Purpose: In order to identify individuals presenting with an lateral epicondylalgia who respond favorably to mobilization with movement and exercise interventions.
Stage of CPR Development: Derivation.
Tests:
- Age < 49 years-old
- Affected side pain-free grip > 112 Newtons (25.2 lbs)
- Unaffected side pain-free grip < 335 Newtons (75.3 lbs)
- Change in pain > 25% following Mobilization with Movement
Interpretation:
| Variables | Sensitivity | Specificity | +LR | Probability of Success |
| 3 | 0.08 | 1.00 | ∞ | 100% |
| 2 | 0.57 | 0.85 | 3.70 | 93% |
| 1 | 0.98 | 0.46 | 1.80 | 87% |
Research:
1. Vicenzino B, Smith D, Cleland J, Bisset L. Development of a clinical prediction rule to identify initial responders to mobilisation with movement and exercise for lateral epicondylalgia. Man Ther. 2009;14(5):550-4.
Continued Learning…
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John Snyder, DPT 