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For example, van der Lee et alga have proposed an MCID for the MAL that was 10% of the total range of the scale (0. 37) Several methods of estimating the MCID have been described in the literature; these include patient self-report, (36,38) clinical expert panel consensus, (39,40) and statistical manipulations, such as calculating the SEM (32,33,36,38,39,41) or receiver operating characteristic (ROC) curves. Future studies should determine the MCID for scapular muscle tests, because this value is potentially the more appropriate one for determining clinically meaningful change in a patient's status. |
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