Clinical Prediction

Cleland JA, Fritz JM, Whitman JM, Childs JD, Palmer JA. The Use of a Lumbar Spine Manipulation Technique by Physical Therapists in Patients Who Satisfy a Clinical Prediction Rule: A Case Series. J Orthop Sports Phys Ther. 2006 Apr;36(4):209-14.

“Eleven of the 12 patients (92%) in this case series who satisfied the CPR and were treated with an alternative lumbar manipulation technique demonstrated a successful outcome in 2 visits. It is plausible that patients with LBP who satisfy the CPR may obtain a successful outcome with either manipulation technique directed at the lumbopelvic region.”Cleland JA, Fritz JM, Whitman JM, Childs JD, Palmer JA.

Childs JD et al. A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study. Ann Intern Med. 2004 Dec 21;141(12):920-8.

“The spinal manipulation clinical prediction rule can be used to improve decision making for patients with low back pain.”Childs JD et al.

Childs JD, Fritz JM, Piva SR, Erhard RE. Clinical Decision Making in the Identification of Patients Likely to Benefit From Spinal Manipulation: A Traditional Versus an Evidence-Based Approach. J Orthop Sports Phys Ther. 2003 May;33(5):259-72.

“We believe this CPR offers clinicians an efficient and practical evidence-based tool that can be applied by even the novice physical therapist who is familiar with the CPR and the technique that was used in its development. This CPR should encourage clinicians who were previously reluctant to incorporate spinal manipulation into their clinical practice to use it more frequently based on a patient’s status with respect to the CPR.”Childs JD, Fritz JM, Piva SR, Erhard RE.