Clinical Prediction Rules
Introduction
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Clinical prediciton rules are mathematical tools that are intended to guide physiotherapists in their clinical decision making. The populaity of such rules has increased greatly over the past few years.
The intent of CPRs is to assist clinicians in making a diagnosis, establishing a prognosis, or implementing an intervention[1]. It has been suggested that well-constructed CPRs can improve clinical decision making and practice, there is a lack of consensus as to what constitutes a methodologically sound CPR.[2]
What are clinical prediction rules?[edit | edit source]
Establishing a clinical prediction rule[edit | edit source]
The establishment of a clinical prediction rule in clinical practice requires four distinct phases:
- Development - Identification of predictors from an observational study
- Validation - testing of the clinical prediction rule in a seperate population to see if it remains reliable
- Impact analysis - measurement of the usefulness of the rule in the clinical setting in terms of cost-benefit, patient satisfaction, time/resource allocation, etc
CPRs
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Diagnosis[edit | edit source]
- Canadian Cervical Spine Rules
- Carpal Tunnel Syndrome
- Cervical Radiculopathy
- Deep Vein Thrombosis
- Meniscal Pathology
- Ottawa Ankle Rules
- Ottawa Knee Rules
- Pittsburgh Knee Rules
- Pulmonary Embolism
- Rotator Cuff Pathology
- Subacromial Impingement
Intervention[edit | edit source]
- Cervicothoracic Manipulation for Shoulder Pain
- CPR for Lumbar Stabilisation
- Hip Mobilization for Knee Osteoarthritis
- Manipulation for Low Back Pain
- Mechanical Traction for Low Back Pain
- Mechanical Traction for Neck Pain
- Manipulation for Patellofemoral Pain Syndrome
- Orthotics for Patellofemoral Pain Syndrome
- Patellar Taping for Patellofemoral Pain Syndrome
- Stabilization for Low Back Pain
- Thoracic Manipulation for Neck Pain
- Cervical Manipulation for Neck Pain
Resources[edit | edit source]
http://orthopedicmanualpt.com/clinical-decision-making/clinical-prediction-rules/
References[edit | edit source]
- ↑ Childs JD, Cleland JA. Development and application of clinical prediction rules to improve decision making in physical therapist practice. Phys Ther. 2006;86:122–131.
- ↑ Jason M Beneciuk, Mark D Bishop, Steven Z George. Clinical Prediction Rules for Physical Therapy Interventions: A Systematic Review. Phys Ther. 2009 February; 89(2): 114–124.