Clinical Prediction Rules

Clinical Prediction Rules (CPRs)

CPRs are mathematical tools that are intended to guide physiotherapists in their clinical decision making. The popularity of such rules has increased greatly over the past few year.

In many ways much of the art of physiotherapy boils down to playing the percentages and predicting outcomes. For example, when physiotherapists take a history from a patient thy ask the questions that they think are the most likely to provide them with the information that they need to make a diagnosis. They might then order the tests that they think are the most likely to support or refute their various diagnoses. With each piece of the puzzle some hypotheses will become more likely and others less likely. At the end of the process the physiotherapist will decide which treatment is likely to result in the most favourable outcome for the patient, based on the information they have obtained.

CPRs

Diagnosis

• 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

• 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

http://orthopedicmanualpt.com/clinical-decision-making/clinical-prediction-rules/