A clinical prediction rule (CPR) is a guideline in which the best combination of medical signs, symptoms, and other clinical findings in predicting the probability of a specific disease or outcome are determined. These CPRs aide in selecting appropriate interventions and diagnosing certain pathological conditions. Below are a list of CPRs that should help in the physical therapist’s clinical decision making process:

Diagnosis:

Anterior Shoulder Instability
Ankylosing Spondylitis (Berlin Criteria)
Ankylosing Spondylitis (IBP Criteria)
Canadian Cervical Spine Rules
Carpal Tunnel Syndrome
Cervical Myelopathy
Cervical Radiculopathy
Cervical Closed Fracture
Deep Vein Thrombosis
Hip Osteoarthritis
Lumbar Spinal Stenosis
Medial Collateral Ligament Pathology
Meniscal Pathology
Ottawa Ankle Rules
Ottawa Knee Rules
Pittsburgh Knee Rules
Pulmonary Embolism
Rotator Cuff Pathology
Sacroiliac Joint Pain
Subacromial Impingement
Vertebral Compression Fracture

Intervention:

Cervical Manipulation for Neck Pain
Cervicothoracic Manipulation for Shoulder Pain
Exercise for Ankylosing Spondylitis
Hip Mobilization for Knee Osteoarthritis
Manipulation for Patellofemoral Pain Syndrome
Manipulation for Low Back Pain
Manual Therapy and Exercise for Acute Lateral Ankle Sprain
Mechanical Traction for Low Back Pain
Mechanical Traction for Neck Pain
Mobilization with Movement for Lateral Epicondyalgia
Orthotics for Patellofemoral Pain Syndrome
Patellar Taping for Patellofemoral Pain Syndrome
Stabilization for Low Back Pain
Thoracic Manipulation for Neck Pain

9 comments

  1. Great info! I would add the clinical practice guidelines from JOSPT. Cervical manipulation for neck pain in your interventions section would also be indicated for Neck pain with mobility deficit and Neck pain with headache. Neck pain with radiating pain (cervical radiculopathy) interventions would be Upperquarter and nerve mobilization procedures, traction, and thoracic mobilization/manipulation. Typically not radiculopathy.
    Thanks, Kathy Lang PT

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