Numerous clinical trials have investigated the effectiveness of
interventions for low back pain (LBP). Despite the magnitude of
research in this area, the evidence remains somewhat
inconclusive for many of the common interventions. All patients
with LBP are unique; thus, it is not reasonable to expect that all
patients will benefit from identical interventions. Matching
patients with interventions from which they are likely to benefit
has been advocated as a method to improve the power of
investigation. This module reviews the evolutionary history of
clinical prediction rules (CPRs), the methodological standards for
developing CPRs, and the hierarchy of evidence for applying
CPRs in clinical practice. The CPRs currently in use for the
management of patients with LBP are discussed.
The goal of this educational program is to provide physical
therapy professionals with an understanding of how to use
clinical prediction rules for patients with LBP.