Preliminary Clinical Prediction Rule for Identifying Patients With Ankylosing Spondylitis Who Are Likely to Respond to an Exercise Program: A Pilot Study.
Alonso-Blanco C, Fernández-de-Las-Peñas C, Cleland JA
The aim of this study was to develop a preliminary clinical prediction rule to identify the potential predictors for identifying patients presenting with ankylosing spondylitis who are likely to respond to a specific exercise program. Data from 35 patients were included of which 16 (46%) experienced a successful outcome. A clinical prediction rule with three variables (physical role >37, bodily pain >27, and Bath Ankylosing Spondylitis Disease Activity Index >31) was identified. The most accurate predictor of success was if the patient exhibited two of the three variables, and the positive likelihood ratio was 11.2 and the posttest probability of success increased to 91%. The accuracy of prediction declined if either 1/3 or 3/3 variables were present.
The present preliminary clinical prediction rule provides the potential to identify patients with ankylosing spondylitis who are likely to experience short-term follow-up success with a specific exercise program. Future studies are necessary to validate the clinical prediction rule.
Am J Phys Med Rehabilitation, online article, Mar 25 2009
Related posts:
- Development of a clinical prediction rule for diagnosing hip osteoarthritis in individuals with unilateral hip pain.
- The effect(s) of a six-week home-based exercise program on the respiratory muscle and functional status in ankylosing spondylitis.
- The effectiveness of exercise therapy for ankylosing spondylitis: a review.
- Examination of a Clinical Prediction Rule to Identify Patients With Neck Pain Likely to Benefit From Thoracic Spine Thrust Manipulation and a General Cervical Range of Motion Exercise: Multi-Center Randomized Clinical Trial
- Effects of two exercise interventions on pulmonary functions in the patients with ankylosing spondylitis
Return to top of page