ArticleThe Journal of manual & manipulative therapy2017
Application of the McKenzie system of Mechanical Diagnosis and Therapy (MDT) in patients with shoulder pain; a prospective longitudinal study.
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 8 papers.
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Who cites it
8 citing papers in PubMed.
- Cervical Spine Screening Based on Movement Strategies Improves Shoulder Physical Variables in Neck-Related Shoulder Pain Patients: A Secondary Analysis from an Observational Study.Journal of clinical medicine · 2025Article
- The influence of directional preference on lateral patellar dislocation: a case report.The Journal of manual & manipulative therapy · 2023Article
- Exploring indicators of extremity pain of spinal source as identified by Mechanical Diagnosis and Therapy (MDT): a secondary analysis of a prospective cohort study.The Journal of manual & manipulative therapy · 2022Article
- A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS).The Journal of manual & manipulative therapy · 2020Article
- Mechanical diagnosis and therapy and Morton's neuroma: a case-series.The Journal of manual & manipulative therapy · 2020Article
- A prospective study of patients with shoulder pain and Mechanical Diagnosis and Therapy (MDT).The Journal of manual & manipulative therapy · 2020Observational
- 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
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe primary objective was to determine if the pain and function response to the McKenzie system of Mechanical Diagnosis and Therapy (MDT) differs by MDT classification category at two and four weeks following the start of MDT treatment for shoulder complaints. The secondary objective was to describe the frequency of discharge over time by MDT classification.
methodsInternational, MDT-trained study collaborators recruited 93 patients attending physiotherapy for rehabilitation of a shoulder problem. The Numeric Pain Rating Scale (NPRS) and the Upper Extremity Functional Index (UEFI) were collected at the initial assessment and two and four weeks after treatment commenced. A two-way mixed model analysis of variance with planned pairwise comparisons was performed to identify where the differences between MDT classification groups actually existed.
resultsThe Derangement and Spinal classifications had significantly lower NPRS scores than the Dysfunction group at week 2 and week 4 ( DISCUSSION: Classifying patients with shoulder pain using the MDT system can impact treatment outcomes and the frequency of discharge. When MDT-trained clinicians are allowed to match the intervention to a specific MDT classification, the outcome is aligned with the response expectation of the classification.
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