Quick Links! | Modern Manual Therapy Blog

Quick Links!

Today's Quick Links come from Chris Johnson, MDT Worldpress, and PT Diagnosis.

Get your runner's mirror neurons firing by watching more robotic precision from Chris Johnson. Here's a single leg stance with forward lean video from his youtube channel.

Tim Richardson at PT Diagnosis reports that the maintenance settlement against medicare is now getting preliminary approval. This is a huge win for both consumers and practitioners alike as there are plenty of conditions that are better managed with maintenance PT rather than drugs or surgery. We still have a cap, but it's still a huge first step that I never thought I would see. Aren't all HMOs supposed to follow suit with Medicare regs?

One of the misconceptions about MDT is that it is only applicable to certain populations. A guest article on the MDT Worldpress site reviews a study done in 2010 on an older population (65 and greater). As expected there were a high amount with a DP and there was little correlation with the severity of previous scans. However, the data (n=150) showed 100% of them being classified as derangement syndrome. That's great for outcomes, but what good is having a classification system if 100% of your multi-center data comes back all as one syndrome? What are your thoughts?


  1. Erson - with regards to your comment "100% being classified as derangement syndrome" - I think there is some confusion in the way the article is written.

    It states that 87% of patients had a directional preference and were "therefore classifiable within the MDT system". There is another statement that follows - "all patients classified in this study were derangements". I interpreted this as "if you were classified (as derangement, posture, or dysfunction), then you were a deragement". However, this leaves the 13% without a directional preference and NOT classifiable under the three mutually exclusive categories. As you know, "mechanically inconclusive/other" could in fact account for that percentage in this population. Of course, it would be even better to find out directly from Dave Oliver - he is on Twitter @davea2physio.

    Allan Besselink, PT, Dip. MDT

  2. Allan, I was curious on your take. I can't interpret it as such because it said ALL so I interpretted that as 100%. I'll reach out to him on twitter.

  3. Allan is correct, 87% were classifiable within the MDT system and of those 87% the only classification seen was derangement.

  4. Ok, so it 100% of the classifiable patients were derangements. Almost as in 60% of the time it works every time!