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

Research:

1. Hicks GE, Fritz JM, Delitto A, McGill SM. Preliminary Development of a Clinical Prediction Rule for Determining Which Patients With Low Back Pain Will Respond to a Stabilization Exercise Program. Arch Phys Med Rehabil. 2005; 86(9): 1753–1762.

2. Rabin A, Shashua A, Pizem K, Dickstein R, Dar G. A Clinical Prediction Rule to Identify Patients With Low Back Pain Who Are Likely to Experience Short-Term Success Following Lumbar Stabilization Exercises: A Randomized Controlled Validation Study. Journal of Orthopaedic & Sports Physical Therapy. 2014; 44(1): 6–18, B1–13.

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