Clinical Prediction Rules and their Application in Selecting Interventions - PT03

Clinical Prediction Rules and their Application in Selecting Interventions

Patients with Low Back Pain

by Kristina S. Beekhuizen, PT, PhD, CSCS and Morey J. Kolber, PT, PhD, OCS, Cert MDT, CSCS*D
(4.0 / 1114 ratings )

This course is credentialed for:
Physical Therapy (1.00 Hour(s))

Price: $19.00
CE-PRO Price: $9.50


Numerous clinical trials have investigated the effectiveness of interventions for low back pain. Despite the magnitude of research in this area, the evidence remains somewhat inconclusive for many of the more common interventions. Many researchers fail to recognize that all patients with LBP are not the same; thus, it is not reasonable to expect that all patients will benefit from identical interventions. Matching patients with interventions from which they are likely to benefit has been advocated as a method to improve the power of investigation. This module will review the evolutionary history of clinical prediction rules, discuss the methodological standards for developing CPRs, review the hierarchy of evidence for applying CPRs in clinical practice and describe the spinal manipulation and stabilization CPRs currently in use for the management of patients with LBP.


The goal of this continuing education program on clinical prediction rules for low back pain is to educate and enable physical therapists to understand and use clinical prediction rules appropriately for patients with LBP. After you study the information presented here, you will be able to:
  • Recognize methodological standards for establishing CPRs
  • Recall the CPRs used to select patients who are most likely to benefit from lumbar stabilization and manipulation
  • Recognize variables that may indicate a poor outcome from lumbar stabilization and manipulation

Approval Information
OnCourse Learning is an approved sponsor by The NY State Education Dept. of CE for PT and PTAs from 10/21/2009 to 10/20/2018.
This activity is provided by the TX Board of PTs Examiners Accredited Provider GED012010TPTA2012004 for 01/01/10 to 01/31/13; 1601004 for 02/01/13 to 01/31/16; and 1902004TX for 02/01/16 to 01/31/19 and meets continuing competence requirements for PT and PTA licensure renewal in TX. The assignment of TX PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
As of 4/5/10, OnCourse Learning is recognized by The PT Board of CA as an approved reviewer and provider of continuing competency courses for the state of CA.
OnCourse Learning is a licensed physical therapy continuing education sponsor (#216.000275) with the IL Dept. of Financial and Professional Regulation from July 2013 through 9/30/18.
OnCourse Learning was approved as a provider of CE by The NC PT Association (provider no. 09-0215-001PR) from 03/08/09 through 03/08/10.
This course has been approved as meeting the CE requirements for PTs and PTAs by:
The OH PT Association (approval no. 08S0498, exp. date 6/9/09; approval no. 09S1303 for 6/9/09 to 6/9/10; 10S1589 for 6/10/10 to 6/11/11; 11S0909 from 06/11/11 to 06/11/12; 12S1148 for 06/12/12 to 06/12/13; 13S0968 for 06/13/13 to 06/13/14; 14S1243 for 06/14/14 to 06/14/15; 15S1328 for 06/15/15 to 06/15/16; 16S1691 for 06/16/16 to 06/16/17; 17S5469 for 06/17/17 to 06/17/18).
The FL PT Association (approval no. CE80612361, exp. date 12/31/08; approval no. CE90014292 for 1/1/09 to 12/31/09; CE100014341 for 1/1/10 to 12/31/10; CP110016352 for 01/01/11 to 12/31/11; CE120017204 for 01/01/12 to 12/31/12; CE130019609 for 01/01/13 to 12/31/13; CE140021516 for 01/01/14 to 12/31/14; CE150024049 for 01/01/15 to 12/31/15; CE16-27113 for 01/01/16 to 12/31/16; CE17-518231 for 01/01/17 to 12/31/17). Approval of this course does not necessarily imply The FL PT Association supports the views of the presenter or the sponsors.
The TX Board of PTExaminers (approval no. 43446A, exp. date 6/9/09; approval no. 46528A for 11/13/09 to 11/12/10).
The TN PT Association (approval no. 3538 for 12/06/10 to 12/05/11; 4194 for 12/06/11 to 12/05/12; 4816 for 12/06/12 to 12/05/13; 5263 for 12/06/13 to 12/05/14; 5826 for 12/06/14 to 12/05/15; 2132 for 12/06/15 to 12/05/16; 2016-512 for 12/06/16 to 12/05/17; 2017-407 for 12/06/17 to 12/05/18) for Class 1 CE Requirement.
The PA Board of PT (PTCE003833 for 01/01/13 to 12/31/14; PTCE006363 for 01/01/15 to 12/31/16; PTCE009924 for 01/01/17 to 12/31/18).
The NJ Board of PT Examiners (approval no. 152-2008, exp. date 1/31/10; approval no. 961-2009, exp. date 1/31/12; 128-2012 from 02/01/12 to 01/31/14; 203-2014 for 02/01/14 to 01/31/16; 2016-258 for 02/01/16 to 01/31/18).
This course has been approved by:
The MD State Board of PT Examiners for 0.1 CEU for 05/26/11 to 05/26/15; 05/01/15 to 05/01/19.
The NV State Board of PT Examiners for 0.1 units of CE for 01/30/12 to 07/31/13; 07/31/13 to 07/31/15; 07/31/15 to 07/31/17; 11/29/17 to 7/31/19.
The IL Chapter CE Committee has certified that this course meets the criteria for approval of CE offerings established by The IL PT Association (approval no. 359-2444, exp. date 6/1/09; approval no. 437.3059 for 10/1/09 to 10/1/10; 437-3618 for 11/01/10 to 11/01/11; 437-4099 for 11/01/2011 to 11/01/2012; 437-4509 for 11/01/12 to 11/01/13). According to the Rules for the Administration of the IL PT Act (section 13460.61) published by the IL Dept of Professional Regulation, a PT or PTA applying for re-licensure in IL can earn a max. of 50% of their required CE hours from self-study. The hours awarded of this course are designated for self-study CE credit.
Other states may accept this course for meeting their CE requirements. Check with your state association or board.

Course Originally Released on: 3/26/2015
Date of Most Recent Review: 3/26/2015
Course Termination/Update Date: 7/2/2021


Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

This course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

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KEVIN T - Memphis, TN  ·  Sep 18, 2018
This course was very informative, and this will take my clinical skills to the next level.
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Christopher R - Rockford, IL  ·  Sep 15, 2018
Good way to look at and group patients initially with modifications as indicated
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Anthony D - Byron, IL  ·  Sep 12, 2018
informative and relevant to patient care
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Caroline M - Aubrey, TX  ·  Sep 07, 2018
good beginner introduction to CPR's
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Jennifer P - Sheboygan, WI  ·  Aug 31, 2018
very informative. Thank you
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Price: $19.00
CE-PRO Price: $9.50