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Tuesday, March 31 • 10:00am - 10:15am
Kimani M. Hicks & Marlee M. Gil: Investigation of the Inter-rater Agreement in Identifying Mechanical Diagnosis and Therapy (MDT) Shoulder Interventions

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The United States spends more money on healthcare per capita than any other country in the world. Musculoskeletal complaints comprise a high proportion of these patients with the majority of expenditures directed towards high cost procedures such as surgery, imaging and medications. These expenditures have been attributed to unreliable and invalid assessment methods leading to inaccurate diagnoses, fragmentation of care, imprudent efforts to contain costs instead of maximizing value, a disincentive towards efficiency, and suboptimal outcomes. Therefore, accurate and reliable assessment methods are essential to formulate a precise diagnosis which has been speculated to decrease practice variation, contain costs, and improve outcomes. Evidence suggests that Mechanical Diagnosis and Therapy (MDT) as a diagnostic paradigm has demonstrated acceptable levels of reliability as well as diagnostic and prognostic validity among experienced clinicians when used with patients with spinal disorders. Mckenzie’s original description indicated that MDT could also be applied to extremity problems; however, little is known about the inter-examiner reliability of the method when used to identify MDT shoulder interventions. Thus, the purpose of this study is to investigate the inter-examiner agreement of MDT trained experienced clinicians to identify 104 MDT shoulder interventions in video demonstrations and paper vignettes.

Tuesday March 31, 2015 10:00am - 10:15am EDT
Civic Center - Meeting Room C - Ground Floor 505 West Pensacola Street, Tallahassee, FL 32301

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