Extremities: Observational studies

 

Aina A, May S, Case report - A shoulder Derangement, Man Ther, 10:159-163, 2005

Case report of a patient with shoulder pain who responds typically as a Derangement.

Aytona MC, Dudley K, Rapid resolution of chronic shoulder pain classified as derangement using the McKenzie method: a case series., J Man Manip Ther, 21:207-212, 2013

Case series of 4 patients classified as derangement who responded well to repeated movements in slightly different directions, but mostly using medial rotation.

View article source

Read review

Kaneko S, Takasaki H, May S, Application of mechanical diagnosis and therapy to a patient diagnosed with de Quervain's disease: a case study., J Hand Ther, 22:278-284, 2009

Description of a patient with diagnosis of de Quervain_x0019_s who demonstrates a directional preference and classified as derangement responds to repeated movements.

Krog C, May S., Derangement of the temporomandibular joint; a case study using Mechanical Diagnosis and Therapy, Manual Therapy, 17:483-486, 2012

A case study in which a patient with lots of previously unsuccessful treatment responds rapidly and successfully to treatment using directional preference exercises establishing the patient as fitting operational definitions for a derangement.

View article source

Read review

Littlewood C, May S, A contractile dysfunction of the shoulder., Man Ther, 12:80-83, 2006

Description of a single case study with chronic shoulder pain who is classified as a contractile dysfunction, treated with loading exercises, and recovers within 2 months. The characteristics of contractile dysfunction are presented.

 

Lynch G, May S, Directional preference at the knee: a case report using mechanical diagnosis and therapy, J Man Manip Ther, 21(1), 60-66, 2013

A case report of a patient presenting with lateral knee pain, and a positive McMurray's test on several occasions, and referred with meniscus lesion, but who in fact responded to repeated movements of knee extension with overpressure in a few sessions, and returned to a demanding swimming schedule.

View article source

Read review

 

Maccio J, Carlton L, Fink S, Ninan C, Van Vranken C, Biese G, McGowan C, Maccio JG, Tranquill J, Directional preference of the wrist: a preliminary investigation, J Man Manip Ther, 25, 5, 244-250, 2017

This study followed 19 consecutive wrist patients that were examined and treated with MDT. 79% were classified as wrist Derangements and 10% as cervical Derangements. The presence of 'mechanical stress' in the history was associated the presence of Derangement.

View article source

Read review

 

Maccio J, Fink S, Yarznbowicz R, May S, The application of mechanical diagnosis and therapy in lateral epicondylalgia , J Man Manip Ther, Article published online, 2016

Case series of 3 patients with lateral elbow pain assessed, classified as Derangements and treated with MDT principles. All patients responded rapidly with excellent outcomes up to one year follow-up.

View article source

Read review

 

Menon A, May S., Shoulder pain: Differential diagnosis with mechanical diagnosis and therapy extremity assessment - A case report, Manual Therapy, 18;354-7, 2012

A case report of a patient who presents with typically shoulder pain brought on apparently by a lifting job, but who actually responds to repeated movements of the cervical spine with full resolution of symptoms.

View article source

Read review

 

Pheasant S, Cervical Contribution to functional shoulder impingement: two case reports, Int J Sports Phy Ther, 11, 6, 980-991, 2017

This case series of two patients details the presentation and subsequent management of two young athletes. Both present with shoulder symptoms, positive shoulder tests and apparent shoulder 'impingement'. Both resolve rapidly with cervical retraction extension exercises and the cervical spine is concluded to be the source of the symptoms.

View article source

Read review

 

Rose T, Butler J, Salinas N, Stolfus R, Wheatley T, Schenk R, Measurement of outcomes for patients with centralising versus non-centralising neck pain, J Man Manip Ther, 24, 5, 264-268, 2016

This study looked at 11 patients with neck pain to see if there was a difference in outcomes between centralisers and non-centralisers. The 6 patients whose pain centralised had significantly more favourable disability outcomes.

View article source

Silbernagel KG, Btorsson A, Lunberg M, The majority of patients with Achilles tendinopathy recover fully when treated with exercise alone. A 5-year follow-up., Am J Sports Med, 39.607-613, 2011

Cohort of 34 patients of who 80% were fully recovered with a programme of progressive loading exercises and 5-year follow-up.

 

Smith B, Hendrick P, Logan P, Patellofemoral pain: Challenging current practice - A case report, Manual Therapy, 22, 216-219, 2016

This case study challenges some of the traditional ways of evaluating and treating PFP. It describes a young patient with years of anterior knee pain and failed interventions. The management was guided by the symptomatic response to painful exercises, using self-management and the 'produce/increase but no worse' MDT principle to achieve a successful outcome.

View article source