Document Detail


Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program.
MedLine Citation:
PMID:  16181938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To develop a clinical prediction rule to predict treatment response to a stabilization exercise program for patients with low back pain (LBP). DESIGN: A prospective, cohort study of patients with nonradicular LBP referred to physical therapy (PT). SETTING: Outpatient PT clinics. PARTICIPANTS: Fifty-four patients with nonradicular LBP. INTERVENTION: A standardized stabilization exercise program. MAIN OUTCOME MEASURE: Treatment response (success or failure) was categorized based on changes in the Oswestry Disability Questionnaire scores after 8 weeks. RESULTS: Eighteen subjects were categorized as treatment successes, 15 as treatment failures, and 21 as somewhat improved. After using regression analyses to determine the association between standardized examination variables and treatment response status, preliminary clinical prediction rules were developed for predicting success (positive likelihood ratio [LR], 4.0) and failure (negative LR, .18). The most important variables were age, straight-leg raise, prone instability test, aberrant motions, lumbar hypermobility, and fear-avoidance beliefs. CONCLUSIONS: It appears that the response to a stabilization exercise program in patients with LBP can be predicted from variables collected from the clinical examination. The prediction rules could be used to determine whether patients with LBP are likely to benefit from stabilization exercises.
Authors:
Gregory E Hicks; Julie M Fritz; Anthony Delitto; Stuart M McGill
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  86     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-26     Completed Date:  2005-10-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1753-62     Citation Subset:  AIM; IM    
Affiliation:
Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD 21201, USA. ghicks@som.umaryland.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Confidence Intervals
Exercise Therapy / methods*
Female
Follow-Up Studies
Humans
Low Back Pain / classification*,  rehabilitation*
Male
Middle Aged
Pain Measurement
Physical Therapy Modalities
Predictive Value of Tests
Probability
Prospective Studies
Risk Factors
Severity of Illness Index
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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