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:
Anterior Shoulder Instability
Ankylosing Spondylitis (Berlin Criteria)
Ankylosing Spondylitis (IBP Criteria)
Canadian Cervical Spine Rules
Carpal Tunnel Syndrome
Cervical Closed Fracture
Deep Vein Thrombosis
Lumbar Spinal Stenosis
Medial Collateral Ligament Pathology
Ottawa Ankle Rules
Ottawa Knee Rules
Pittsburgh Knee Rules
Rotator Cuff Pathology
Sacroiliac Joint Pain
Vertebral Compression Fracture
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
Thanks for the great resource John!
Thank you Jim and Samuele. Please let me know if there are others you would like included!
CPR for cervicogenic headache from Jull 07′ would be a great addition. Thanks for putting this together!
Thanks for good resource
Possible to include the cluster of Vroomen for nerve root compression?
Thanks for compiling this list of CPRs! It’s a great reference for the OCS exam.
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
Thanks a lot. It a great resource.
Thanks, I truly appreciate that!
Thank you from Portland, OR! I’ve used this information as resources in presentations to other healthcare providers and now for OCS study. This is great. Thanks for your work putting it together.
Thank you for the kind words Brooke!
Is there a CPR for low back pain for facet dysfunction?
This is great! May also want the NATA positionnstatements since they’re recommended for the SCS and are all open access.
Great resource. I’m sitting for OCS exam March 2020. I don’t want to ruffle feathers, but are these all up to date? I also have the orange prep book too. Thanks.
Jeremy thanks for reaching out. To my knowledge these CPRs should be up to date, but if you see an discrepancies, please reach out.
I recently purchased the PT Ortho Questions, are the neck CPGs up to date ?
Here is another study resource for anyone taking the OCS exam!
At Complete Medical Wellness, we specialize in diagnosing and treating Thoracic Radiculopathy and other spine-related conditions. We believe in taking a holistic approach to treatment and working closely with our patients to develop personalized care plans that meet their unique needs. Check out this article for more information. Thoracic Radiculopathy