Poster Sessions - 2018 Research Day

Using the McKenzie Method (MDT) to Treat Shoulder Pain: A Retrospective Case Report

Type of Presentation

Poster Session

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background and Purpose: Shoulder pain is a commonly seen complaint in healthcare settings today. The currently used pathophysiological model produces a number of diagnostic labels that are not always accurate or reliable. A patient-driven method which is known as Mechanical Diagnosis and Therapy (MDT) or the McKenzie Method is well known for its application to patients with lumbar and cervical spine conditions. However, there is little research validating the use of this method for the treatment of patients with shoulder pain. The purpose of this case report was to examine the use and efficiency of MDT in the treatment of a patient with chronic shoulder pain.

Case Description: The patient was a 53 year old male with chronic right shoulder pain of insidious onset. The patient’s symptoms included anterior right shoulder pain without radicular symptoms. The pain was impairing his ability to sleep, dress/bathe himself, retrieve his wallet from his back pocket, and hug family members.

Outcomes: The patient completed 7 outpatient treatment sessions using MDT principles and demonstrated improvements in pain and function as evidenced by improvements on the Short Form 36 and Numerical Pain Rating Scale. He also demonstrated improvements in right shoulder active range of motion, strength, and function.

Discussion: The subject’s decreased pain and improved function are indicators that treatment using MDT principles might be effective in the treatment of shoulder pain. Future research can continue to grow the body of evidence for the use of this method in patients with shoulder pain.

Identify Grant

Research was supported by GSU Office of Student Life

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

Using the McKenzie Method (MDT) to Treat Shoulder Pain: A Retrospective Case Report

Hall of Governors

Background and Purpose: Shoulder pain is a commonly seen complaint in healthcare settings today. The currently used pathophysiological model produces a number of diagnostic labels that are not always accurate or reliable. A patient-driven method which is known as Mechanical Diagnosis and Therapy (MDT) or the McKenzie Method is well known for its application to patients with lumbar and cervical spine conditions. However, there is little research validating the use of this method for the treatment of patients with shoulder pain. The purpose of this case report was to examine the use and efficiency of MDT in the treatment of a patient with chronic shoulder pain.

Case Description: The patient was a 53 year old male with chronic right shoulder pain of insidious onset. The patient’s symptoms included anterior right shoulder pain without radicular symptoms. The pain was impairing his ability to sleep, dress/bathe himself, retrieve his wallet from his back pocket, and hug family members.

Outcomes: The patient completed 7 outpatient treatment sessions using MDT principles and demonstrated improvements in pain and function as evidenced by improvements on the Short Form 36 and Numerical Pain Rating Scale. He also demonstrated improvements in right shoulder active range of motion, strength, and function.

Discussion: The subject’s decreased pain and improved function are indicators that treatment using MDT principles might be effective in the treatment of shoulder pain. Future research can continue to grow the body of evidence for the use of this method in patients with shoulder pain.