

Peripheralization Warning Sign

Placeholder: worsening distal pain signals exercise should stop.

  • Peripheralization: Phenomenon (Placeholder short caption)
  • Unfavorable: Prognosis (Placeholder short caption)
  • Stop/reassess: Action (Placeholder short caption)
  • Non-responder: Classification (Placeholder short caption)

Placeholder section heading five

Placeholder: short paragraph describing peripheralization red flags.

Placeholder: peripheralization means changing the exercise direction.
⚙ Under the hood

A simulator demonstrating the phenomenon of pain centralization (pain shifting from terminal to axial) during repeated extension exercises according to the McKenzie method.

CanvasBiomedicine

2D · HTML5 Canvas 2D · 60 FPS target · runs fully client-side, no install

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