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Document Type


Publication Date



Physical Therapy

Faculty Advisor

Ronald Schenk, PT PhD OCS Dip MDT FAAOMPT


The McKenzie Method of Mechanical Diagnosis and Therapy (MDT) is an evidence-based system of assessment, diagnosis, and treatment of musculoskeletal disorders. MDT classifications include postural, derangement, and dysfunction syndromes, and an “other” category. MDT is based on testing repeated end range movements to determine the classification, as well as whether a directional preference for exercise exists and if localization of symptoms occurs. The approach emphasizes the patient’s ability to independently manage their condition, but also includes manual procedures based on a progression of forces and the patient’s response. This project is a review of the literature with respect to the efficacy of the McKenzie Method for treating patients presenting with extremity musculoskeletal conditions. If evidence exists, the extent to which the McKenzie Method is taught in physical therapy programs, orthopaedic residencies, and orthopaedic manual physical therapy fellowships around the country will be investigated.