Updated Clinical Prediction Rule Resource (Again)

Clinical Prediction Rules (CPRs) are an interesting, complicated, and often misunderstood area of rehabilitation research. To say all CPRs are not created equal would be a significant understatement. In this most recent rehaul of the CPR Resource, I focused on not just adding to the quantity of rules included, but I spent the vast majority of…

Clinical Prediction Rule Update

I have taken the time to update the Clinical Predition Rule (CPR) Resource... Newly added CPRs include: 1. Anterior Shoulder Instability 2. Closed Cervical Fracture 3. Hip Osteoarthritis 4. Lumbar Spinal Stenosis 5. MCL Pathology 6. Vertebral Compression Fracture Additionally, the Litaker et al. study was added to the diagnostic CPR for Rotator Cuff Pathology and the…

Research Review: Validation of a Clinical Prediction Rule to Identify Patients with LBP Likely to Respond to Stabilization Exercises

In the next installment of my Research Review Series for MedBridge Education, we discuss a recent randomized controlled study investigating the validity of a clinical prediction rule for identifying patients with low back pain likely to respond favorably to a spinal stabilization program. Study Design Randomized Controlled Trial. Subjects One hundred five patients diagnosed with LBP…

Research Review: Validation of a Clinical Prediction Rule to Identify Patients with LBP Likely to Respond to Stabilization Exercises

Study Design Randomized Controlled Trial. Subjects One hundred five patients diagnosed with LBP and referred to physical therapy at 1 of 5 outpatient clinics of Clalit Health Services in the Tel-Aviv metropolitan area, Israel, were recruited for this study. Of these 105 patients, 40 were positive on the Stabilization CPR and 65 were negative. The…

Clinical Prediction Rule Resource

Clinical decision making is integral to becoming an effective clinician, regardless of profession. One tool that we, as physical therapists, have is the clinical prediction rule (CPR), which is the best combination of medical signs, symptoms, and/or other findings in predicting the probability of a specific disease or outcome. There have been many CPRs developed…

Manual Therapy… Why the Apprehension?

According to a survey of 813 British physical therapists conducted by Foster et al, Only 58.9% Physical therapists utilize spinal mobilization (Grade I - IV) and only 2.8% use spinal manipulative therapy (Grade V) when treating patients suffering from low back pain (LBP). Additionally, a survey of 274 Canadian physical therapists published by Li et…