Cited by 621Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyMedical Practices and Rehabilitation

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Preliminary Development of a Clinical Prediction Rule for Determining Which Patients With Low Back Pain Will Respond to a Stabilization Exercise Program

Hicks, Gregory E., Fritz, Julie M., Delitto, Anthony, McGill, Stuart M.·2005·Archives of Physical Medicine and Rehabilitation

DOI 10.1016/j.apmr.2005.03.033

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Abstract

Objective To develop a clinical prediction rule to predict treatment response to a stabilization exercise program for patients with low back pain (LBP).Design A prospective, cohort study of patients with nonradicular LBP referred to physical therapy (PT).Setting Outpatient PT clinics.Participants Fifty-four patients with nonradicular LBP.Intervention A standardized stabilization exercise program.Main outcome measure Treatment response (success or failure) was categorized based on changes in the Oswestry Disability Questionnaire scores after 8 weeks.Results Eighteen subjects were categorized as treatment successes, 15 as treatment failures, and 21 as somewhat improved. After using regression analyses to determine the association between standardized examination variables and treatment response status, preliminary clinical prediction rules were developed for predicting success (positive likelihood ratio [LR], 4.0) and failure (negative LR, .18). The most important variables were age, straight-leg raise, prone instability test, aberrant motions, lumbar hypermobility, and fear-avoidance beliefs.Conclusions It appears that the response to a stabilization exercise program in patients with LBP can be predicted from variables collected from the clinical examination. The prediction rules could be used to determine whether patients with LBP are likely to benefit from stabilization exercises.

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Background
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Method
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BackgroundResult
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Method
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“However, high incidence of disc degeneration is also observed in individuals without LBP, particularly in older populations, complicating assessment of causality [8,9].”
EFFECT OF SPINAL MANIPULATION ON POSTURAL INSTABILITY IN PATIENTS WITH NON SPECIFIC LOW BACK PAIN
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Precision and Reliability of a Dynamometer for Trunk Extension Strength and Steadiness Assessment
Parolini, F. C. S., Goethel, M. F., Robalino, J. A., Becker, K. M., Sousa, M. V., Pulcineli, B. C., Ervilha, U. F., Vilas‐Boas, J. P., & Santos, R. S. (2025) · Applied Sciences · doi:10.3390/app15084081 · Cited by 4
Construct validity of center of rotation in differentiating of lumbar segmental instability patients
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Authors: Hicks, G. E., Fritz, J. M., Delitto, A., & McGill, S. M.
Affiliations: University of Maryland, Baltimore (US)
University of Utah (US)
University of Pittsburgh (US)
University of Waterloo (CA)
Corresponding author: Hicks, Gregory E.
ORCID: Hicks, Gregory E.
Fritz, Julie M.
Delitto, Anthony
McGill, Stuart M.
Venue: Archives of Physical Medicine and Rehabilitation
Publisher: Elsevier BV
Published: 2005-09
Volume: 86
Issue: 9
Pages: 1753-1762
ISSN: 0003-9993 (ISSN-L)
DOI: 10.1016/j.apmr.2005.03.033
OpenAlex: W2124409697
Cited by: 621
References: 77
Citations by year: 2026: 5 · 2025: 17 · 2024: 16 · 2023: 22 · 2022: 21 · 2021: 21 · 2020: 21 · 2019: 21 · 2018: 36 · 2017: 24 · 2016: 34 · 2015: 45 · 2014: 30 · 2013: 38 · 2012: 50
FWCI: 22.54
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Archives of Physical Medicine and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords: low back pain, stabilization exercises, clinical prediction rules, treatment response prediction, physiotherapy, Oswestry Disability Index, straight leg raise, fear-avoidance beliefs, age
MeSH terms: Adult, Exercise Therapy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain Measurement, Predictive Value of Tests, Probability, Prospective Studies, Risk Factors, Severity of Illness Index, Cohort Studies, Confidence Intervals, Treatment Outcome, Low Back Pain, Physical Therapy Modalities

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Preliminary Development of a Clinical Prediction Rule for Determining Which Patients With Low Back Pain Will Respond to a Stabilization Exercise Program

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