Clinical Prediction Rules (CPRs) are an interesting, complicated, and often misunderstood area of rehabilitation research.

To say all CPRs are not created equal would be a significant understatement.

In this most recent rehaul of the CPR Resource, I focused on not just adding to the quantity of rules included, but I spent the vast majority of time adding adequate information in order to allow the reader to discern the value of each specific rule.

From rules that have been invalidated under further investigation (Stabilization for low back pain) to those that have contradictory findings (Spinal manipulation for low back pain), enough information is available to allow the reader to make the most logical decision based on the evidence available.

In addition to the added thoroughness of the information provided, I have also added several rules that were left off the original list. See below for the additional rules provided…

Diagnostic:

Ankylosing Spondylitis (Berlin Criteria)
Ankylosing Spondylitis (IBP Criteria)

Interventional:

Exercise for Ankylosing Spondylitis
Manual Therapy and Exercise for Acute Lateral Ankle Sprain
Mobilization with Movement for Lateral Epicondyalgia

Finally, make the best clinical judgment of each rule based on your patient population, the stage of CPR development (derivation –> validation –> impact analysis –> implementation), and the literature supporting or refuting its value.

About the Author John Snyder, PT, DPT, OCS, CSCS

I am a Physical Therapist, a Board Certified Orthopaedic Specialist, a Strength & Conditioning Specialist, an Educator, and a Research Junkie. My goal is to provide resources for orthopedic and sports medicine clinicians to keep up to date with the current literature and allow them to translate it to their practice.

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