Mechanical Diagnosis and Therapy (MDT): Implications for Lumbar Mobility, Stability, and Direction of Preference

Saturday, April 6- Sunday, April 7, 2013

8:00 am - 5:00 pm

8:00 am - 4:00 pm 

Location:  Brooks Rehabilitation Hospital

                        Assembly 1&2

                        3599 University Blvd, S

                        Jacksonville, FL  32216

Course Description: 

This Fellowship program course is designed to provide an analysis regarding  Mechanical Diagnosis and Therapy (MDT) classification, evidence,  and outcomes, and how this approach relates to Orthopaedic Manual Physical Therapy.  The course will guide clinicians in the analysis of movement dysfunction and therapeutic exercise based on repeated end range spinal movements, centralization, and direction of preference.  The course will involve both lecture and laboratory sessions and will compare and contrast MDT and manual physical therapy schools of thought.

The course also includes patient demonstration, analysis and discussion. The principle format is lecture, discussion and live patient demonstrations.

Course Objectives:

At the end of this course, participants will be able to:

·         Describe the cardinal features of the McKenzie approach of Mechanical Diagnosis and therapy and contrast it to other treatment approaches.

• Analyze the findings from a subjective examination, active and repeated end range spinal movements to arrive at a MDT classification.
• Synthesize movement examination findings to classify the condition and develop an exercise strategy for the patient based on centralization and direction of preference.
• Demonstrate manual physical therapy procedures based on patient response.
• Discuss the current literature regarding the validity and reliability of MDT as a patient response method.

Instructor(s):

Ron Schenk PT, PhD, OCS, FAAOMPT, Dip MDT

Intended Audience:

Physical Therapists

CEUs:  14 Contact Hours (1.4 CEUs) for Physical Therapists

Timed Agenda:

Day 1:

8:00-8:15 am             Course introduction

8:15-8:45                  Commonalities in Spinal Classification Systems:

                                Muscle Balance, Australian, Nordic Mechanical Diagnosis and Therapy (MDT)

8:45-9:15 am              MDT Model - Operational Definitions

9:15-10:00 am            Evidence for Physical Therapy Classification

10:00-10:15 am          Break

10:15 am-11:00          Evidence for Centralization

11:00-11:30                 Mechanical Examination - Subjective

11:30-12:00 pm          Mechanical Examination - Structural, Postural, Active (patient response)                             

12:00-1:00                   Lunch

1:00-1:45                     Mechanical examination - Repeated End Range (patient response)

1:45-2:15                     Mechanical examination - Neurological, Special tests

2:15-2:30                     Break

2:30-3:15                  MDT Classification - Evidence

3:15-4:00                   Direction of Preference - Evidence

4:00-4:30                    Exercise prescription based on direction of preference                             

4:30-5:00                   Questions and Day 1 summary

Day 2: 

8:00-8:30 am            The Lateral Compartment -Evidence                               

8:30-9:00                   Testing for the lateral compartment

9:00-9:30                   Models for OMPT

9:30-10:00                 MDT Progression of forces

10:00-10:15              Break

10:15-10:30             Tissue remodeling - Evidence

10:30-11:00              MDT manual technique - sagittal plane 

11:00-11:30              MDT manual technique  - frontal plane

11:30-12:00 pm       MDT Manual technique - transverse plane

12:00-1:00 pm         Lunch 

1:00-1:30                  MDT management of the SIJ

1:30-2:00                  Provocation testing of the SIJ - Evidence

2:00-2:30                  SIJ direction of preference

2:30-2:45                  Break

2:45-3:00                  Stabilization evidence

3:00-3:30                  MDT and stabilization

3:30-4:00                  Course summary