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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The Need for a New Medical Model: A Challenge for Biomedicine
Engel, G. L. (1977) · Science · doi:10.1126/science.847460 · Cited by 12,887
A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability.
Waddell, G., Newton, M., Henderson, I., Somerville, D., & Main, C. J. (1993) · Pain · doi:10.1016/0304-3959(93)90127-b · Cited by 3,167
Clinical Biomechanics of the Spine
White, A. A., & Panjabi, M. M. (1978) · Medical Entomology and Zoology · Cited by 2,265
1987 Volvo Award in Clinical Sciences: A New Clinical Model for the Treatment of Low-Back Pain
Waddell, G. (1987) · Spine · doi:10.1097/00007632-198709000-00002 · Cited by 1,244
Multifidus Muscle Recovery Is Not Automatic After Resolution of Acute, First-Episode Low Back Pain
Hides, J. A., Richardson, C. A., & Jull, G. A. (1996) · Spine · doi:10.1097/00007632-199612010-00011 · Cited by 1,117
Evaluation of Specific Stabilizing Exercise in the Treatment of Chronic Low Back Pain With Radiologic Diagnosis of Spondylolysis or Spondylolisthesis
O’Sullivan, P., Phyty, G. D. M., Twomey, L. T., & Allison, G. T. (1997) · Spine · doi:10.1097/00007632-199712150-00020 · Cited by 1,105
Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain
Cholewicki, J., & McGill, S. (1996) · Clinical Biomechanics · doi:10.1016/0268-0033(95)00035-6 · Cited by 1,095
A Comparison of a Modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale
Fritz, J. M., & Irrgang, J. J. (2001) · Physical Therapy · doi:10.1093/ptj/81.2.776 · Cited by 1,060
Contraction of the Abdominal Muscles Associated With Movement of the Lower Limb
Hodges, P. W., & Richardson, C. A. (1997) · Physical Therapy · doi:10.1093/ptj/77.2.132 · Cited by 890
Long-Term Effects of Specific Stabilizing Exercises for First-Episode Low Back Pain
Hides, J. A., Jull, G. A., & Richardson, C. A. (2001) · Spine · doi:10.1097/00007632-200106010-00004 · Cited by 842
Endurance times for low back stabilization exercises: Clinical targets for testing and training from a normal database
McGill, S. M., Childs, A., & Liebenson, C. (1999) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(99)90087-4 · Cited by 814
Assessing the responsiveness of functional scales to clinical change: An analogy to diagnostic test performance
Deyo, R. A., & Centor, R. M. (1986) · Journal of Chronic Diseases · doi:10.1016/0021-9681(86)90038-x · Cited by 800
A Comparison of Five Low Back Disability Questionnaires: Reliability and Responsiveness
Davidson, M., & Keating, J. L. (2002) · Physical Therapy · doi:10.1093/ptj/82.1.8 · Cited by 763
Instability of the Lumbar Spine
Kirkaldy-Willis, W. H., & Farfan, H. F. (1982) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-198205000-00015 · Cited by 758
A Clinical Prediction Rule for Classifying Patients with Low Back Pain Who Demonstrate Short-Term Improvement With Spinal Manipulation
Flynn, T. W., Fritz, J. M., Whitman, J. M., Wainner, R. S., Magel, J. S., Rendeiro, D. G., Butler, B., Garber, M. B., & Allison, S. C. (2002) · Spine · doi:10.1097/00007632-200212150-00021 · Cited by 643
ORTHOPAEDIC ASPECTS OF THE EHLERS. DANLOS SYNDROME
Beighton, P., & Horan, F. (1969) · Journal of Bone and Joint Surgery - British Volume · doi:10.1302/0301-620x.51b3.444 · Cited by 641
Muscle control–pain control. What exercises would you prescribe?
Richardson, C. A., & Jull, G. A. (1995) · Manual Therapy · doi:10.1054/math.1995.0243 · Cited by 634
What is the maximum number of levels needed in pain intensity measurement?
Jensen, M. P., Turner, J. A., & Romano, J. M. (1994) · Pain · doi:10.1016/0304-3959(94)90133-3 · Cited by 600
Responsiveness of functional status in low back pain: a comparison of different instruments
Beurskens, A. J. H. M., de Vet, H. C. W., & Köke, A. J. A. (1996) · Pain · doi:10.1016/0304-3959(95)00149-2 · Cited by 567
The Prediction of Chronicity in Patients With an Acute Attack of Low Back Pain in a General Practice Setting
Klenerman, L., Slade, P. D., Stanley, I. M., Pennie, B. H., Reilly, J. P., Atchison, L., Troup, J. D. G., & Rose, M. J. (1995) · Spine · doi:10.1097/00007632-199502001-00012 · Cited by 532
A Treatment-Based Classification Approach to Low Back Syndrome: Identifying and Staging Patients for Conservative Treatment
Delitto, A., Erhard, R. E., & Bowling, R. W. (1995) · Physical Therapy · doi:10.1093/ptj/75.6.470 · Cited by 514
The role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status
Fritz, J. M., George, S. Z., & Delitto, A. (2001) · Pain · doi:10.1016/s0304-3959(01)00333-5 · Cited by 513
Low Back Stability: From Formal Description to Issues for Performance and Rehabilitation
McGill, S. M. (2001) · Exercise and Sport Sciences Reviews · doi:10.1097/00003677-200101000-00006 · Cited by 458
Textbook of Orthopædic Medicine
(1963) · Postgraduate Medical Journal · doi:10.1136/pgmj.39.457.670 · Cited by 457
Objective Clinical Evaluation of Physical Impairment in Chronic Low Back Pain
Waddell, G., Somerville, D., Henderson, I., & Newton, M. (1992) · Spine · doi:10.1097/00007632-199206000-00001 · Cited by 414
Studying the Natural History of Back Pain
Korff, M. V. (1994) · Spine · doi:10.1097/00007632-199409151-00005 · Cited by 405
Vertebral Manipulation
(1986) · Elsevier eBooks · doi:10.1016/c2009-0-55727-3 · Cited by 376
Radiologic Diagnosis of Degenerative Lumbar Spinal Instability
Dupuis, P., YONG-HING, K., Cassidy, J. D., & Kirkaldy-Willis, W. H. (1985) · Spine · doi:10.1097/00007632-198504000-00015 · Cited by 375
Low Back Exercises: Evidence for Improving Exercise Regimens
McGill, S. M. (1998) · Physical Therapy · doi:10.1093/ptj/78.7.754 · Cited by 348
The rational clinical examination. A primer on the precision and accuracy of the clinical examination
Sackett, D. L. (1992) · JAMA · doi:10.1001/jama.267.19.2638 · Cited by 337
A Biomechanical Analysis of the Clinical Stability of the Lumbar and Lumbosacral Spine
Posner, I., WHITE, A. A., Edwards, W. T., & Hayes, W. C. (1982) · Spine · doi:10.1097/00007632-198207000-00008 · Cited by 310
The Instability Associated with Disk Degeneration in the Lumbar Spine
Knutsson, F. (1944) · Acta Radiologica · doi:10.3109/00016924409136488 · Cited by 308
The lumbar spine
McKENZIE, R. (1981) · Medical Entomology and Zoology · Cited by 295
Roentgenographic Evaluation of Lumbar Spine Flexion-Extension in Asymptomatic Individuals
HAYES, M. A., HOWARD, T. C., Gruel, C. R., & Kopta, J. A. (1989) · Spine · doi:10.1097/00007632-198903000-00014 · Cited by 294
Clinical Biomechanics of the Spine
(2008) · Thieme eBooks · doi:10.1055/b-0034-72407 · Cited by 290
Interrater reliability of clinical examination measures for identification of lumbar segmental instability11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.
Hicks, G. E., Fritz, J. M., Delitto, A., & Mishock, J. (2003) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(03)00365-4 · Cited by 288
Self-citation
Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain
Rankin, G. (2000) · Physiotherapy · doi:10.1016/s0031-9406(05)61352-1 · Cited by 282
Lumbosacral Segmental Motion in Normal Individuals Have We Been Measuring Instability Properly?
Boden, S. D., & Wiesel, S. W. (1990) · Spine · doi:10.1097/00007632-199006000-00026 · Cited by 258
Orthopaedic Physical Assessment
Hutson, M. A. (1987) · British Journal of Sports Medicine · doi:10.1136/bjsm.21.3.114 · Cited by 258
Trunk Muscle Weakness as a Risk Factor for Low Back Pain
Lee, J., Hoshino, Y. Y., Nakamura, K., Kariya, Y., Saita, K., & Ito, K. (1999) · Spine · doi:10.1097/00007632-199901010-00013 · Cited by 254
Evidence for Use of an Extension-Mobilization Category in Acute Low Back Syndrome: A Prescriptive Validation Pilot Study
Delitto, A., Cibulka, M. T., Erhard, R. E., Bowling, R. W., & Tenhula, J. A. (1993) · Physical Therapy · doi:10.1093/ptj/73.4.216 · Cited by 226
Segmental Instability
Frymoyer, J. W., & Selby, D. K. (1985) · Spine · doi:10.1097/00007632-198504000-00017 · Cited by 223
Role of muscles in lumbar spine stability in maximum extension efforts
Gardner-Morse, M. G., Stokes, I. A. F., & Laible, J. P. (1995) · Journal of Orthopaedic Research® · doi:10.1002/jor.1100130521 · Cited by 200
Relative Effectiveness of an Extension Program and a Combined Program of Manipulation and Flexion and Extension Exercises in Patients With Acute Low Back Syndrome
Erhard, R. E., Delitto, A., & Cibulka, M. T. (1994) · Physical Therapy · doi:10.1093/ptj/74.12.1093 · Cited by 195
The Use of a Classification Approach to Identify Subgroups of Patients With Acute Low Back Pain
Fritz, J. M., & George, S. Z. (2000) · Spine · doi:10.1097/00007632-200001010-00018 · Cited by 194
The Prognostic Consequences in the Making of the Initial Medical Diagnosis of Work-Related Back Injuries
Abenhaim, L. L., Rossignol, M., Gobeille, D., Bonvalot, Y., Finès, P., & Scott, S. (1995) · Spine · doi:10.1097/00007632-199504000-00010 · Cited by 189
Influence of age and duration of symptoms on fibre type distribution and size of the back muscles in chronic low back pain patients
Mannion, A. F., Käser, L., Weber, E., Rhyner, A., Dvořák, J., & Müntener, M. (2000) · European Spine Journal · doi:10.1007/s005860000189 · Cited by 186
Reliability of Pain and Stiffness Assessments in Clinical Manual Lumbar Spine Examination
Maher, C. G., & Adams, R. D. (1994) · Physical Therapy · doi:10.1093/ptj/74.9.801 · Cited by 168
Advances in Low-Back Pain
NACHEMSON, A. L. (1985) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-198511000-00031 · Cited by 156
Effects of Age and Training on Skeletal Muscle Physiology and Performance
Thompson, L. V. (1994) · Physical Therapy · doi:10.1093/ptj/74.1.71 · Cited by 156
Quantitative intramuscular myoelectric activity of quadratus lumborum during a wide variety of tasks
McGill, S. M., Juker, D., & Kropf, P. (1996) · Clinical Biomechanics · doi:10.1016/0268-0033(95)00056-9 · Cited by 147
On the Accuracy of History, Physical Examination, and Erythrocyte Sedimentation Rate in Diagnosing Low Back Pain in General Practice
van den Hoogen, H. M. M., Koes, B. W., van Eijk, J. T. M., & Bouter, L. M. (1995) · Spine · doi:10.1097/00007632-199502000-00010 · Cited by 146
Predicting the outcome of sciatica at short-term follow-up.
Vroomen, P. C. A. J., de Krom, M. C. T. F. M., & Knottnerus, J. A. (2002) · PubMed · Cited by 138
Interrater Reliability of Lumbar Accessory Motion Mobility Testing
Binkley, J. M., Stratford, P. W., & Gill, C. (1995) · Physical Therapy · doi:10.1093/ptj/75.9.786 · Cited by 136
Use of health status measures in patients with low back pain in clinical settings. Comparison of specific, generic and preference-based instruments
Suarez‐Almazor, M. E., Kendall, C., Johnson, J. A., Skeith, K., & Vincent, D. (2000) · Rheumatology · doi:10.1093/rheumatology/39.7.783 · Cited by 134
On the Understanding of Clinical Instability
Panjabi, M. M., Lydon, C., Vasavada, A. N., Grob, D., Crisco, J. J., & Dvořák, J. (1994) · Spine · doi:10.1097/00007632-199412000-00008 · Cited by 128
Lumbar Spine Instability
NACHEMSON, A. L. (1985) · Spine · doi:10.1097/00007632-198504000-00019 · Cited by 126
Methodologic Issues in Low Back Pain Research in Primary Care
Bouter, L. M., van Tulder, M. W., & Koes, B. W. (1998) · Spine · doi:10.1097/00007632-199809150-00019 · Cited by 123
Segmental Instability of the Lumbar Spine
Fritz, J. M., Erhard, R. E., & Hagen, B. F. (1998) · Physical Therapy · doi:10.1093/ptj/78.8.889 · Cited by 114
Relationships between spinal mobility, physical performance tests, pain intensity and disability assessments in chronic low back pain patients
Grönblad, M., Hurri, H., & Kouri, J. (1997) · Journal of Rehabilitation Medicine · doi:10.2340/1650197719971724 · Cited by 112
Physical Signs of Instability
Paris, S. V. (1985) · Spine · doi:10.1097/00007632-198504000-00016 · Cited by 112
Orthopaedic Physical Assessment
Bulstrode, F. (1993) · Physiotherapy · doi:10.1016/s0031-9406(10)60691-8 · Cited by 107
The Nature of Instability
Farfan, H. F., & Gracovetsky, S. (1984) · Spine · doi:10.1097/00007632-198410000-00011 · Cited by 104
Diagnosis and Prognosis in Lumbar Disc Herniation
Vucetic, N., Åstrand, P., ntner, P. G., & Svensson, O. (1999) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-199904000-00016 · Cited by 99
An Investigation of the Reliability and Validity of Posteroanterior Spinal Stiffness Judgments Made Using a Reference-Based Protocol
Maher, C. G., Latimer, J., & Adams, R. D. (1998) · Physical Therapy · doi:10.1093/ptj/78.8.829 · Cited by 72
Impact of quality scales on levels of evidence inferred from a systematic review of exercise therapy and low back pain
Colle, F., Rannou, F., Revel, M., Fermanian, J., & Poiraudeau, S. (2002) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/apmr.2002.35657 · Cited by 68
Estimation of Force and Extensor Moment Contributions of the Disc and Ligaments at L4-L5
McGill, S. M. (1988) · Spine · doi:10.1097/00007632-198812000-00011 · Cited by 68
Rationale for treatment
Gotto, A. M. (1991) · The American Journal of Medicine · doi:10.1016/0002-9343(91)90054-2 · Cited by 66
A validated, practical classification procedure for many persistent low back pain patients
BenDebba, M., Torgerson, W. S., & Long, D. M. (2000) · Pain · doi:10.1016/s0304-3959(00)00278-5 · Cited by 49
A Dynamic Approach to Spinal Instability
Ogon, M., Bender, B. R., Hooper, D. M., Spratt, K. F., Goel, V. K., Wilder, D. G., & Pope, M. H. (1997) · Spine · doi:10.1097/00007632-199712150-00007 · Cited by 47
Lumbar Spine Instability
O’Leary, P. (1993) · Contemporary perspectives in neurosurgery · doi:10.1007/978-1-4613-9326-9_16 · Cited by 41
TEST CHARACTERISTICS
Hagen, M. D. (1995) · Primary Care Clinics in Office Practice · doi:10.1016/s0095-4543(21)00513-3 · Cited by 32
Therapists' Conceptualization and Characterization of the Clinical Concept of Spinal Stiffness
Maher, C. G., Simmonds, M. J., & Adams, R. D. (1998) · Physical Therapy · doi:10.1093/ptj/78.3.289 · Cited by 29
A Dynamic Approach to Spinal Instability
Ogon, M., Bender, B. R., Hooper, D. M., Spratt, K. F., Goel, V. K., Wilder, D. G., & Pope, M. H. (1997) · Spine · doi:10.1097/00007632-199712150-00008 · Cited by 26
Lumbar muscularity and its relationship with age, occupation and low back pain
Savage, R., Millerchip, R., Whitehouse, G. H., & Edwards, R. H. T. (1991) · European Journal of Applied Physiology · doi:10.1007/bf00233859 · Cited by 23
Approach to the Problems
Goodman, N. (1977) · Boston studies in the philosophy of science · doi:10.1007/978-94-010-1184-6_4 · Cited by 9

Research works printed but not linked: 1

Spitzer, 1987, Approach to the problem, Spine, 12, 9

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Hill, J. C., Dunn, K. M., Lewis, M., Mullis, R., Main, C. J., Foster, N. E., & Hay, E. M. (2008) · Arthritis Care & Research · doi:10.1002/art.23563 · Cited by 1,052
Core Stability Exercise Principles
Akuthota, V., Ferreiro, A., Moore, T., & Fredericson, M. (2008) · Current Sports Medicine Reports · doi:10.1097/01.csmr.0000308663.13278.69 · Cited by 711
“An example of an evidencebased core stability program is provided in Table 2 (28,29).”
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Delitto, A., George, S. Z., Dillen, L. V., Whitman, J. M., Sowa, G., Shekelle, P., Denninger, T. R., & Godges, J. J. (2012) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2012.42.4.a1 · Cited by 1,219
Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials
Searle, A., Spink, M., Ho, A., & Chuter, V. (2015) · Clinical Rehabilitation · doi:10.1177/0269215515570379 · Cited by 555

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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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