Purpose: Identify patients with low back pain who likely will improve with spinal manipulation.

Rule:

1. Duration of symptoms < 16 days
2. At least one hip with > 35° of internal rotation
3. Lumbar hypomobility
4. No symptoms distal to the knee
5. FABQ-W score < 19

Interpretation:

Screen Shot 2015-01-19 at 9.44.51 AM

Research:

1. Childs JD, et al. A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study. Ann Intern Med. 2004; 141(12): 920-8.

2. Cleland JA, et al. The Use of a Lumbar Spine Manipulation Technique by Physical Therapists in Patients Who Satisfy a Clinical Prediction Rule: A Case Series. J Orthop Sports Phys Ther. 2006; 36(4): 209–214.

2. Flynn T, et al. A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with spinal manipulation. Spine. 2002; 27(24): 2835-43.

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