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What it measures:

This clinical prediction rule (CPR) contains 5 criteria for identifying adult patients with low back pain of varying levels of severity who improve with spinal manipulation. 

  1. Fear-Avoidance Beliefs Questionnaire work score <19 points.
  2. Duration of current episode <16 days.
  3. No symptoms extending distal to the knee.
  4. At least 1 hypomobile lumbar spine segment.
  5. At least 1 hip with >35° of internal rotation range of motion.

Target Population:

This summary contains information on the use of this test in individuals aged 18 to 60 years old with mechanical low back pain (LBP). 

Low back pain.  Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association reported level 2 evidence specifically for this CPR (Delitto et al., 2012).

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