Efficacy of Exercise Intervention as Determined by the McKenzie System of Mechanical Diagnosis and Therapy for Knee Osteoarthritis: A Randomized Controlled Trial

Rosedale, Richard; Rastogi, R.P.; May, Stephen; Chesworth, Bert M.; F, Filice; Willis, Sean; Howard, J; Naudie, Douglas D.R.; Robbins, Shawn M.

doi:10.2519/jospt.2014.4791

Cited by 48 publications

(64 citation statements)

References 40 publications

(30 reference statements)

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“…The current study is a secondary analysis from a randomized controlled trial examining the efficacy of exercise intervention as determined by the McKenzie System of Mechanical Diagnosis and Therapy in participants with knee OA (clinicaltrials.gov registration number NCT01641874) 18 . Participants had a radiologically confirmed diagnosis of knee OA made by an orthopedic surgeon and had pain for at least 4 months.…”

Section: Participantsmentioning

confidence: 99%

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Comparison of measurement properties of the P4 pain scale and disease specific pain measures in patients with knee osteoarthritis

Robbins

Rastogi

Howard

et al. 2014

Osteoarthritis and Cartilage

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P4 should be used to measure pain in patients with knee OA. It had acceptable measurement properties which is comparable to more widely used pain measures. WOMAC-pain shared a factorial structure with WOMAC-function indicating these measures might be capturing the same construct, questioning its validity to measure pain separately from function. ICOAP had acceptable properties. More work should compare pain measures in less severely affected OA populations.

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Section: Participantsmentioning

confidence: 99%

“…Participants were randomly assigned to an intervention or control group in a 2:1 ratio since the intervention group was further divided into subgroups for the primary study 18 . The control group received the standard of care which included pain medication and continued follow-up with an orthopedic surgeon.…”

Section: Participantsmentioning

confidence: 99%

Comparison of measurement properties of the P4 pain scale and disease specific pain measures in patients with knee osteoarthritis

Robbins

Rastogi

Howard

et al. 2014

Osteoarthritis and Cartilage

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“…It has been suggested that an assessment to simply identify structures as the cause of pain does not elicit enough information to understand the problem or to justify a course of management (Jones and Rivett, 2004 It has also been suggested that classification systems like MDT, may offer better clinical utility as the categories of classification are based on patient's responses to repeated mechanical loading strategies rather than the presence of patho-anatomy (Lynch & May, 2013;May & Rosedale, 2012;Rosedale et al, 2014). An MDT assessment directs treatment with an appropriate loading strategy and in the presence of a directional preference, may determine who might and might not respond to treatment ).…”

Section: Discussionmentioning

confidence: 99%

“…In a pilot study, Kelly, May & Ross (2008) In a recent randomized control trial, Rosedale et al (2014) sought to examine the effectiveness of exercise intervention determined through an MDT on patients diagnosed with end stage knee OA. Not only were patients readily classified as Derangement or not Derangement, but it could be inferred that the large effect size of d = 0.77 to 0.87 for all primary outcomes seen at two weeks by the intervention group is attributable to the classification and exercise matching determined by the MDT assessment.…”

Section: Mckenzie System Of Mechanical Diagnosis and Therapymentioning

confidence: 99%

Inter-rater reliability of the McKenzie System of Mechanical Diagnosis and Therapy in the examination of the knee

Willis

Rosedale

Rastogi

et al. 2016

Journal of Manual & Manipulative Therapy

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Objective: The purpose of this thesis was to investigate the inter-rater reliability of the McKenzie System of Mechanical Diagnosis and Therapy (MDT) when classifying patients with musculoskeletal knee pain using clinical vignettes. Methods: This study was divided into two phases. First, ten clinicians experienced in the use of MDT were randomly recruited to write a total of 60 clinical vignettes based upon the initial assessment of past patients with knee pain. Second, six different MDT raters were recruited to rate 53 selected vignettes and reliability was determined using Fleiss Kappa. Results: There was "substantial agreement" among six MDT raters classifying the clinical vignettes into one of four categories (kappa=0.72). There was no statistically significant difference between therapists with different levels of training. Significance: These findings indicate that the McKenzie System of MDT is a reliable method of classifying patients presenting with musculoskeletal knee pain when using clinical vignettes.

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“…There is limited research on the use of McKenzie techniques on the knee. Rosedale conducted the first study of mechanical assessment and treatment using the McKenzie method on the knee joint [28]. However, muscle strength was not assessed in this study.…”

Section: Introductionmentioning

confidence: 99%

Effect of McKenzie Techniques on Muscle Strengthening in Anterior Knee Pain

et al. 2018

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Introduction:The prevalence of Anterior Knee Pain (ANP) has been reported between 15% and 45% in Europe. Muscle weakness is a predisposing factor for ANP. The purpose of this study was to investigate and compare the effect of McKenzie and common exercises on quadriceps and hamstring muscles strengthening and consequently relieving anterior knee pain. Materials and Methods:A total of 22 patients with ANP (Mean [SD] age: 29.191 [1.658] y) were randomly assigned into control and experiment groups. Each group consisted of 11 subjects. The treatment program included hot pack and acupuncture like TENS modalities for 10 sessions. From the third session, the exercise was added to each group's treatment program separately. The control group exercises consisted of strengthening exercises of the knee, thigh and trunk muscles. In the experiment group, the subjects were initially classified according to mechanical diagnostic tests of McKenzie. This classification is based on patient's response to repetitive movements or constant positions at their end range of motion. The exercise was prescribed according to directional preference which was specific for each case. The strength of quadriceps and hamstring muscles were assessed in three stages with hand held dynamometer. The repeated measure ANOVA test was used to compare variables between two groups. The ANOVA and the Tukey post hoc test were used for intra-group comparisons. All statistical analyses were performed in SPSS V. 21. Results:The strength of quadriceps muscle in both groups showed a significant improvement (P<0.001) after the third evaluation. There was no significant difference between the two groups in this regard. There was no significant difference between two groups in hamstring strength among all stages. Conclusion:In patients with ANP, McKenzie exercises like common exercises can improve the strength of quadriceps muscle.

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Efficacy of Exercise Intervention as Determined by the McKenzie System of Mechanical Diagnosis and Therapy for Knee Osteoarthritis: A Randomized Controlled Trial

Cited by 48 publications

References 40 publications

Comparison of measurement properties of the P4 pain scale and disease specific pain measures in patients with knee osteoarthritis

Comparison of measurement properties of the P4 pain scale and disease specific pain measures in patients with knee osteoarthritis

Inter-rater reliability of the McKenzie System of Mechanical Diagnosis and Therapy in the examination of the knee

Effect of McKenzie Techniques on Muscle Strengthening in Anterior Knee Pain

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