Recent literature has shown
unreliable diagnostic methods and poor outcomes when relying on
patho-anatomical diagnosis. Classification based diagnosis and treatment, such
as MDT, has shown to be more effective and reliable in spinal disorders. This
has not been established well in peripheral assessment. MDT has preliminary
findings supportive of similar reliability and efficacy in extremity
assessment. There has been extensive research of elbow disorders with
patho-anatomical diagnosis and only a singular study on classification based
diagnosis of the elbow.
This case series demonstrates the
efficacy of MDT with elbow disorders of seven consecutive patients. Outcomes
demonstrated an averaged 87 percent perceived improvement [PPI] in pain and
function with a reduction in numerical pain rating scale [NPRS] pain scores
from 4.7 to 0.6. Averaged duration of treatment was 3.4 visits in 13.6 days.
Averaged three month outcomes were PPI of 95%, NPRS of 0/10, and UEFS of 79/80.
None of the cases sought further
medical care for elbow pain.
This indicates there may be similar
efficacy of classification based treatment on peripheral musculoskeletal
disorders as seen in the spine. It also demonstrates that patho-anatomical
diagnosis and classification based diagnosis are not mutually exclusive.
Hi,
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