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Directional preference of the wrist: a preliminary investigation.

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  • معلومة اضافية
    • Author-Supplied Keywords:
      classification
      derangement
      directional preference
      extremity
      McKenzie
      MDt
      wrist
    • Abstract:
      Background: Directional preference is a phenomenon that occurs in musculoskeletal disorders. It is associated with improved symptomatic and functional outcomes. Research has shown a 90% increase in the identification of directional preference in the peripheral joints between 2006 and 2012. There is currently no research analyzing if predictive variables exist for establishing directional preference. Case Description: This report presents 19 consecutive patients with wrist pain. These patients were evaluated using a mechanical diagnosis and therapy (MDT)-based assessment. Patients were classified into the mechanical syndromes Derangement, Dysfunction, Postural, and Other. Patients classified with wrist Derangement were assessed for the presence of directional preference. Secondary analysis of predetermined variables was performed for association with directional preference. One case description was included to demonstrate MDT assessment, treatment, and clinical reasoning. Results: Of the 19 patients evaluated, 15 (79%) were classified as having wrist Derangement. All patients with wrist Derangement demonstrated directional preference. Eight movements were found to establish directional preference. Each was unique with varying degrees of direction, load, and force. Discussion: This report found directional preference to be higher (79%) than previously reported values. Historical and physical examination findings were analyzed to determine if there were associated variables of directional preference. Excessive mechanical stress was found to be the most associated factor in predicting directional preference. These findings may lead to a greater understanding of peripheral MDT assessment, which may lead to increased identification of directional preference and improved patient outcomes. Level of Evidence: 4. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Journal of Manual & Manipulative Therapy (Maney Publishing) is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Maccio Physical Therapy, Troy, NY, USA
    • ISSN:
      1066-9817
    • Accession Number:
      10.1080/10669817.2017.1283767
    • Accession Number:
      126999360
  • Citations
    • ABNT:
      MACCIO, J. R. et al. Directional preference of the wrist: a preliminary investigation. Journal of Manual & Manipulative Therapy (Maney Publishing), [s. l.], v. 25, n. 5, p. 244–250, 2017. DOI 10.1080/10669817.2017.1283767. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=126999360&custid=s8280428. Acesso em: 28 maio. 2020.
    • AMA:
      Maccio JR, Carlton L, Fink S, et al. Directional preference of the wrist: a preliminary investigation. Journal of Manual & Manipulative Therapy (Maney Publishing). 2017;25(5):244-250. doi:10.1080/10669817.2017.1283767.
    • APA:
      Maccio, J. R., Carlton, L., Fink, S., Ninan, C., Van Vranken, C., Biese, G., McGowan, C., Maccio, J. G., & Tranquillo, J. (2017). Directional preference of the wrist: a preliminary investigation. Journal of Manual & Manipulative Therapy (Maney Publishing), 25(5), 244–250. https://doi.org/10.1080/10669817.2017.1283767
    • Chicago/Turabian: Author-Date:
      Maccio, Joseph R., Lindsay Carlton, Sarah Fink, Chanel Ninan, Chandree Van Vranken, Garret Biese, Colin McGowan, Joseph G. Maccio, and Julia Tranquillo. 2017. “Directional Preference of the Wrist: A Preliminary Investigation.” Journal of Manual & Manipulative Therapy (Maney Publishing) 25 (5): 244–50. doi:10.1080/10669817.2017.1283767.
    • Harvard:
      Maccio, J. R. et al. (2017) ‘Directional preference of the wrist: a preliminary investigation’, Journal of Manual & Manipulative Therapy (Maney Publishing), 25(5), pp. 244–250. doi: 10.1080/10669817.2017.1283767.
    • Harvard: Australian:
      Maccio, JR, Carlton, L, Fink, S, Ninan, C, Van Vranken, C, Biese, G, McGowan, C, Maccio, JG & Tranquillo, J 2017, ‘Directional preference of the wrist: a preliminary investigation’, Journal of Manual & Manipulative Therapy (Maney Publishing), vol. 25, no. 5, pp. 244–250, viewed 28 May 2020, .
    • MLA:
      Maccio, Joseph R., et al. “Directional Preference of the Wrist: A Preliminary Investigation.” Journal of Manual & Manipulative Therapy (Maney Publishing), vol. 25, no. 5, Dec. 2017, pp. 244–250. EBSCOhost, doi:10.1080/10669817.2017.1283767.
    • Chicago/Turabian: Humanities:
      Maccio, Joseph R., Lindsay Carlton, Sarah Fink, Chanel Ninan, Chandree Van Vranken, Garret Biese, Colin McGowan, Joseph G. Maccio, and Julia Tranquillo. “Directional Preference of the Wrist: A Preliminary Investigation.” Journal of Manual & Manipulative Therapy (Maney Publishing) 25, no. 5 (December 2017): 244–50. doi:10.1080/10669817.2017.1283767.
    • Vancouver/ICMJE:
      Maccio JR, Carlton L, Fink S, Ninan C, Van Vranken C, Biese G, et al. Directional preference of the wrist: a preliminary investigation. Journal of Manual & Manipulative Therapy (Maney Publishing) [Internet]. 2017 Dec [cited 2020 May 28];25(5):244–50. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=126999360&custid=s8280428