ArticleThe Journal of manual & manipulative therapy2014
Inter-examiner reliability of diplomats in the mechanical diagnosis and therapy system in assessing patients with shoulder pain.
Article in The Journal of manual & manipulative therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Inter-rater reliability of Mechanical Diagnosis and Therapy (MDT) in evaluating and classifying chronic pelvic pain syndrome.The Journal of manual & manipulative therapy · 2025Article
- A prospective study of patients with shoulder pain and Mechanical Diagnosis and Therapy (MDT).The Journal of manual & manipulative therapy · 2020Observational
- TREATMENT OF ROTATOR CUFF TENDINOPATHY AS A CONTRACTILE DYSFUNCTION. A CLINICAL COMMENTARY.International journal of sports physical therapy · 2019Article
- The most common classification in the mechanical diagnosis and therapy for patients with a primary complaint of non-acute knee pain was Spinal Derangement: a retrospective chart review.The Journal of manual & manipulative therapy · 2019Article
- Directional preference of the extremity: a preliminary investigation.The Journal of manual & manipulative therapy · 2018Article
- Case Studies in Physical Therapy: Transitioning A "Hands-On" Approach into A Virtual Platform.International journal of telerehabilitation · 2018Article
- Directional preference of the wrist: a preliminary investigation.The Journal of manual & manipulative therapy · 2017Article
- Application of the McKenzie system of Mechanical Diagnosis and Therapy (MDT) in patients with shoulder pain; a prospective longitudinal study.The Journal of manual & manipulative therapy · 2017Article
- Inter-rater reliability of the McKenzie System of Mechanical Diagnosis and Therapy in the examination of the knee.The Journal of manual & manipulative therapy · 2017Article
- EVALUATION AND TREATMENT OF A PATIENT DIAGNOSED WITH ADHESIVE CAPSULITIS CLASSIFIED AS A DERANGEMENT USING THE MCKENZIE METHOD: A CASE REPORT.International journal of sports physical therapy · 2016Article
- The application of mechanical diagnosis and therapy in lateral epicondylalgia.The Journal of manual & manipulative therapy · 2016Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the inter-examiner reliability of Mechanical Diagnosis and Therapy (MDT)-trained diplomats in classifying patients with shoulder disorders. The MDT system has demonstrated acceptable reliability when used in patients with spinal disorders; however, little is known about its utility when used for appendicular conditions.
methodsFifty-four clinical scenarios were created by a group of 11 MDT diploma holders based on their clinical experience with patients with shoulder pain. The vignettes were made anonymous, and their clinical diagnoses sections were left blank. The vignettes were sent to a second group of six international McKenzie Institute diploma holders who were asked to classify each vignette according to the MDT categories for upper extremity. Inter-examiner agreement was evaluated with kappa statistics.
resultsThere was 'very good' agreement among the six MDT diplomats for classifying the McKenzie syndromes in patients with shoulder pain (kappa = 0.90, SE = 0.018). The raw overall level of multi-rater agreement among the six clinicians in classifying the vignettes was 96%. After accounting for the actual MDT category for each vignette, kappa and the raw overall level of agreement decreased negligibly (0.89 and 95%, respectively). DISCUSSION: Using clinical vignettes, the McKenzie system of MDT has very good reliability in classifying patients with shoulder pain. As an alternative, future reliability studies could use real patients instead of written vignettes.
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