Understanding Clinical Prediction Rules for Lumbar Manipulation

You learned about them. You studied them. You were tested on them. But the real question is, how important are they to use?

Understanding Clinical Prediction Rules for Lumbar Manipulation by Cameron Faller

Understanding Clinical Prediction Rules for Lumbar Manipulation

Clinical prediction rules (CPRs) were developed using multivariate statistical methods to help clinicians select particular interventions to use depending on a cluster of findings a patient presented with.

Given the black and white matter of how the CPRs were created, this allowed for the opportunity to write a lot of test questions whether it was the NPTE or the OCS exam.

However, as many practicing clinicians know, the clinic is not black and white and we cannot always shoehorn patients into classifications or rules.

So what do we do instead?

Before we release Episode 55 of our Modern Pain Podcast, we wanted to discuss some of the common limitations and pitfalls the research has shown when fully examining CPRs.

Newsflash, some patients may respond well with lumbar manipulation but we might not necessarily need a rule to tell us that.

Similarly, those same patients that satisfy the criteria to have a lumbar manipulation performed may also respond equally well with other interventions.

So how do we go about selecting what types of interventions to perform? What exactly does patient-centered care look like without using these rules?

via Cam Faller and Modern Pain Care on instagram

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