Clinical prediction rules in the physiotherapy management of low back pain: a systematic review
The authors reviewed 23 studies Clinical Prediction Rules (CPRs) concerning Low back Pain (LBP) management in physiotherapy in the period of 1990 until 2010. 25 CPRs of which 15 were diagnostic, 7 were prescriptive and 3 were prognostic were identified. Fifteen studies from the USA, three from Australia, two form the Netherlands and one each from Singapore, Spain and the United Kingdom.
The findings of this review is that there is no evidence at the moment that these CPRs can be applied directly into clinical practice, as only two of the CPRs have progressed to the validation stage. Clinicians should therefore be aware of the fact that predictor variables may simply reflect chance associations and unique characteristics of the specific population studied in the CPR concerned. > From: Haskins et al., Man Ther 17 (2012) 9-21.
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