ArticleThe Journal of manual & manipulative therapy2017
Inter-rater reliability of the McKenzie System of Mechanical Diagnosis and Therapy in the examination of the knee.
Article in The Journal of manual & manipulative therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Evidence synthesis of types and intensity of therapeutic land-based exercises to reduce pain in individuals with knee osteoarthritis.Rheumatology international · 2019Pooled it
- Inter-rater reliability of Mechanical Diagnosis and Therapy (MDT) in evaluating and classifying chronic pelvic pain syndrome.The Journal of manual & manipulative therapy · 2025Article
- Comparing the Movement System Impairment Method and Routine Physical Therapy for Knee Pain: A Randomized Clinical Trial.Life (Basel, Switzerland) · 2025Article
- Reproducibility of an Intraoperative Pressure Sensor in Total Knee Replacement.Sensors (Basel, Switzerland) · 2021Article
- A New Clustering Method for Knee Movement Impairments using Partitioning Around Medoids Model.Iranian journal of medical sciences · 2020Article
- The application of Mechanical Diagnosis and Therapy to the ankle-foot complex: a case series.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
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe McKenzie System of Mechanical Diagnosis and Therapy (MDT) is a widely used method of classification and management of musculoskeletal problems. Although MDT has been investigated for its reliability and efficacy in the management of spinal pain, few studies have evaluated the system when applying it to musculoskeletal problems in the extremities, in particular the knee. The purpose of this study was to investigate the inter-rater reliability of MDT when classifying clinical vignettes describing patients with musculoskeletal knee pain.
methodsThis study was divided into two phases. First, 10 clinicians experienced in the use of MDT were recruited to write a total of 60 clinical vignettes based upon the initial assessment of their past patients with knee pain. Second, six different MDT raters were recruited to rate 53 selected vignettes and reliability was determined using Fleiss Kappa.
resultsThere was 'substantial agreement' among six MDT raters classifying the clinical vignettes into one of four categories ( DISCUSSION: MDT demonstrated acceptable reliability among trained raters to classify clinical vignettes describing patients with musculoskeletal knee pain. To generalize the use of the system to more users, future research should continue to investigate the reliability of MDT using raters with lower levels of training and experience and assess reliability in real patients. LEVEL OF EVIDENCE: 5.
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