Event Title

Utilization of the McKenzie System of Mechanical Diagnosis and Treatment (MDT) for Shoulder Pain - A Retrospective Case Report

Author/ Authors/ Presenter/ Presenters/ Panelists:

Alicia Carpenter, Governors State UniversityFollow

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Location

Virtual Poster Session

Abstract

Background and Purpose: MDT is a method used to classify impairment and directional preference to guide exercise intervention. Rotator cuff tears can have a detrimental effect on a person’s livelihood and ability to perform daily activities and participate in extracurricular activities. This case study is a way to demonstrate how MDT can assist the clinician with diagnosis and exercise prescription.
Case Description: LS is a middle-aged male with a medical diagnosis of a left rotator cuff tear resulting in pain which limits his ability to sleep, reach overhead, and perform ADLs.
Outcomes: Six weeks of physical therapy intervention consisting of left shoulder IR direction preference, strengthening, ROM, and functional exercise resulted in LS meeting most of his goals. He regained his strength and ability to sleep throughout the night, reach overhead, and dress his upper body without pain. He almost met his ROM goals for shoulder flexion and abduction, but fully met his shoulder IR and ER ROM goals.
Discussion: Rotator cuff tears can limit a person’s ability to perform daily activities and participate in their extracurricular activities. Utilization of the MDT method can provide a direction in which to prescribe treatment. Adherence to an exercise regimen is the key to recovery.

Presenter:
Alicia Carpenter
Physical Therapy Doctoral Student

Faculty / Staff Sponsor

Dr. Roberta K. O'Shea
Professor, College of Health and Human Services

Vincent Gutierrez
Adjunct Faculty Member, College of Health and Human Services

Presentation File

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Carpenter Capstone Poster.pdf (59 kB)
PT Poster - Alicia Carpenter

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Utilization of the McKenzie System of Mechanical Diagnosis and Treatment (MDT) for Shoulder Pain - A Retrospective Case Report

Virtual Poster Session

Background and Purpose: MDT is a method used to classify impairment and directional preference to guide exercise intervention. Rotator cuff tears can have a detrimental effect on a person’s livelihood and ability to perform daily activities and participate in extracurricular activities. This case study is a way to demonstrate how MDT can assist the clinician with diagnosis and exercise prescription.
Case Description: LS is a middle-aged male with a medical diagnosis of a left rotator cuff tear resulting in pain which limits his ability to sleep, reach overhead, and perform ADLs.
Outcomes: Six weeks of physical therapy intervention consisting of left shoulder IR direction preference, strengthening, ROM, and functional exercise resulted in LS meeting most of his goals. He regained his strength and ability to sleep throughout the night, reach overhead, and dress his upper body without pain. He almost met his ROM goals for shoulder flexion and abduction, but fully met his shoulder IR and ER ROM goals.
Discussion: Rotator cuff tears can limit a person’s ability to perform daily activities and participate in their extracurricular activities. Utilization of the MDT method can provide a direction in which to prescribe treatment. Adherence to an exercise regimen is the key to recovery.

Presenter:
Alicia Carpenter
Physical Therapy Doctoral Student