Diagnostic CPRs for specific subtypes of LBP
Low back pain (LBP) is generally considered a somewhat heterogeneous condition, characterised by a wide range of symptoms, prognosis, and response to specific treatments. Subgrouping patients into specific diagnostic entities will likely facilitate future advances in regards to our understanding and subsequent management of LBP. The following systematic review aims to identify diagnostic clinical prediction rules (CPRs) for LBP, and to assess their readiness for clinical application.
13 studies were identified with CPRs for LBP. Amongst those, 1 tool for identifying lumbar stenosis and 2 tools for identifying inflammatory back pain had been validated. No impact analysis studies were identified. Most diagnostic CPRs for LBP are in their initial development phase and cannot be recommended for use currently in clinical practice.
Validation and impact analysis of the diagnostic CPRs identified in this review are warranted, particularly those tools that meet an identified unmet need of clinicians who manage patients with LBP.
> From: Haskins et al., J Orthop Sports Phys Ther 45 (2015) 61-76. All rights reserved to Journal of Orthopaedic & Sports Physical Therapy. Click here for the Pubmed summary.