The DOI matches its Crossref record; 76 of the 77 references it cites were found in a registry or an index.
Preliminary Development of a Clinical Prediction Rule for Determining Which Patients With Low Back Pain Will Respond to a Stabilization Exercise Program
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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“Likewise, determining the optimal dose for maximal treatment success (response) is still a matter of debate [12,13].”
In the citing paper
“The optimal dose-response-relationship for the utmost treatment success is, thus, still unknown.”
From Dose-response-relationship of stabilisation exercises in patients with chronic non-specific low back pain: a systematic review with meta-regression (2020) · cites this paper as [10]
Citations
Cites
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
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
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
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
Research works printed but not linked: 1
- Spitzer, 1987, Approach to the problem, Spine, 12, 9
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The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence
Leeuw, M., Goossens, M. E. J. B., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. S. (2007) · Journal of Behavioral Medicine · doi:10.1007/s10865-006-9085-0 · Cited by 2,261
“…that especially for high fear avoiders a regular exercise program was more effective than usual general practitioner care (Klaber Moffett et al., 2004), whereas lower fear avoidance beliefs were associated with less favorable outcomes following a stabilization exercise program (Hicks et al., 2005).”
BackgroundA primary care back pain screening tool: identifying patient subgroups for initial treatment
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).”
BackgroundDelitto, 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
Searle, A., Spink, M., Ho, A., & Chuter, V. (2015) · Clinical Rehabilitation · doi:10.1177/0269215515570379 · Cited by 555
Metadata
- 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.
- 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)
- 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
- 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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