Critical Appraisal of Clinical Prediction Rules That Aim to Optimize Treatment Selection for Musculoskeletal Conditions
The purposes of this review are: (1) to critically appraise studies evaluating CPRs and (2) to consider the clinical utility and stage of development of each CPR. Eighteen studies, evaluating 15 separate CPRs, were included. Fourteen CPRs were at the derivation stage, and all CPRs had been evaluated using a single-arm trial design, thus it is not possible to determine whether the CPRs identify prognosis (regardless of treatment) or… Continue readingA Nonsurgical Approach to the Management of Patients With Lumbar Radiculopathy Secondary to Herniated Disk: A Prospective Observational Cohort Study With Follow-Up
This study presents the outcomes of patients with lumbar radiculopathy secondary to disc herniation treated after a diagnosis-based clinical decision rule. A prospective observational cohort study was conducted at a multidisciplinary, integrated clinic that includes chiropractic and physical therapy health care services. Data on 49 consecutive patients were collected at baseline, at the end of conservative, nonsurgical treatment and a mean of 14.5 months after cessation of treatment. Disability was… Continue readingValidation of a prediction rule for development of rheumatoid arthritis in patients with early undifferentiated arthritis.
The objective of this study was to validate a model which predicts progression from undifferentiated arthritis (UA) to RA, in a Canadian UA cohort. The prediction rule, comprising variables which are scored from 0 to 13, with higher scores reflecting an increased risk of RA, was applied to baseline characteristics of all patients with UA. Progression to RA was determined at 6 months. 105 patients were identified. By 6 months… Continue readingPreliminary 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 JAThe 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… Continue reading
Predicting short-term response to thrust and nonthrust manipulation and exercise in patients post inversion ankle sprain.
Whitman JM, Cleland JA, Mintken PE, Keirns MA, Bieniek ML, Albin SR, Magel JS, McPoil TG
The objective of this study was to develop a clinical prediction rule (CPR) to identify patients who had sustained an inversion ankle sprain who would likely benefit from manual therapy and exercise. Consecutive patients with a status of post inversion ankle sprain underwent a standardized examination followed by manual therapy (both thrust and nonthrust manipulation)… Continue reading
Development of a clinical prediction rule for diagnosing hip osteoarthritis in individuals with unilateral hip pain.
Sutlive TG, Lopez HP, Schnitker DE, Yawn SE, Halle RJ, Mansfield LT, Boyles RE, Childs JD
The objevtive of this studywas to determine the diagnostic accuracy of common clinical examination items and to construct a preliminary clinical prediction rule for diagnosing hip osteoarthritis (OA) in individuals with unilateral hip pain. 72 subjects received a standardized history, physical examination, and standing AP radiograph of the pelvis to assess for OA. Twenty-one… Continue reading
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