Stabilization for Low Back Pain

Purpose: Identify patients presenting with low back pain who will likely respond favorably to a stabilization exercise program.

Stage of CPR Development: Invalidated (Rabin et al., 2014)

Rule:

Stabilization CPR	Modified Stabilization CPR
Age < 40 years old	Aberrant movement present
Straight leg raise > 91°	Positive prone instability test
Aberrant movement present
Positive prone instability test

Derivation Study (Hicks et al., 2005):

Variables	Sensitivity	Specificity	+LR	-LR
2	0.83	0.56	1.90	0.30
3	0.56	0.86	4.00	0.52

Validation Study (Rabin et al., 2014):

	Group	Disability (p-Value)	Pain Score (p-Value)
Stabilization CPR	Stabilization vs Manual Therapy	0.05	0.26
	+CPR vs -CPR	0.04	0.88
	Stabilization CPR+ vs CPR-	0.02	0.67
	Stabilization CPR+ vs Manual Therapy CPR+	0.03	0.31
Modified Stabilization CPR	Stabilization vs Manual Therapy	0.04	0.18
	+mCPR vs -mCPR	0.27	0.67
	Stabilization mCPR+ vs mCPR-	0.02	0.16
	Stabilization mCPR+ vs Manual Therapy CPR+	0.005	0.05

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